scholarly journals Diagnóstico de cultura de segurança do paciente

2019 ◽  
Vol 13 ◽  
Author(s):  
Elaine Cristina de Souza Ferreira ◽  
Natália Soares Melo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Short Form ◽  
Patient Safety Culture ◽  
Maturity Model ◽  
Hospital Data ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire

Objetivo: realizar um levantamento do diagnóstico de cultura de segurança do paciente para investigar a percepção da equipe multiprofissional de uma maternidade de risco habitual sobre a segurança do paciente. Método: trata-se de estudo quantitativo, descritivo, transversal, com profissionais de uma maternidade de risco habitual. Coletaram-se os dados por meio da aplicação de 98 questionários Safety Attitudes Questionnaire – short form 2006. Resultados: observou-se que somente 47 (87,03%) questionários eram válidos e, dos 47 questionários analisados sobre a avaliação da cultura de segurança, os domínios ficaram abaixo da média de pontos considerada adequada (≥75) em: Satisfação no trabalho (70,10%); Clima do trabalho em equipe (62,68%) e Percepção do estresse (57,19%); os domínios Percepção da gerência do setor e gerência geral (46,49%) e Condições de trabalho obtiveram a média mais baixa do estudo (44,61%). Conclusão: entende-se que a instituição estudada possui uma cultura de segurança frágil e encontra-se em estágio patológico em relação ao modelo de maturidade de cultura de segurança do paciente. Descritores: Segurança do Paciente; Maternidade; Equipe Multiprofissional; Cultura de Segurança; Diagnóstico da Cultura e Eventos Adversos.AbstractObjective: to conduct a survey of the patient safety culture diagnosis to investigate the perception of the multi-professional team of a habitual risk maternity ward on patient safety. Method: this is a quantitative, descriptive, cross-sectional study with professionals from a usual risk maternity hospital. Data was collected through the application of 98 questionnaires Safety Attitudes Questionnaire - short form 2006. Results: it was observed that only 47 (87.03%) questionnaires were valid and, of the 47 questionnaires analyzed about safety culture evaluation, the domains were below the points average considered adequate (≥75) in: Job Satisfaction (70.10%); Teamwork climate (62.68%) and Stress perception (57.19%); the Perceptions of Sector Management and General Management (46.49%) and Working Conditions domains had the lowest study average (44.61%). Conclusion: it is understood that the institution studied has a fragile safety culture and is in a pathological stage in relation to the patient safety culture maturity model.  Descriptors: Patient Safety; Maternity; Multiprofessional Team; Safety Culture; Diagnosis of Culture and Adverse Events.ResumenObjetivo: realizar una encuesta sobre el diagnóstico de la cultura de seguridad del paciente para investigar la percepción del equipo multiprofesional de una sala de maternidad de riesgo habitual sobre la seguridad del paciente. Método: este es un estudio cuantitativo, descriptivo, transversal con profesionales de un hospital de maternidad de riesgo habitual. Los datos se recolectaron mediante la aplicación de 98 cuestionarios Safety Attitudes Questionnaire – short form 2006. Resultados: se observó que solo 47 (87.03%) cuestionarios eran válidos y, de los 47 cuestionarios analizados sobre la evaluación del cultivo de seguridad, los dominios estaban por debajo del promedio de puntos considerado adecuado (≥75) en: Satisfacción laboral (70,10%); Clima de trabajo en equipo (62.68%) y Percepción de estrés (57.19%); las Percepciones de los ámbitos de gestión del sector y gestión general (46,49%) y Condiciones de trabajo tuvieron el promedio de estudio más bajo (44,61%). Conclusión: se entiende que la institución estudiada tiene una cultura de seguridad frágil y se encuentra en una etapa patológica en relación con el modelo de madurez de la cultura de seguridad del paciente. Descriptores: Seguridad del Paciente; Responsabilidad Parental; Cultura de Seguridad; Diagnóstico de la Cultura y Eventos Adversos.

Assessment of patient safety culture during COVID-19: a cross-sectional study in a tertiary a-level hospital in China

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Ying Wang ◽  
Hsin-Hung Wu ◽  
Lee Yii-Ching
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Team Building ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Content Type ◽  
Safety Attitudes

PurposeThe aims of this study are to (1) evaluate physicians and nurses' perspectives on patient safety culture amid the COVID-19 pandemic and (2) integrate the emotional exhaustion of physicians and nurses into an evaluation of patient safety culture to provide insights into appropriate implications for medical care.Design/methodology/approachPatient safety culture was assessed with the Chinese version of the Safety Attitudes Questionnaire. Confirmatory factor analysis was conducted to validate the structure of the data (i.e. reliability and validity), and Pearson's correlation analysis was performed to identify relationships between safety-related dimensions.FindingsSafety climate was strongly associated with working conditions and teamwork climate. In addition, working conditions was highly correlated with perceptions of management and job satisfaction, respectively. It is worth noting that the stress and emotional exhaustion of the physicians and nurses during this epidemic were high and needed attention.Practical implicationsFor healthcare managers and practitioners, team-building activities, power of public opinions, IoT-focused service, and Employee Assistance Programs are important implications for inspiring the patient safety-oriented culture during the period of the COVID-19 pandemic.Originality/valueThis paper considers the role of emotional state into patient safety instrument, a much less understood but equally important dimension in the field of patient safety.

