Patient safety culture from the perspective of the multiprofessional team: an integrative review           /            Cultura de segurança do paciente na perspectiva da equipe multiprofissional: uma revisão integrativa

Daiane Fernanda Brigo Alves; Elisiane Lorenzini; Catiele Raquel Schmidt; Sandra Dal Pai; Karina Andressa Cavalheiro; Adriane Cristina Bernat Kolankiewicz

doi:10.9789/2175-5361.rpcfo.v13.9235

Autores

Daiane Fernanda Brigo Alves Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).
Elisiane Lorenzini Federal University of Santa Catarina (UFSC)
Catiele Raquel Schmidt Florianópolis School of Public Health. Florianópolis- SC- Brazil
Sandra Dal Pai Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).
Karina Andressa Cavalheiro Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).
Adriane Cristina Bernat Kolankiewicz Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v13.9235

Palavras-chave:

Cultura organizacional, Hospital, Segurança do paciente, Equipe multiprofissional.

Resumo

Objetivo: Identificar a produção científica sobre cultura de segurança do paciente em âmbito hospitalar na perspectiva da equipe multiprofissional. Método: Revisão integrativa, realizada nas bases de dados LILACS, PubMed, WoS e Scopus, em português, inglês e espanhol. Resultados: Foram localizadas 12 publicações, que concentraram-se entre os anos de 2004 e 2016. A análise dos estudos permitiu identificar que o clima de segurança ainda é fragil na maioria das instituições avaliadas. Dentre as estratégias para gerar melhorias na cultura de segurança, destacaram-se os programas de treinamento, comunicação aberta no ambiente de trabalho, notificação de eventos adversos e resposta não punitiva ao erro. Evidenciaram-se como potencialidades as dimensões aprendizado organizacional para a melhoria contínua e trabalho em equipe dentro das unidades. Conclusão: Poucos estudos incluíram todos os profissionais para realizar a análise da cultura de segurança do paciente em âmbito hospitalar, apesar da sua relevância para a promoção do cuidado seguro.

Downloads

Não há dados estatísticos.

Biografia do Autor

Daiane Fernanda Brigo Alves, Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).

Nurse. Master in Comprehensive Health Care.

Elisiane Lorenzini, Federal University of Santa Catarina (UFSC)

PhD in Nursing. Professor at the Federal University of Santa Catarina.

Catiele Raquel Schmidt, Florianópolis School of Public Health. Florianópolis- SC- Brazil

Nurse. Resident at the School of Public Health of Florianópolis. Florianópolis- SC- Brazil

Sandra Dal Pai, Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).

Nurse. Master in Comprehensive Health Care.

Karina Andressa Cavalheiro, Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).

Nursing student. Northwestern Regional University of the State of Rio Grande do Sul- UNIJUÌ.

Adriane Cristina Bernat Kolankiewicz, Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ).

Nurse. Professor of the Permanent Body of the Postgraduate Program Strictu Sensu in Comprehensive Health Care at the Regional University of the Northwest of the State of Rio Grande do Sul.

Referências

REFERÊNCIAS

WHO. World Health Organization. Patient safety – a global priority. Bull World Health Organ. Genebra. 2004; 82 (12):892.

Okuyama JHH, Galvão TF, Silva MT. Healthcare Professional's Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis.The Scientific World Journal, 2018:9156301. DOI: https://doi.org/10.1155/2018/9156301

Lemos GC, Azevedo C, Bernardes M.FVG, Ribeiro HCTC, Menezes AC, Mata LRF. Cultura de Segurança do Paciente no âmbito da Enfermagem: Reflexão Teórica. Revista de Enfermagem do Centro-Oeste Mineiro 2018;8. DOI: http://dx.doi.org/10.19175/recom.v8i0.2600

ADVISORY COMMITTEE ON THE SAFETY OF NUCLEAR INSTALLATIONS (ACSNI). Organising for safety: Third report. Study group on human factors. Health and Safety Commission. England; 1993.

