Correlation between the Degree of Perception and Culture on Patient Safety in a Tertiary Hospital between 2015-2019

Authors

DOI:

https://doi.org/10.15649/cuidarte.1092

Keywords:

Nursing, Quality of Health Care, Safety Patient, Organizational Culture, Health Personnel

Abstract

Introduction: Patient safety is defined as an integrated pattern of individual and organizational behavior based on shared beliefs and values that continuously seeks to minimize harm to patients. Objective: To analyze the correlation between the perception of patient safety culture and the degree of safety perceived by healthcare workers in a tertiary hospital in 2015, 2017 and 2019. Materials and Methods: A quantitative correlational study was conducted with a purposive sample of 402 records obtained from a patient safety culture database. The Hospital Survey on Patient Safety Culture was used for assessment. Results: The global results show that the highest percentage of respondents corresponded to healthcare workers (73.4%). The main healthcare service provided is the intensive care unit (18.2%) in which most participants were nurses (45.7%). According to positive responses received for global data, 2 out of the 12 dimensions are classified as strengths in the Organizational Learning (81.5%) and Teamwork (85.5%) components, as well as the degree of safety perceived through correlations (p: 0.000) is found in five dimensions such as event notifications and organizational learning, among others. Discussion: The correlation between the perceived degree of safety and survey dimensions shows similarity, especially for event notifications. Conclusion: Patient safety and the perceived degree of safety are correlated as institutional interventions are made for different components, including organizational learning and teamwork.

How to cite this article: Jaimes-Valencia Mary Luz, Alvarado-Alvarado Andrés Leonardo, Mejía-Arciniegas Claudia Nathaly, López-Galán Angie Valentina, Mancilla-Jiménez Vivian Angélica, Padilla-García Clara Inés. Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019 Revista Cuidarte. 2021;12(1):e1092. http://dx.doi.org/10.15649/cuidarte.1092

Author Biographies

Mary Luz Jaimes Valencia, Universidad Autónoma de Bucaramanga

Enfermera, maestría en salud familiar, Doctorado en enfermería practica y educación, Docente titular, programa enfermería Universidad Autónoma de Bucaramanga, Santander, Colombia.

Andres Leonardo Alvarado Alvarado, Universidad Autónoma de Bucaramanga

Enfermero, Universidad Autónoma de Bucaramanga, Santander, Colombia

Claudia Nathaly Mejía Arciniegas, Fundación Oftalmológica de Santander Carlos Ardila Lule

Enfermera, Servicio de hospitalización, Fundación Oftalmológica de Santander, Santander, Colombia.

Angie Valentina López Galán, Universidad Autónoma de Bucaramanga

Enfermera, Universidad Autónoma de Bucaramanga, Santander, Colombia

Vivian Angélica Mancilla Jiménez, M&M Solutions

Enfermera, especialista en Gerencia de Servicios de Salud, Coordinadora de Calidad de M&M Solutions, Santander, Colombia

Clara Inés Padilla García, Universidad Industrial de Santander

Enfermera, Especialista en Enfermería en Cuidado Crítico, Magíster en Enfermería con Énfasis en Cuidado Cardiovascular., Docente Universidad Industrial de Santander, Santander, Colombia.

References

Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington, DC: The National Academies Press. 2000. https://doi.org/10.17226/9728

Dávila-Torres J. To err is human, but to not put processes in place to avoid errors from becoming fatal is inhumane. 5th International Summit of the Patient Safety Movement (PSM), California, USA, 2017. Cir Cir. 2017;85(2):101-103. https://doi.org/10.1016/j.circen.2017.03.002

McCallum AD, Kanagarajah S, Ford L, Patel D. To err is human: Clinical incident calls to a national travel health advice line. Vacine. 2019;37(52):7535-7538. https://doi.org/10.1016/j.vaccine.2019.10.007

Nicklin W, Hugues L. Patient Safety: We’ve come a long way. Healthc Q. 2020;22:6-9. http://dx.doi.org/10.12927/hcq.2020.26051

Wainryb C, Recchia H, Faulconbridge O, Pasupathi M. To err is human: Forgiveness across childhood and adolescence. Social Development. 2019;00:1–17. https://doi.org/10.1111/sode.12413

Quenon JL, Vacher A, Faget M, Levif-Lecourt M, Roberts T, Fucks I, et al. Exploring the role of managers in the development of a safety culture in seven French healthcare facilities: a qualitative study. BMC Health services Research. 2020;20:517. https://doi.org/10.1186/s12913-020-05331-1

Atwal A, Phillip M, Morley C. Senior nurses’ perceptions of junior nurses incident reporting: A qualitative study. J Nurs Manage. 2020. https://doi.org/10.1111/jonm.13063

