Patient Safety Culture in the Emergency Medical Service: cross-sectional study

Authors

DOI:

https://doi.org/10.15649/cuidarte.2531

Keywords:

Patient Safety, Patient Care Team, Emergency Medical Services, Prehospital Care, Cross-Sectional Studies

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.

How to cite this article: João, Virgilio Malundo; Dias, Bruna Moreno; Oliveira, Marília Pilotto de; Laus, Ana Maria; Bernardes, Andrea; Gabriel, Carmen Silvia.  Cultura de Segurança do Paciente no Serviço Médico de Urgência: estudo transversal. Revista Cuidarte. 2023;14(1):e2531. http://dx.doi.org/10.15649/cuidarte.2531

Author Biographies

Virgilio Malundo João, Universidade de São Paulo

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto, SP, Brasil.

Bruna Moreno Dias, Universidade de São Paulo

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto, SP, Brasil.

Marília Pilotto de Oliveira, Prefeitura Municipal de Sertãozinho

Prefeitura Municipal de Sertãozinho, Sertãozinho, SP, Brasil. 

Ana Maria Laus, Universidade de São Paulo

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo

Andrea Bernardes, Universidade de São Paulo

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo

Carmen Silvia Gabriel, Universidade de São Paulo

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto, SP, Brasil.

References

World Health Organization. Patient safety incident reporting and learning systems: technical report and guidance. WHO. 2020. 51. https://apps.who.int/iris/rest/bitstreams/1303416/retrieve

Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Resolução - RDC no 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Brasília-DF: Diário Oficial da União. 2013. https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html

National Patient Safety Foundation. Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015.

Andrade LEL, Lopes JM, Souza Filho MCM, Vieira Júnior RF, Farias LPC, Santos CCM dos, et al. Cultura de segurança do paciente em três hospitais brasileiros com diferentes tipos de gestão. Cien Saude Colet. 2018; 23(1):161-72. https://doi.org/10.1590/1413-81232018231.24392015

Olds DM, Aiken LH, Cimiotti JP, Lake ET. Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. Int J Nurs Stud. 2017;74:155-61.https://doi.org/10.1016/j.ijnurstu.2017.06.004

Gabrani A, Hoxha A, Simaku A, Gabrani J. Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study. BMJ Open. 2015;5(4):e006528-e006528. http://dx.doi.org/10.1016/S0140-6736(17)32513-8

Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006; 6(1):44. https://doi.org/10.1186/1472-6963-6-44

Hagiwara MA, Nilsson L, Strömsöe A, Axelsson C, Kängström A, Herlitz J. Patient safety and patient assessment in pre-hospital care: a study protocol. Scand J Trauma Resusc Emerg Med. 2016; 24(1):14. https://doi.org/10.1186/s13049-016-0206-7

Pereira ER, Broca PV, Rocha RG, Máximo TV, Oliveira AB de, Paes GO. The pre-hospital care and the patient safety: contributions to the safe practice. Rev Pesqui Cuid é Fundam Online. 2021; 13:234–40. https://doi.org/10.9789/2175-5361.rpcfo.v13.8251

Rigobello MCG, Carvalho REFL de, Guerreiro JM, Motta APG, Atila E, Gimenes FRE. The perception of the patient safety climate by professionals of the emergency department.Int Emerg Nurs. 2017; 33:1–6. https://doi.org/10.1016/j.ienj.2017.03.003

Tavares TY, Santana JCB, Eloy MD, Oliveira RD de, Paula RF de. O cotidiano dos enfermeiros que atuam no serviço de atendimento móvel de urgência. Rev Enferm do Centro-Oeste Min. 2017;7. https://doi.org/10.19175/recom.v7i0.1466

Machado CV, Salvador FGF, O’Dwyer G. Serviço de Atendimento Móvel de Urgência: análise da política brasileira. Rev Saude Publica. 2011; 45(3):519-28. https://doi.org/10.1590/S0034-89102011005000022

Reis CT, Martins M, Laguardia J. A segurança do paciente como dimensão da qualidade do cuidado de saúde: um olhar sobre a literatura. Cien Saude Colet. 2013; 18(7):2029–36. https://doi.org/10.1590/S1413-81232013000700018

Heidmann A, Trindade LF, Schmidt CR, Loro MM, Fontana RT, Kolankiewicz ACB. Contributive factors for the consolidation of patient safety culture in the hospital environment. Esc Anna Nery. 2020;24(1). https://doi.org/10.1590/2177-9465-ean-2019-0153

Brasil. Ministério da Saúde. Gabinete do Ministro. Portaria no 529, de 1o de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília-DF: Diário Oficial da União. 2013. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html

