大学医院中的患者安全文化。
Patient safety culture in a university hospital.
作者信息
Galvão Taís Freire, Lopes Marcélia Célia Couteiro, Oliva Carmen Conceição Carrilho, Araújo Maria Elizete de Almeida, Silva Marcus Tolentino
机构信息
PhD, Adjunct Professor, Faculdade de Ciências Farmacêuticas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
MSc, Pharmacist, Hospital Universitário Getúlio Vargas, Universidade Federal do Amazonas, Manaus, AM, Brazil.
出版信息
Rev Lat Am Enfermagem. 2018 Aug 9;26:e3014. doi: 10.1590/1518-8345.2257.3014.
OBJECTIVE
to assess patient safety culture in a university hospital.
METHOD
cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach's alpha was used to calculate the frequency and reliability.
RESULTS
most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to "teamwork within units" (58%, α=0.68), "organizational learning - continuous improvement" (58%, α=0.63), "supervisor/manager expectations and actions promoting patient safety" (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on "nonpunitive response to error" (18%, α=0.40). Only the item "in this unit, people treat each other with respect" had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year.
CONCLUSION
the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.
目的
评估一所大学医院的患者安全文化。
方法
采用横断面研究，通过电子设备应用的《医院患者安全文化调查》收集数据。共访谈了381名员工，占符合条件专业人员总数的46%。对数据进行描述性分析。使用克朗巴哈系数来计算频率和可靠性。
结果
大多数为女性（73%），来自护理领域（50%），且与患者有直接接触（82%）。与“科室内部团队合作”（58%，α=0.68）、“组织学习 - 持续改进”（58%，α=0.63）、“主管/经理对促进患者安全的期望与行动”（56%，α=0.73）相关的综合指标有较高的积极回应。九个综合指标的积极回应率较低，其中重点是“对差错的无惩罚性回应”（18%，α=0.40）。只有“在本科室，人们相互尊重”这一项目的积极回应率高于70%。36%的员工对工作单位的患者安全评估呈积极态度，然而只有22%的员工报告了过去一年发生的事件。
结论
研究结果揭示了该医院安全文化存在的弱点，重点在于罪责认定。
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