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公立医院新生儿重症监护病房多学科团队的安全文化

Safety culture of multidisciplinary teams from neonatal intensive care units of public hospitals.

作者信息

Notaro Karine Antunes Marques, Corrêa Allana Dos Reis, Tomazoni Andréia, Rocha Patrícia Kuerten, Manzo Bruna Figueiredo

机构信息

Fundação Hospitalar do Estado de Minas Gerais, Maternidade Odete Valadares, Belo Horizonte, MG, Brasil.

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.

出版信息

Rev Lat Am Enfermagem. 2019 Aug 19;27:e3167. doi: 10.1590/1518-8345.2849.3167.


DOI:10.1590/1518-8345.2849.3167
PMID:31432920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6703124/
Abstract

OBJECTIVE: analyze the safety culture of multidisciplinary teams from three neonatal intensive care units of public hospitals in Minas Gerais, Brazil. METHOD: a cross-sectional survey conducted with 514 health professionals, using the Hospital Survey on Patient Safety Culture; data were subjected to a descriptive statistical analysis in software R-3.3.2. RESULTS: the findings showed that none of the dimensions had a positive response score above 75% to be considered as a strength area. The dimension 'Nonpunitive response to error' was classified as a critical area of the patient safety culture, present in 55.45% of the responses. However, areas with potential for improvements were identified, such as 'Teamwork within units' (59.44%) and 'Supervisor/manager's expectations and actions to promote patient safety' (49.90%). CONCLUSION: none of the dimensions was considered as a strength area, which indicates safety culture has not been fully implemented in the evaluated units. A critical look at the weaknesses of the patient safety process is recommended in order to seek strategies for the adoption of a positive safety culture to benefit patients, family members and health professionals.

摘要

目的:分析巴西米纳斯吉拉斯州公立医院三个新生儿重症监护病房多学科团队的安全文化。 方法:采用患者安全文化医院调查对514名卫生专业人员进行横断面调查;数据在R-3.3.2软件中进行描述性统计分析。 结果:研究结果表明,没有一个维度的积极回应得分高于75%,因此不能将其视为优势领域。“对差错的无惩罚性回应”维度被归类为患者安全文化的关键领域,在55.45%的回应中存在。然而,也发现了有改进潜力的领域,如“科室内部团队合作”(59.44%)和“主管/经理促进患者安全的期望与行动”(49.90%)。 结论:没有一个维度被视为优势领域,这表明在所评估的科室中安全文化尚未得到充分实施。建议对患者安全流程的薄弱环节进行批判性审视,以便寻求采用积极安全文化的策略,使患者、家属和卫生专业人员受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/ff9530d2dd2d/0104-1169-rlae-27-e3167-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/bbf256a7f67d/0104-1169-rlae-27-e3167-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/7baf0be57ea0/0104-1169-rlae-27-e3167-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/ff9530d2dd2d/0104-1169-rlae-27-e3167-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/bbf256a7f67d/0104-1169-rlae-27-e3167-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/7baf0be57ea0/0104-1169-rlae-27-e3167-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f321/6703124/ff9530d2dd2d/0104-1169-rlae-27-e3167-gf03.jpg

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[9]
Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis.

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[10]
Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam.

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本文引用的文献

[1]
Adaptation and validation of the Hospital Survey on Patient Safety Culture in an electronic Brazilian version.

Epidemiol Serv Saude. 2017

[2]
Perception of nursing and medical professionals on patient safety in neonatal intensive care units.

Rev Gaucha Enferm. 2017-6-26

[3]
Assessment of the culture of safety in public hospitals in Brazil.

Rev Lat Am Enfermagem. 2017-3-2

[4]
Association of Safety Culture with Surgical Site Infection Outcomes.

J Am Coll Surg. 2015-12-9

[5]
Patient safety culture at Neonatal Intensive Care Units: perspectives of the nursing and medical team.

Rev Lat Am Enfermagem. 2014-10

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Rev Gaucha Enferm. 2013-3

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