Assessment of patient safety culture in Primary Health Care
Abstract
Introduction: The assessment of patient safety culture in Primary Health Care enables the analysis of the commitment of professionals and organizations in the continuous provision of effectively and safe care from the moment the user enters the service.
Objective: To analyze patient safety culture in Primary Health Care.
Material and Method: Cross-sectional research carried out in Basic Health Units. Data collection took place in 2019, with 29 health professionals, through the instrument Survey on Patient Safety Culture for Primary Care. Data were analyzed according to the recommendations of the instrument.
Results: In the dimensions of culture, Teamwork (65.23%), and Continuity of care (52.59%) stood out as positive; in the negative answers, Work pressure and pace (49.14%) and Staff training (33.33%) stood out; and, among neutral answers, Patient safety and quality issues (56.55%) and Exchange of information with other institutions (51.72%) were the highest.
Conclusions: No strong dimensions were identified for the patient safety culture; therefore, it has been shown that the patient safety culture in the health units investigated is incipient.
Downloads
References
ALFadhalah T, Al Mudaf B, Alghanim HA, Al Salem G, Ali D, Abdelwahab HM, et al. Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study. BMC Health Serv Res. [Internet]. 2021 [acesso: 15/10/2021]; 21(1):1172. Disponível em: https://doi.org/10.1186/s12913-021-07199-1
Agência Nacional de Vigilância Sanitária (BR). Assistência Segura: Uma Reflexão Teórica Aplicada à Prática. [Internet] Brasília: Anvisa; 2017 [acesso: 15/10/2021]. Disponível em: https://proqualis.net/manual/assist%C3%AAncia-segura-uma-reflex%C3%A3o-te%C3%B3rica-aplicada-%C3%A0-pr%C3%A1tica
Ministério da Saúde (BR). Portaria n. 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). [Internet] Brasília (DF): Ministério da Saúde; 2013 [acesso: 15/10/2021]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
Hadad ES, Elrhmaan SMA, Ahmad FA, Ali HD. Perceptions of Staff Nurses about Patient Safety Culture at Minia General Hospital. Minia Scientific Nursing Journal. [Internet]. 2021 [acesso: 15/10/2021]; 10(1):68-77. Disponível em: https://journals.ekb.eg/article_199347_e21249e87c146fc2d9b80309c9b69797.pdf
Lemos GC, Azevedo C, Bernardes MFVG, Ribeiro HCTC, Menezes AC, Mata LRF. The patient safety culture in the scope of nursing: theoretical reflection. Revista de Enfermagem do Centro-Oeste Mineiro. [Internet]. 2018; [acesso: 15/10/2021];8(1):e2600. Disponível em: https://doi.org/10.19175/recom.v8i0.2600
Ministério da Saúde (BR). Portaria n. 2. 436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). [Internet]. Brasília (DF): Ministério da Saúde; 2017 [acesso: 15/10/2021]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html
Souza LM, Silva MCS, Zavalhia SR, Coppola IS, Rocha BP. Family Health Strategy nurses' perception of patient safety. J. nurs. health. [Internet]. 2018; [acesso: 15/10/2021];8(2):e188205. Disponível em: https://doi.org/10.15210/jonah.v8i2.12721
Tim M, Rodrigues MCS. Cross-cultural adaptation of safety culture tool for Primary Health Care. Acta paul. enferm. [Internet]. 2016; [acesso: 15/10/2021]; 29(1):26-37. Disponível em: https://doi.org/10.1590/1982-0194201600005.
AHRQ Hospital Survey on Patient Safety Culture: user's guide. AHRQ Publication. [Internet]. 2016; [acesso: 15/10/2021]. Disponível em: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospcult.pdf
Oliveira ICL, Cavalcante MLSN, Freitas SA, Freitas RJM, Silva BV, Marinho DMF, et al. Safety culture: perception of health professionals in a mental hospital. Rev Bras Enferm. [Internet]. 2018; [acesso: 15/10/2021]; 71(Suppl 5):2316-22. Disponível em: https://doi.org/10.1590/0034-7167-2018-0125.