Palmiere PA, Leyva-Moral JM, Camacho-Rodríguez DE, Granel-Gimenez N, Ford EW, Mathieson KM, et al. Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research. BMC Nursing. 2020;19:23. https://doi.org/10.1186/s12912-020-00419-9

Huang CH, Wu HH, Lee YC, Van Nieuwenhuyse I, Lin CM, Wu CF. Patient safety in work environments: Perceptions of pediatric healthcare providers in Taiwan. J Pediatr Nurs. 2020;53:6-13. https://doi.org/10.1016/j.pedn.2020.03.005

Al-Mugheed K, Bayraktar N. Patient safety attitudes among critical care nurses: A case study in North Cyprus. Int J Health Plann Mgmt. 2020;35(4):910-921. https://doi.org/10.1002/hpm.2976

Chegini Z, Janati A, Afkhami M, Behjat M, Shariful-Islam SM. A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran. Nurs Open. 2020;7(3):768-775. https://doi.org/10.1002/nop2.449

Organización Mundial de la Salud, Ministerio de Sanidad y Política Social de España. Estudio IBEAS Prevalencia de efectos adversos en hospitales de Latinoamérica. Ministerio de Sanidad y Política Social. Informes, Estudios e investigación 2009. URL: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/CA/resultados-estudio-ibeas.pdf.

Friganovic A, Režić S, Kurtović B, Vidmanić S, Zelenikova R, Rotim C, et al. Nurses' Perception of Implicit Nursing Care Rationing In Croatia – A CrossSectional Multicentre Study. J Nurs Manage. 2020. https://doi.org/10.1111/jonm.13002

Shah R, Barksfield R. Fostering patient safety through health policy innovation: A case study of implementation of the WHO Surgical Checklist in the UK. J Perioper Pract. 2020;0(0):1-5. https://doi.org/10.1177/1750458920902613

Abu-El-Noor NI, Abu-El-Noor MK, Zuheir-Abuowda Y, Alfaqawi M, Böttcher B. Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy. BMC Health Services Research. 2019;19(1):550. https://doi.org/10.1186/s12913-019-4374-9

Ministerio de la Protección Social. Guía técnica “Buenas Prácticas para la Seguridad del Paciente en la Atención en salud”. Sistema Obligatorio de Garantía de Calidad en Salud. Versión 001, 2010. URL: https://www.minsalud.gov.co/salud/CAS/Paginas/seguridad-del-paciente.aspx

Ministerio de Salud y Protección Social. Paquetes instruccionales: Guía Técnica “Buenas Prácticas para la seguridad del paciente en la Atención en Salud. Seguridad del Paciente y Atención Segura. Versión 2.0, 2010. URL: https://www.minsalud.gov.co/salud/CAS/Paginas/seguridad-del-paciente.aspx

Betancur-Pulgarín CL, Romero-Carvajal MR, Murillo-Micolta LG, Churi-Antero Y, Angulo-Ante YN, Carmona-Carmona D. Patient Safety in a First-Level Hospital in Colombia, According to London Protocol. IntechOpen. 2020. http://dx.doi.org/10.5772/intechopen.89520

Sanchez AM, Betancourt A, Mantilla C, González-Vargas. Technovigilance and risk management as tools to improve patient safety in Colombian health care institutions. Rev. Ing. Bioméd. 2017;11(21):57-64. https://doi.org/10.24050/19099762.n21.2017.1173

Etchegaray JM, Thomas EJ, Profit J. Preoccupation with failure and adherence to shared baselines: Measuring high-reliability organizational culture. J Patient Saf Risk Manag. 2019;24(4):147-152. https://doi.org/10.1177/2516043519838185

Foster S. Taking the measure of safety culture. Br J Nurs, 2019;28(20):1349. https://doi.org/10.12968/bjon.2019.28.20.1349

Sillero-Sillero A, Zabalegui A. Safety and satisfaction of patients with nurse’s care in the perioperative. Rev. Latino-Am. Enfermagem. 2019;27:3142. http://dx.doi.org/10.1590/1518-8345.2646.3142

Bravo-Gómez MA, Arboleda-de-Pérez LB, Arguello DK, Becerro-Moreno X, Peñaranda-Vega M, Oyala-Naranjo DJ, et al. Cultura de seguridad en profesionales del quirófano en una institución de atención materno infantil. Rev Cubana Enferm. 2020;36(1):3155. URL: http://www.revenfermeria.sld.cu/index.php/enf/article/view/3155

Torijano-Casalengua ML, Olivera-Cañada G, Astier-Peña MP, Maderuelo-Fernández JA, Silvestre-Busto C. Validación de un cuestionario para evaluar la cultura de seguridad del paciente de los profesionales de atención primaria en España. Aten Primaria. 2013;45(1):21-37. http://dx.doi.org/10.1016/j.aprim.2012.07.003

