Perception of patient safety in surgical room and operating ward compared to other wards in a second-level spanish hospital
Abstract
Introduction: Patient safety is a basic pillar of healthcare. The surgical patient seems to have singularities compared to other hospitalized patients.
Objectives: Give the HSOPS questionnaire to the health personnel of various departments of our hospital and compare the responses of the areas of the surgical block (central operating room and surgical ward) against other health care areas evaluated, to obtain descriptive information on the safety environment in our hospital, the ability to detect problems and the notification of adverse events.
Methods: Descriptive cross-sectional observational study. Percentages of positive, intermediate, and negative responses to the questions and dimensions of the questionnaire were assessed.
Results: 194 questionnaire answers were collected (38.5% completion), of which 94 (48.5%) were nurses. “Staffing” and “Management Support for Patient Safety” were weaknesses in both blocks. "Perception of security" and "Teamwork between units" were weaknesses only in the surgical block. The "Expectations of safety actions by the head of service/ supervisor", without being a weakness, were lower in the surgical block. Reporting of adverse events by health personnel is very low.
Conclusions: We must continue working on evaluating the safety culture and reporting adverse events to improve care for our patients.
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References
Rocco C, Garrido A. Seguridad del paciente y cultura de seguridad. Rev Med Clin Condes 2017; 28 (5): 785 – 95.
Dinas Montoya, X. Percepción de la cultura de seguridad del paciente en el personal asistencial y administrativo de una institución de cirugía plástica y estética de Cali en el 2020. Colombia: Universidad del Valle. Web: https://bibliotecadigital.univalle.edu.co/handle/10893/21707
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019 Aug;131(2):420-425. doi: 10.1097/ALN.0000000000002674. PMID: 31090552.
Lara H. Importancia de la Pausa de Seguridad Quirúrgica. Rev. Actuali. Clinic. Meds. Vol. 2. Num 2, Julio - Diciembre (2018). ISSN 0719-8620, pp 40-48.
Hospital Survey on Patient Safety Culture, versión 1. Web: Hospital Survey on Patient Safety Culture: User's Guide (ahrq.gov)
Saturno PJ, Da Silva Gama ZA, de Oliveira-Sousa SL et al. Análisis de la cultura sobre seguridad del paciente en los hospitales del Sistema Nacional de Salud español. Med Clin (Barc). 2008 Dec; 131 Suppl 3: 18 - 25.
Hanghom J. Five Deming principles that help healthcare process improvement. Health Catalyst. 2018. Web: https://www.healthcatalyst.com/insights/5-deming-principles-for-healthcare-process-improvement
Alanazi, F. K., Sim, J., & Lapkin, S.(2022). Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nursing Open 2022; 9, 30–43. DOI: https://doi.org/10.1002/nop2.1063 .
Pérez Bolaños, L. Percepción de enfermería. Una mirada actual a la cultura de seguridad en el quirófano. Investigación en Enfermería: Imagen y Desarrollo. 2020;22 DOI: https://doi.org/10.11144/Javeriana.ie22.pema
Mella Laborde M, Gea Velázquez MT, Aranaz Andrés JM, Ramos Forner G y Compañ Rosique AF. Análisis de la cultura de seguridad del paciente en un hospital universitario. Gac Sanit 2020; 34 (5): 500 – 13.
Bravo Gómez, M.A.; Arboleda de Pérez, L.B.; Arguello, D.K.; Becerra Moreno, X.; Peñaranda Vega, M.; Oyola Naranjo, D.J.; Rivera Carvajal, R. Cultura de seguridad en profesionales del quirófano en una institución de atención materno infantil. Revista Cubana de enfremería. 2020;36(1):e3155.
Carvalho PA, Göttems LBD, Pires MRGM, Oliveira MLC. Cultura de seguridad en el centro quirúrgico de un hospital público, en la percepción de los profesionales de la salud Rev. Latino-Am. Enfermagem nov.-dic. 2015;23(6):1041-8.
Pérez Bolaños, L. Evaluación de la cultura de seguridad del paciente en un quirófano. Revista Cubana de Enfermería. 2017;33(2):1-13
Viayen A, Hellings J, Claes Net al. National Hospital Survey on Patient Safety Culture in Belgians hospitals: setting priorities at the launch of a 5-year patient safety plan. BMJ Qual Saf 2012; 21: 760 – 7.
Danielsson M, Nilsen P, Rutberg H et ak. A National Study of Patient Safety Culture in Hospitals in Sweden. J Patient Saf. 2019 Dec; 15(4): 328 - 333.
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