scholarly journals Patient safety culture in Slovenian out-of-hours primary care clinics

2017 ◽  
Vol 56 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Zalika Klemenc-Ketiš ◽  
Ellen Tveter Deilkås ◽  
Dag Hofoss ◽  
Gunnar Tschudi Bondevik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
International Study ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Safety Attitudes

Abstract Introduction Patient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it. Methods This was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety. Results Out of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV. Conclusion The safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.

scholarly journals The Patient Safety Culture of a Nursing Team From a Central Ambulatory / A Cultura de Segurança do Paciente da Equipe de Enfermagem de um Ambulatório Centra

2019 ◽  
Vol 11 (2) ◽  
pp. 333 ◽  
Author(s):  
Aline Picolotto ◽  
Daniela Barella ◽  
Fernando Roberto Moraes ◽  
Patrícia De Gasperi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Nursing Team

Objetivo: identificar a cultura de segurança do paciente dos profissionais da equipe de enfermagem de um Ambulatório Central. Métodos: estudo de abordagem quantitativa do tipo Survey transversal. A coleta dos dados foi realizada no primeiro semestre de 2015, com auxílio do questionário Safety Attitudes Questionnaire. A amostra foi composta por três enfermeiros e cinco técnicos de enfermagem. Resultados: nenhuma das dimensões alcançou a média mínima (75 pontos) para uma cultura de segurança do paciente adequada. Conclusão: percebe-se a necessidade de uma mudança cultural, sendo necessária uma atuação conjunta entre a equipe e gestores para alcançar índices adequados. A cultura de segurança do paciente deve ser constantemente avaliada. Sugere-se a aplicação do SAQ em todas as equipes deste ambulatório, uma vez que o cuidado multidisciplinar proporciona uma assistência de qualidade à comunidade assistida. Descritores: Segurança do paciente; Enfermagem; Instituições de assistência ambulatorial.

scholarly journals Patient safety culture in the Primary Health Care

2019 ◽  
Vol 72 (1) ◽  
pp. 27-34
Author(s):  
Marina Mazzuco de Souza ◽  
Juliana Dal Ongaro ◽  
Taís Carpes Lanes ◽  
Rafaela Andolhe ◽  
Adriane Cristina Bernat Kolankiewicz ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Family Health ◽  
Positive Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Family Health Strategy

ABSTRACT Objective: To evaluate thepatient safety culturein thePrimary Health Care (PHC). Method: A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed. Results: The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability. Conclusion: The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.

scholarly journals Causal Relationship Analysis of the Patient Safety Culture Based on Safety Attitudes Questionnaire in Taiwan

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yii-Ching Lee ◽  
Pei-Shan Zeng ◽  
Chih-Hsuan Huang ◽  
Hsin-Hung Wu
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Laboratory Method ◽  
Critical Dimensions ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Relationship Analysis

This study uses the decision-making trial and evaluation laboratory method to identify critical dimensions of the safety attitudes questionnaire in Taiwan in order to improve the patient safety culture from experts’ viewpoints. Teamwork climate, stress recognition, and perceptions of management are three causal dimensions, while safety climate, job satisfaction, and working conditions are receiving dimensions. In practice, improvements on effect-based dimensions might receive little effects when a great amount of efforts have been invested. In contrast, improving a causal dimension not only improves itself but also results in better performance of other dimension(s) directly affected by this particular dimension. Teamwork climate and perceptions of management are found to be the most critical dimensions because they are both causal dimensions and have significant influences on four dimensions apiece. It is worth to note that job satisfaction is the only dimension affected by the other dimensions. In order to effectively enhance the patient safety culture for healthcare organizations, teamwork climate, and perceptions of management should be closely monitored.

scholarly journals Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva

2015 ◽  
Vol 49 (spe) ◽  
pp. 123-130 ◽  
Author(s):  
Thaiana Helena Roma Santiago ◽  
Ruth Natalia Teresa Turrini
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Sao Paulo ◽  
São Paulo ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Terapia Intensiva

