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新冠疫情期间的患者安全文化:一家医院的横断面研究。

Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital.

机构信息

Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Aug 30;77Suppl 1(Suppl 1):e20230187. doi: 10.1590/0034-7167-2023-0187. eCollection 2024.

Abstract

OBJECTIVES

to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.

METHODS

a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened.

RESULTS

all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors.

CONCLUSIONS

with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution's leaders.

摘要

目的

评估 COVID-19 大流行期间的患者安全文化,并确定医院环境中需要改进的维度,以及开放或封闭、直接或间接护理的哪个部门表现出更高水平的安全文化。

方法

描述性和横断面研究。应用经过巴西验证的患者安全文化医院调查工具评估患者安全文化。将阳性反应达到 75%的维度视为强化。

结果

所有维度的阳性反应结果均低于 75%。与开放部门相比,封闭部门表现出更强的安全文化。与直接护理部门相比,间接护理部门对患者安全的总体感知较低。

结论

随着大流行的发展,弱点变得更加明显,需要机构领导的关注和有力干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e259/11368380/4ae83b404349/0034-7167-reben-77-s1-e20230187-gf02.jpg

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