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患者安全文化评估:大学医院的比较研究

Evaluation of patient safety culture: comparative study in university hospitals.

作者信息

Fassarella Cintia Silva, Camerini Flávia Giron, Henrique Danielle de Mendonça, Almeida Luana Ferreira de, Figueiredo Maria do Céu Barbieri

机构信息

Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Departamento Médico Cirúrgico, Rio de Janeiro, RJ, Brazil.

Universidade do Grande Rio Professor José de Souza Herdy, Escola de Ciências da Saúde, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Esc Enferm USP. 2018 Nov 1;52:e03379. doi: 10.1590/S1980-220X2017033803379.

Abstract

OBJECTIVE

To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals.

METHOD

Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries.

RESULTS

762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: "management support for patient safety" (±17); "handoffs and transitions" (±15); "teamwork across units" (±14); and "overall perceptions of patient safety" (±10).

CONCLUSION

The dimension that had the highest significant difference between the studied institutions was "management support for patient safety". These data may support the managers of the study hospitals, enabling continuous improvements and advancements.

摘要

目的

基于对在大学医院工作的巴西和葡萄牙护士的评估,对患者安全文化的综合指标进行基准比较。

方法

定量、横断面、比较性调查。2014年4月至12月期间,在两家教学医院收集数据,应用《医院患者安全文化调查》工具的已翻译并适用于两国的版本。

结果

分布在四个科室的762名护士参与了研究,其中195名巴西护士和567名葡萄牙护士。安全文化的12个综合指标中有7个在两家医院之间存在显著差异。突出的指标包括:“对患者安全的管理支持”(±17);“交接班与转接”(±15);“跨科室团队合作”(±14);以及“对患者安全的总体认知”(±10)。

结论

在所研究的机构之间差异最显著的维度是“对患者安全的管理支持”。这些数据可为研究医院的管理人员提供支持,促进持续改进和进步。

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