RESUMO Objetivo Avaliar a percepção dos profissionais de saúde sobre o clima e a cultura de segurança do paciente em Unidades de Terapia Intensiva (UTI) e a relação entre os instrumentos Hospital Survey on Patient Safety Culture (HSOPSC) e o Safety Attitudes Questionnaire (SAQ). Método Estudo transversal realizado em hospital de ensino no interior do estado de São Paulo, Brasil, em março/abril de 2014. Aplicaram-se o HSOPSC, o SAQ e um instrumento para levantamento das informações sociodemográficas e profissionais aos funcionários das UTI adulto, pediátrica e neonatal. A análise utilizou a estatística descritiva. Resultados As escalas apresentaram boa confiabilidade. Maiores fragilidades para a segurança do paciente foram observadas nos domínios “condições de trabalho” e “percepções da gerência” do SAQ e “resposta não punitiva aos erros” do HSOPSC. As fortalezas no SAQ foram o “clima de trabalho em equipe” e a “satisfação no trabalho” e para o HSOPSC “expectativas e ações de promoção de segurança supervisores/gerentes” e “aprendizado organizacional e melhoria mútua”. Na UTI Neonatal houve maior satisfação no trabalho do que nas demais UTI. A UTI Adulto apresentou menores pontuações para a maioria dos domínios do SAQ e HSOPSC. A correlação entre as escalas foi de força moderada (r=0,66). Conclusão Há diferenças de percepções quanto à segurança do paciente entre as UTI, o que corrobora com a existência de microculturas locais. O estudo não demonstra que o SAQ e o HSOPSC sejam equivalentes.

scholarly journals The safety attitudes questionnaire for out-of-hours service in primary healthcare—Psychometric properties of the Croatian version

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242065
Author(s):  
Jasna Mesarić ◽  
Diana Šimić ◽  
Milica Katić ◽  
Ellen Catharina Tveter Deilkås ◽  
Dag Hofoss ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Psychometric Properties ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Process Of Care ◽  
Out Of Hours ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Stress Recognition

The aim of the study was to assess the reliability and construct validity of the Croatian translation of the Safety Attitudes Questionnaire—Ambulatory version (SAQ-AV) in the out-of-hours (OOH) primary care setting. A cross-sectional observational study using anonymous web-survey was carried out targeting a convenience sample of 358 health professionals working in the Croatian OOH primary care service. The final sample consisted of 185 questionnaires (response rate 51.7%). Psychometric properties were assessed using exploratory hierarchical factor analysis with Schmid-Leiman rotation to bifactor solution, McDonald’s ω, and Cronbach’s α. Five group factors were identified: Organization climate, Teamwork climate, Stress recognition, Ambulatory process of care, and Perceptions of workload. Items loading on the Stress recognition and Perceptions of workload factor had low loadings on the general factor. Cronbach’s α ranged between 0.79 and 0.93. All items had corrected item-total correlation above 0.5. McDonalds’ ω total for group factors ranged between 0.76 and 0.91. Values of ω general for factors Organization climate, Teamwork climate, and Ambulatory process of care ranged between 0.41 and 0.56. McDonalds’ ω general for Stress recognition and Perceptions of workload were 0.13 and 0.16, respectively. Even though SAQ-AV may not be a reliable tool for international comparisons, subsets of items may be reliable tools in several national settings, including Croatia. Results confirmed that Stress recognition is not a dimension of patient safety culture, while Ambulatory process of care might be. Future studies should investigate the relationship of patient safety culture to treatment outcome.

scholarly journals Cultural adaptation of the Safety Attitudes Questionnaire – Short Form (SAQ-SF) in Poland

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246340
Author(s):  
Iwona Malinowska-Lipień ◽  
Piotr Brzyski ◽  
Teresa Gabryś ◽  
Agnieszka Gniadek ◽  
Maria Kózka ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Climate ◽  
Short Form ◽  
Healthcare Delivery ◽  
Patient Safety Culture ◽  
Healthcare Services ◽  
Good Reliability ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Polish Version

Background It is essential to provide safe healthcare in complex, difficult, and quickly changing conditions. The quality of healthcare services directly influences the safety of both the patients and staff. Understanding healthcare staff attitudes toward safety in the healthcare delivery context is foundational for building a culture of safety. Aim of the work To adapt, via a structured translation methodology, the Safety Attitudes Questionnaire–Short Form (SAQ-SF), which assesses how employees of the health care sector perceive the safety climate in their workplace, to the Polish context. Methods Using a content validation approach to structure the translation process, we tested and psychometrically analysed the translated SAQ-SF. The sample comprised 322 employees of a district hospital (second referral level, which ensures 24/7 emergency care services) in Poland. Results The reliability of the sub-scales of the Polish version of the SAQ-SF ranged from 0.66 to 0.95. The discriminatory power of particular SAQ items ranged between 0.02 and 0.90. For 6 out of the 8 scale dimensions, the questions with the highest factor loadings were those measuring the same dimensions of the safety climate, according to the original scale. Conclusions The Polish version of the SAQ-SF (SAQ-SF-PL) meets the criteria of psychometric and functional validation as well as demonstrates good reliability as a measure of patient safety culture in the Polish context. The SAQ-SF-PL is an instrument that enable a valid and reliable assessment of patient safety climate in the Polish healthcare facilities and identify opportunities for improvement. International comparisons will also become easier.

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