Análise da cultura de segurança em um hospital de ensino da região centro-oeste do Brasil
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Data
2013-08-28
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Universidade Federal de Goiás
Resumo
In the context of health, the safety culture centered on the quality of care and the
systematization of work processes contributes to human error prevention avoidable
and, therefore, for the patient safety. The study aims to analyze the perception of a
teaching hospital nurses about the dimensions of safety culture’s patient. The
methodology is descriptive, exploratory, carried out at a teaching hospital in the
Central West region of Brazil, with a population of 117 nurses. The data were
collected in October to December of 2011 through autoaplicavel instruments,those
belongs to the Hospital Survey on Patient Safety Culture, proposed and used by
Agency for Health Research and Quality, specific for the detection of safety culture in
hospital, translated and validated for the portuguese language. The data were
analysed by the Statistical Package for Social Sciences Program, version 18.0. The
project was approved, protocol 064/2008. The percentual of participants were 84.8 %
of the nurses of the hospital, 89.7 % were female, predominant age range between
45 to 51 years, 51% with 16 to 21 years of profession, 36% with the same time in the
institution and 13.7 % worked in the Emergency Room. The weekly workload of 87%
was about 20 to 39 hours and 96% had directly contact with the patient. The reply
“Not punitive to mistakes” had the lowest rate, 28%. The weaknesses for the
institution were: the team considers that their mistakes could be used against them;
the team was afraid that the mistakes were recorded in their functional files;
insufficient staff; they work more than necessary; occurrence of problems in the
exchange of information between the units; the security has to be sacrificed instaed
of doing more things; patient safety problem in the unit, procedures and inadequate
systems for the mistakes prevention. The strength points were: the
supervisor/manager takes the suggestions to improve the patient safety, considers
security problems; work actively doing things to improve the servisse quality; support
each other; work in a team; treating with respect and having a good relationship with
professionals from other units. However, 59% considered safety patient
acceptablevin the unit, and 52% said they never reported adverse events. The
conclusion was that the research gave the nurses perception and envolved them with
the patient security, the same as how to prove that the aplication of a analysed
instrument for actions can be used for estimulating the adoption of politics those
bring changes and attitudes for the development of institution security culture.
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Tobias, Gabriela Camargo. Análise da cultura de segurança em um hospital de ensino da região centro-oeste do Brasil. 2013. 115 f. Dissertação (Mestrado em Enfermagem) - Programa de Pós-graduação em Enfermagem (FEN) - Universidade Federal de Goiás - Goiânia, 2013.