Patient safety culture in a university hospital. 2018

Taís Freire Galvão, and Marcélia Célia Couteiro Lopes, and Carmen Conceição Carrilho Oliva, and Maria Elizete de Almeida Araújo, and Marcus Tolentino Silva
PhD, Adjunct Professor, Faculdade de Ciências Farmacêuticas, Universidade Estadual de Campinas, Campinas, SP, Brazil.

OBJECTIVE to assess patient safety culture in a university hospital. METHODS cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach's alpha was used to calculate the frequency and reliability. RESULTS most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to "teamwork within units" (58%, α=0.68), "organizational learning - continuous improvement" (58%, α=0.63), "supervisor/manager expectations and actions promoting patient safety" (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on "nonpunitive response to error" (18%, α=0.40). Only the item "in this unit, people treat each other with respect" had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year. CONCLUSIONS the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.

UI MeSH Term Description Entries
D008297 Male Males
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006785 Hospitals, University Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research. University Hospitals
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D015279 Organizational Culture Beliefs and values shared by all members of the organization. These shared values, which are subject to change, are reflected in the day to day management of the organization. Corporate Culture,Corporate Cultures,Culture, Corporate,Culture, Organizational,Cultures, Corporate,Cultures, Organizational,Organizational Cultures
D057566 Self Report Method for obtaining information through verbal responses, written or oral, from subjects. Report, Self,Reports, Self,Self Reports
D061214 Patient Safety Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers. Patient Safeties,Safeties, Patient,Safety, Patient

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