Gómez-Ramírez O, Arenas-Gutiérrez W, Gonzales-Vega L, Garzón-Salamanca J, Mateus-Galeano E, Soto-Gámez A. Cultura de seguridad del paciente por personal de enfermería en Bogotá, Colombia. Cienc. enferm. 2011;17(3):97-111. https://dx.doi.org/10.4067/S0717-95532011000300009

Ministerio de Sanidad y Política Social de España. Análisis de la cultura sobre seguridad del paciente en el ámbito hospitalario del Sistema Nacional de Salud Español. Madrid: Ministerio de Sanidad y Consumo; 2009. URL: https://www.seguridaddelpaciente.es/es/proyectos/financiacion-estudios/percepcion-opinion/2007/analisis-cultura-seguridad/

Keskinova D, Dimova R, Stoyanova R. Psychometric Properties of the Bulgarian Version of Hospital Survey on Patient Safety Culture. Int J Qual Health Care. 2020. https://doi.org/10.1093/intqhc/mzaa055

Salazar-Maya ÁM, Restrepo-Marín DM. Cultura de la seguridad del paciente en seis centros quirúrgicos de Antioquia. Rev Cuid. 2020;11(2):1040. https://doi.org/10.15649/cuidarte.1040

Pedroni VS, Gouveia HG, Vieira LB, Wegner W, Oliveira ACS, Santos MC, et al. Patient safety culture in the maternal-child área of a university hospital. Rev Gaúcha Enferm. 2020;41:20190171. https://doi.org/10.1590/1983-1447.2020.20190171

Hori-Okuyana JH, Freire-Galvão T, Lonardoni-Crozatti MT, Tolentino-Silva M. Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture. Sao Paulo Med J. 2019;137(3):216-22. https://doi.org/10.1590/1516-3180.2018.0430140319

Stewart D, Thomas B, MacLure K, Pallivalapila A, El-Kassem W, Awaisu A, et al. Perspectives of healthcare professionals in Qatar on causes of medication errors: A mixed methods study of safety culture. PLoS One. 2018;13(9):0204801. https://doi.org/10.1371/journal.pone.0204801

Galvão TF, Couteiro-Lopes MC, Carrilho-Oliva CC, Almeida-Araújo ME, Tolentino-Silva M. Patient safety culture in a university hospital. Rev. Latino-Am. Enfermagem. 2018;26:3014. http://dx.doi.org/10.1590/1518-8345.2257.3014

Salem M, Labib J, Mahmoud A, Shalaby S. Nurses' Perceptions of Patient Safety Culture in Intensive Care Units: A Cross-Sectional Study. Open Access Maced J Med Sci. 2019;7(21):3667-3672. https://doi.org/10.3889/oamjms.2019.737

Al-Latawi MH, Short SD, Noor-Abdulhadi NN, Murthi-Panchatcharam S, Dennis S. Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey. BMC Family Practice. 2019;20:50. https://doi.org/10.1186/s12875-019-0937-4

López-Jeng C, Eberth SD. Improving Hospital Safety Culture for Falls Prevention Through Interdisciplinary Health Education. Health Promot Pract. 2019:1-8. https://doi.org/10.1177/1524839919840337

Henrietta-Okafor C, Ugwu AC, Edet-Okon I. Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice. J Patient Exp. 2018;5(4):267-271. https://doi.org/10.1177/2374373518755500

Akologo A, Abuosi AA, Anaba EA. A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana. PLoS ONE. 2019;14(8):e0221208. https://doi.org/10.1371/journal.pone.0221208

Gurková E, Zeleníková R, Friganovic A, Uchmanowicz I, Jarosová D, Papastavrou E, et al. Hospital safety climate from nurses’ perspective in four European countries. Int Nurs Rev. 2019;67(2):208-217. https://doi.org/10.1111/inr.12561

Zhang X, Li Q, Guo Y, Lee SY. From organisational support to second victim related distress: Role of patient safety culture. J Nurs Manag. 2019;27(8):1818-1825. URL: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12881

Beborovic O, Brborovic, Nola IA, Miloševic M. Culture of Blame-An Ongoing Burden for Doctors and Patient Safety. Int. J. Environ. Res. Public Health. 2019;16(23):4826. https://doi.org/10.3390/ijerph16234826

Published

2021-02-12

How to Cite

1.
Jaimes Valencia ML, Alvarado Alvarado AL, Mejía Arciniegas CN, López Galán AV, Mancilla Jiménez VA, Padilla García CI. Correlation between the Degree of Perception and Culture on Patient Safety in a Tertiary Hospital between 2015-2019. Revista Cuidarte [Internet]. 2021 Feb. 12 [cited 2024 Dec. 19];12(1). Available from: https://revistas.udes.edu.co/cuidarte/article/view/1092

Issue

Section

Investigation Article

Categories

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)