Cultura de segurança do paciente em um hospital regional goiano

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Universidade Federal de Goiás


Introduction: According to the World Health Organization, Patient Safety is characterized as reducing the risk of unnecessary harm associated with health care to an acceptable minimum. Patient Safety Culture is described as a product of values, attitudes, skills and behavioral patterns that determine the commitment, style and proficiency of running a healthy and safe organization. Objective: The aim of this study was to analyze the PSC from the perspective of the health team of a public regional hospital in the state of Goiás. Methods: We applied the Hospital Survey of Patient Safety Culture (HSOPSC) questionnaire adapted and validated for Portuguese. The percentage frequency of each dimension was calculated and classified into area of strength, neutral area and area with potential for improvement for Patient Safety. Results: The target population consisted of 197 workers and health professionals from the studied hospital, of which 152 answered the questionnaire. The health team of the institution studied was mainly composed of females, aged between 40 and 49 years, with completed high school and with specialization. Most respondents to this survey were health workers (44.7%), followed by technical health professionals (27.6%) and higher-level health professionals (27.6%). The dimensions of the HSOPSC questionnaire that received the most positive responses and were classified as “neutral areas” were: “organizational learning”, “safety direction expectations” and “teamwork in the unit”. All other dimensions were classified as “areas with potential for improvement” for Patient Safety. Most respondents (82%) reported no adverse events in the last 12 months. In general, higher-level health professionals had a worst perception about the dimensions presented in the questionnaire. Most respondents rated patient safety as "very good" or "fair" in the hospital studied. Conclusion: We concluded that this hospital has a fragile Patient Safety Culture from the perspective of the health team, with most dimensions showing potential for improvement and no area of ​​strength. Such evidence serves to reinforce the strategy planning for Patient Safety in this institution.



SOUSA, J. C. Cultura de segurança do paciente em um hospital regional goiano. 2019. 89 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2019.