Habahbeh AA, Alkhalaileh MA. Effect of an educational programme on the attitudes towards patient safety of operation room nurses. British Journal of Nursing. [Internet]. 2020; [acesso: 15/10/2021]; 29,4. Disponível em: https://doi.org/10.12968/bjon.2020.29.4.222
Kuriakose R, Aggarwal A, Sohi RK, Goel R, Rashmi NC, Gambhir RS. Patient safety in primary and outpatient health care. J Family Med Prim Care. [Internet]. 2020 [acesso: 15/10/2021]; 28;9(1):7-11. Disponível em: https://doi.org/10.4103/jfmpc.jfmpc_837_19.
Souza CS, Tomaschewski-Barlem JG, Rocha LP, Barlem ELD, Silva TL, Neutzling BRS. Patient safety culture in intensive care units: perspective of health professionals. Rev. Gaúcha Enferm. [Internet]. 2019; [acesso: 15/10/2021];40(1):e20180294. Disponível em: https://doi.org/10.1590/1983-1447.2019.20180294.
Gens-Barberà M, Hernández-Vidal N, Vidal-Esteve E, Mengíbar-García Y, Hospital-Guardiola I, Oya-Girona EM, et al. Análisis de las Incidencias de Seguridad del Paciente en Atención Primaria notificadas en una Solicitud de Registro Electrónico. Revista Internacional de Investigación Ambiental y Salud Pública. [Internet]. 2021; [acesso: 15/10/2021]; 18(17):8941. Disponível em: https://doi.org/10.3390/ijerph18178941
Mihdawi M, Al-Amer R, Darwish R, Randall S, Afaneh T. The Influence of Nursing Work Environment on Patient Safety. Workplace Health & Safety. [Internet]. 2020; [acesso: 15/10/2021]; 68(8):384-90. Disponível em: https://doi.org/10.1177/2165079920901533
Al Hamid A, Malik A, Alyatama S. An exploration of patient safety culture in Kuwait hospitals: a qualitative study of healthcare professionals' perspectives. International Journal of Pharmacy Practice. [Internet]. 2020; [acesso: 15/10/2021]; 28(6):617-25. Disponível em: https://doi.org/10.1111/ijpp.12574
Kessler M, Lima SBS, Weiller TH, Lopes LFD, Ferraz L, Eberhardt TD, et al. Longitudinality of Primary Health Care: an evaluation from the perspective of users. Acta paul. enferm. [Internet]. 2019; [acesso: 15/10/2021];32(2):186-93. Disponível em: https://doi.org/10.1590/1982-0194201900026.
Galhardi NM, Roseira CE, Orlandi FS, Figueiredo RM. Assessment of the patient safety culture in primary health care. Acta paul. enferm. [Internet]. 2018; [acesso: 15/10/2021]; 31(4):409-16. Disponível em: https://doi.org/ 10.1590/1982-0194201800057.
Miranda AP, Carvalho AKO, Lopes AAS, Oliveira VRC, Carvalho PMG, Carvalho HEF. Nursing contribution to patient safety: integrative review. Sanare [Internet]. 2017; [acesso: 15/10/2021]; 16(1):109-17. Disponível em: https://sanare.emnuvens.com.br/sanare/article/view/1101
Reis CL, Tavares CSS, Santana CA, Menezes MO, Andrade RX, Gois RMO. A interface da cultura de segurança na gestão de qualidade: um estudo bibliográfico. CGCBS. [Internet]. 2018; [acesso: 15/10/2021]; 5(1):103-16. Disponível em: https://periodicos.set.edu.br/index.php/cadernobiologicas/article/view/5315/3076
Mohsen MM, Allah ARG, Amer NA, Rashed AB, Shokr EA. Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes. Nursing Forum. [Internet]. 2021; [acesso: 15/10/2021]; 56(4):849-59. Disponível em: https://doi.org/10.1111/nuf.12627
Soratto J, Pires DEP, Trindade LL, Oliveira JSA, Forte ECN, Melo TP. Job dissatisfaction among health professionals working in the family health strategy. Texto Contexto Enferm. [Internet]. 2017; [acesso: 15/10/2021]; 26(3):e2500016. Disponível em: https://doi.org/10.1590/0104-0707201700250001623.
Franklin BJ, Gandhi TK, Bates DW, Huancahuari N, Morris CA, Pearson M, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Quality & Safety. [Internet]. 2020; [acesso: 15/10/2021]; 29(1):1-2. Disponível em: http://dx.doi.org/10.1136/bmjqs-2019-009911
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
