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[急诊医疗服务中的患者安全文化:横断面研究 急诊医疗服务中的患者安全文化:横断面研究]

[Patient Safety Culture in the Emergency Medical Service: cross-sectional studyCultura de Seguridad del Paciente en el Servicio de Emergencias Médicas: estudio transversal].

作者信息

Malundo-Joáo Virgilio, Moreno-Dias Bruna, Pilotto-de-Oliveira Marília, Laus Ana Maria, Bernardes Andrea, Silvia-Gabriel Carmen

机构信息

. Universidade de Sáo Paulo, Ribeiráo Preto, SP, Brasil. Email:

. Prefeitura Municipal de Sertáozinho, Sertáozinho, SP, Brasil. Email:

出版信息

Rev Cuid. 2023 May 28;14(1):e09. doi: 10.15649/cuidarte.2531. eCollection 2023 Jan-Apr.

Abstract

INTRODUCTION

Problems related to patient safety in the pre-hospital context are little explored, but essential, given the vulnerability to incidents.

OBJECTIVE

To analyze the patient safety climate from the perspective of the multidisciplinary team that works in Mobile Pre-Hospital Care (PHC).

MATERIALS AND METHODS

Cross-sectional study, conducted in a Mobile Pre-Hospital Care. Data collection was performed through Safety attitudes Questionnaire (SAQ), with convenience sampling and participation rate of 94.3% of eligible professionals. Descriptive statistics and the Mann- Whitney test were used for data analysis.

RESULTS

Among the 151 participating professionals, males predominated (54.6%), nursing assistants and technicians (42.0%), working for 10 or more years (61.0%), in adult and pediatric care (93.4%). The SAQ Total had a median of 70, indicating a negative perception of the participants about patient safety in the APH. The domains with a negative perception were: Safety Climate, Stress Recognition, Management Perception and Working Conditions; while the Teamwork Climate and Job Satisfaction domains showed a positive perception. In the comparative analysis among professionals, differences were observed between some categories for the domains of Job Satisfaction, Stress Recognition and Working Conditions.

CONCLUSIONS

This study presents the peculiarities of emergency medical services and the need to sensitize professionals and managers about patient safety, with a view to better understanding the current scenario and possibilities of reducing adverse events to improve the care offered.

摘要

引言

鉴于院前环境中患者易发生事故,与患者安全相关的问题鲜有人研究,但却至关重要。

目的

从从事移动院前护理(PHC)的多学科团队的角度分析患者安全氛围。

材料与方法

在一个移动院前护理机构进行横断面研究。通过安全态度问卷(SAQ)收集数据,采用便利抽样,符合条件的专业人员参与率为94.3%。数据分析采用描述性统计和曼-惠特尼检验。

结果

在151名参与研究的专业人员中,男性占主导(54.6%),护理助理和技术员占42.0%,工作10年及以上的占61.0%,从事成人和儿科护理工作的占93.4%。SAQ总分中位数为70,表明参与者对院前护理中的患者安全持负面看法。持负面看法的领域包括:安全氛围、压力认知、管理认知和工作条件;而团队合作氛围和工作满意度领域则呈现出正面看法。在专业人员之间的比较分析中,在工作满意度、压力认知和工作条件等领域的某些类别之间观察到了差异。

结论

本研究揭示了急诊医疗服务的特点,以及提高专业人员和管理人员对患者安全的认识的必要性,以期更好地了解当前情况以及减少不良事件以改善所提供护理的可能性。

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