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从医疗团队的角度看安全文化与手术失误的沟通

Safety culture and communication about surgical errors from the perspective of the health team.

作者信息

Batista Josemar, Cruz Elaine Drehmer de Almeida, Alpendre Francine Taporosky, Paixão Danieli Parreira da Silva Stalisz da, Gaspari Ana Paula, Mauricio Aline Batista

机构信息

Universidade Federal do Paraná (UFPR), Programa de Pós-Graduação em Enfermagem. Curitiba, Paraná, Brasil.

出版信息

Rev Gaucha Enferm. 2019 Jan 10;40(spe):e20180192. doi: 10.1590/1983-1447.2019.20180192.

Abstract

OBJECTIVE

To analyze the safety culture related to the communication dimensions and event notification from the perception of the health team.

METHOD

Survey carried out in a teaching hospital of Paraná through the application of the Survey on Patient Safety Culture questionnaire to 158 professionals working in surgical units from May to September 2017.The analysis of the data was done by descriptive and analytical statistics; dimensions with positive responses ≥75% represent strong areas for patient safety.

RESULTS

No dimension or item/question were considered strong to surgical patient safety. There was a difference, with a less negative perception from nursing in relation to medicine, in the dimensions "Return of the information and communication about the error" and "Frequency of events reports" (p<0.001).

CONCLUSION

The health team perceives that there is fragility in the patient safety in relation to the communication dimension, demanding actions that promote the patient safety.

摘要

目的

从医疗团队的认知角度分析与沟通维度及事件报告相关的安全文化。

方法

通过向158名于2017年5月至9月在外科病房工作的专业人员发放患者安全文化调查问卷,在巴拉那州的一家教学医院开展调查。数据采用描述性和分析性统计方法进行分析;积极回答率≥75%的维度代表患者安全的优势领域。

结果

对于外科患者安全,没有任何维度或条目/问题被认为是优势的。在“错误信息的反馈与沟通”和“事件报告频率”维度上,护理人员相对于医生的负面认知较少,存在差异(p<0.001)。

结论

医疗团队认识到在沟通维度方面患者安全存在薄弱环节,需要采取促进患者安全的行动。

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