Patient Safety Culture in the Emergency Medical Service: cross-sectional study
DOI:
https://doi.org/10.15649/cuidarte.2531Keywords:
Patient Safety, Patient Care Team, Emergency Medical Services, Prehospital Care, Cross-Sectional StudiesAbstract
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
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
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.