Carvalho REFL de, Cassiani SHDB. Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil. Rev Lat Am Enfermagem. 2012; 20(3):575-82. https://doi.org/10.1590/S0104-11692012000300020

Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007; 60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012

Carvalho REFL de, Arruda LP, Nascimento NKP do, Sampaio RL, Cavalcante MLSN, Costa ACP. Assessment of the culture of safety in public hospitals in Brazil. Rev Lat Am Enfermagem. 2017; 25. https://doi.org/10.1590/1518-8345.1600.2849

Lira VL, Campelo SM de A, Branco NFLC, Carvalho HEF de, Andrade D de, Ferreira AM, et al. Patient safety climate from the nursing perspective. Rev Bras Enferm. 2020;73(6). https://doi.org/10.1590/0034-7167-2019-0606

Castilho DEC, Silva AEB de C, Gimenes FRE, Nunes R de LS, Pires ACAC, Bernardes CA. Factors related to the patient safety climate in an emergency hospital. Rev Lat Am Enfermagem. 2020;28. https://doi.org/10.1590/1518-8345.3353.3273

Zanon REB, Dalmolin G de L, Magnago TSB de S, Andolhe R, Carvalho REFL de. Presenteeism and safety culture: evaluation of health workers in a teaching hospital. Rev Bras Enferm. 2021;74(1). https://doi.org/10.1590/0034-7167-2019-0463

Tondo JCA, Guirardello E de B. Perception of nursing professionals on patient safety culture. Rev Bras Enferm. 2017; 70(6):1284–90. https://doi.org/10.1590/0034-7167-2016-0010

Jaimes Valencia ML, Alvarado Alvarado AL, Mejía Arciniegas CN, López Galán AV, Mancilla Jiménez VA, Padilla García CI. Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019. Rev Cuid. 2021;12(1). https://doi.org/10.15649/cuidarte.1092

Alzahrani N, Jones R, Abdel-Latif ME. Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals. BMC Health Serv Res. 2018;18(1):736. https://doi.org/10.1186/s12913-018-3542-7

Toso GL, Golle L, Magnago TSB de S, Herr GEG, Loro MM, Aozane F, et al. Cultura de segurança do paciente em instituições hospitalares na perspectiva da enfermagem. Rev Gaúcha Enferm. 2016;37(4). https://doi.org/10.1590/1983-1447.2016.04.58662

Wegner W, Silva SC da, Kantorski KJC, Predebon CM, Sanches MO, Pedro ENR. Education for culture of patient safety: Implications to professional training. Esc Anna Nery - Rev Enferm. 2016. https://doi.org/10.5935/1414-8145.20160068

Sé ACS, Machado WCA, Silva PS, Passos JP, Araújo STC, Tonini T, et al. Violência física, abuso verbal e assédio sexual sofridos por enfermeiros do atendimento pré-hospitalar. Enferm em Foco. 2021; 11(6):135-77. https://doi.org/10.21675/2357-707X.2020.v11.n6.4087

Goulart LS, Rocha LP, Carvalho DP de, Tomaschewski-Barlem JG, Dalmolin G de L, Pinho EC de. Acidentes de trabalho e os riscos ocupacionais identificados no Serviço de Atendimento Móvel de Urgência. Rev da Esc Enferm da USP. 2020;54. https://doi.org/10.1590/s1980-220x2018056903603

Cabral CC de O, Bampi LN da S, Queiroz R da S, Araujo AF, Calasans LHB, Vaz TS. Quality of life of urces from the mobile emergency care service. Texto Context - Enferm. 2020;29. https://doi.org/10.1590/1980-265x-tce-2018-0100

Carvalho PA, Laundos CAS, Juliano JVS, Casulari LA, Gottems LBD. Assessment of safety culture in a public hospital in the Federal District, Brazil. Rev Bras Enferm. 2019;72(l):252-8. https://doi.org/10.1590/0034-7167-2017-0716

Cano-del Pozo MI, Obón-Azuara B, Valderrama-Rodríguez M, Revilla-López C, Brosed-Yuste C, Fajardo-Trasobares E, et al. Las emergencias extrahospitalarias ante la cultura de seguridad. Rev Calid Asist. 2014; 29(5):263-9. https://doi.org/10.1016/j.cali.2014.06.003

Published

2023-03-01

How to Cite

1.
João VM, Moreno Dias B, de Oliveira MP, Laus AM, Bernardes A, Gabriel CS. Patient Safety Culture in the Emergency Medical Service: cross-sectional study . Revista Cuidarte [Internet]. 2023 Mar. 1 [cited 2024 Nov. 22];14(1). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2531

Altmetrics

Downloads

Download data is not yet available.