BRASIL. Ministério da Saúde. Gabinete do Ministro. Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente. Brasília. Disponível em: <http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html>

Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011 Apr; 20(4):338-343. DOI: http://dx.doi.org/10.1136/bmjqs.2010.040964

Kohn LT; Corrigan JM, Donaldson MS. To err is human : building a safer health system. Washington, D.C. : Committee on Quality of Health Care in America. Institute of Medicine. National Academy Press, 2000.

Monteiro C, Avelar AFM, Pedreira MLG. Interrupções de atividades de enfermeiros e a segurança do paciente: revisão integrativa da literatura. Rev. Latino-Am. Enfermagem. Artigo de Revisão jan.-fev. 2015; 23(1):169-179. DOI: http://dx.doi.org/10.1590/0104-1169.0251.2539

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidencias na saúde e na enfermagem. Texto & Contexto Enfermagem, 2008;17 (4):758-764. DOI: http://dx.doi.org/10.1590/S0104-07072008000400018

Fineout-Overholt E, Stillwell SB. Asking compelling, clinical questions. In: Melnyk BM, Fineout-Overholt, editors. Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2011.

Cook AF, Hoas H, Guttmannova K, Joyner JC. An error by any other name.The American Journal Nursing, 2004 Jun;104(6):32-43; quiz 44

Sara J. Singer SJ, Falwell A, Gaba DM, Meterko M, Rosen A, Hartmann CW, Baker L. Identifying organizational cultures that promote patient safety. Health Care Management Review, 2009 Oct – Dec. 34(4): 300-311 DOI: 10.1097 / HMR.0b013e3181afc10c.

Jones KJ,Skinner AM, High R, High R, Reiter-Palmon R. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Quality Safety, 2013 May;22:394–404. DOI: 10.1136/bmjqs-2012-000939

Smits M, Wagner C, Spreeuwenberg P, Vander Wal G, Groenewegen PP. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Quality Safety in Health Care; 2009 Aug,18(4): 292-296 DOI:10.1136/qshc.2007.025965

Korne DF, Wijngaarden JDH, Dyck CV, Hiddema UF, Klazinga NS. Evaluation of aviation-based safety team training in a hospital in The Netherlands. Journal of Health Organization and Management, 2014, 28 (6):731-753

Olsen, Espen; Aase, Karina. A comparative study of safety climate differences in healthcare and the petroleum industry. Quality Safety in Health Care; 19 Suppl 3: i75-i79, 2010 Oct. Doi:10.1136/qshc.2009.036558. DOI:10.1136/qshc.2009.036558

El-Jardali, F, Jaafar M, Dimassi H, Jamal Di, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. International Journal Quality in Health Care; 2010 Oct, 22(5): 386-395. DOI: 10.1093/intqhc/mzq047

Manojlovich M, Kerr M, Davies B, Squires J, Mallick R, Rodger GL. Achieving a climate for patient safety by focusing on relationships. International Journal for Quality in Health Care, 2014 Jul; 26 (6):579-584 DOI:10.1093/intqhc/mzu068

Wami SD, Demssie AF, Wassie MM, Ahmed AN. Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers' view in Jimma zone Hospitals, Southwest Ethiopia. BMC Health Services Research. 2016 Sep;16:495.

Benn J,Burnett S,Parand A, Pinto A, Vincent C. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative:a longitudinal survey study. BMJ Quality Safety, 2012 May;21:559-568 DOI:10.1136/bmjqs-2011-000286

Vlayen A, Schrooten W, Wami W, Aerts M, Barrado LG, Claes N, Hellings J. Variability of Patient Safety Culture in Belgian acute hospitals. Journal of Patient Safety, 2015; 11 (2):110-121 DOI: 10.1097/PTS.0b013e31829c74a3

Aboul-Fotouh AM, Ismail NA, Ez Elarab HS, Wassif GO. Assessment of patient safety culture among healthcare providers at a teaching hospital in Cairo, Egypt. Eastern Mediterranean Health Journal, 2012 Apr; 18(4): 372-377.

Olsen E. Reliability and validity of the Hospital Survey on Patient Safety Culture at a Norwegian hospital. In: Øvretveit J, Sousa P, eds. Quality and Safety Improvement Research: methods and Research Practice from the International Quality Improvement Research Network (QIRN). Lisbon: National School of Public Health, 2008:173e86.