Cultura de seguridad del personal de salud en el quirófano: aún queda mucho camino por recorrer. Estudio transversal analítico en Turquía
DOI:
https://doi.org/10.15649/cuidarte.2872Keywords:
Seguridad del Paciente, Cultura, Hospital, Sala de Operaciones, Trabajadores de la Salud, Evaluación ComparativaAbstract
Introducción: las actitudes del personal de salud frente a la cultura de la seguridad siguen sin alcanzar su nivel deseado. Aunque la creación de una cultura de seguridad del paciente es importante en todos los entornos de cuidado, es vital en las unidades de cuidado crítico. Objetivo: determinar los niveles de cultura de seguridad del paciente de quienes trabajan en quirófanos y compararlos con los 2008 resultados de los mismos hospitales. Materiales y métodos: se realizó un estudio transversal analítico entre 2017 y 2018. La versión en turco de la Encuesta Hospitalaria sobre Cultura de Seguridad del Paciente se administró a profesionales de enfermería, anestesistas, médicos auxiliares y médicos especialistas que trabajaban en los quirófanos (n=258) de dos hospitales universitarios de Konya, una ciudad de la región de Anatolia en Turquía. Resultados: El porcentaje medio de respuestas positivas a los 42 ítems fue bajo (41%, n=258). Si bien no hubo cambios en una dimensión del cuestionario en comparación con los 2008 resultados, hubo un cambio positivo en 8 dimensiones y un cambio negativo en 3 dimensiones. Las 12 dimensiones presentaron una puntuación inferior a la de la Agencia para la Investigación y la Calidad del Cuidado de la Salud. Discusión: A pesar de los numerosos estudios, desarrollos en política e intervenciones en materia de seguridad del paciente, la mejora de la cultura de seguridad del paciente es muy lenta en Turquía, al igual que en otros países. Conclusión: No notificar errores y un enfoque punitivo en caso de error siguen considerándose los problemas más importantes.
Como citar este artículo: Fíliz Emel. Safety culture among operating room healthcare workers: still a long way to go. an analytical cross-sectional study from Turkey. Revista Cuidarte 2023;14(2):e2872. http://dx.doi.org/10.15649/cuidarte.2872
References
Kohn LT, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Institute of Medicine: National Academy Pres. 2000. http://nap.edu/9728
Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6(11): e1196-e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Slawomirski L, Auraaen A, Klazinga N. The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. OECD Health Working Papers. 2017. https://www.bundesgesundheitsministerium.de/fileadmin/Dateien/3_Downloads/P/Patientensicherheit/The_Economics_of_patient_safety_Web.pdf
Çarıkçı F, Eslek S, Kırbaş Ç, Aktaşçı B, Baştimur F. A retrospective review on medical practice errors reflected in daily newspapers. Journal of Medical Sciences, 2021; 2(4), 59-66. https://jms.yeniyuzyil.edu.tr/en/a-retrospective-review-on-medical-practice-errors-reflected-in-daily-newspapers/
Kahyaoğlu Khalil E. 2015-2020 Yılları Arasında Yargıtay’a İntikal Etmiş Malpraktis Dosyalarının Sağlık Yönetimi Açısından Analizi. 2022. (Master's thesis, Sağlık Bilimleri Enstitüsü). http://earsiv.odu.edu.tr/xmlui/bitstream/handle/11489/223/10447650.pdf?sequence=1&isAllowed=y
WHO, Patient Safety. 2009. WHO guidelines for safe surgery 2009: safe surgery saves lives. World Health Organization. 2022. https://apps.who.int/iris/handle/10665/44185
Rockville W, Sorra J, Gray L, Streagle S, Famolaro T, Yount N, et al. AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. (Prepared by Westat, under Contract No. HHSA290201300003C). AHRQ Publication No. 18-0036-EF (Replaces 04-0041, 15(16)-0049-EF). Rockville, MD: Agency for Healthcare Research and Quality. 2018. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
WHO & Patient Safety. Draft Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. World Health Organization. 2021. https://cdn.who.int/media/docs/default-source/patient-safety/gpsap/global-patient-safety-action-plan_12-apr-2021.pdf?sfvrsn=58ad8e9e_10
Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Morlock LL. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19. https://doi.org/10.1016/j.ccc.2004.07.006
Reis CT, Paiva SG, Sousa P. The patient safety culture: a systematic review by characteristics of hospital survey on patient safety culture dimensions. Int J Qual Health Care. 2018; 30(9):660-677. https://doi.org/10.1093/intqhc/mzy080
Gurková E, Zeleníková R, Friganovic A, Uchmanowiccz I, Jarošová D, Papastavrou E, et al. Hospital safety climate from nurses’ perspective in four European countries. Int Nurs Rev. 2020; 67(2):208-217. https://doi.org/10.1111/inr.12561
AHRQ. Survey on Patient Safety Culture Bibliography. 2022 https://www.ahrq.gov/sops/bibliography/index.html?f%5B0%5D=facets_sops_biblio_healthcare_setting%3A14551
Magalhães EV, de Paiva FO, Alves MES, de Almeida MC. Cultura de segurança do paciente entre profissionais de Enfermagem em um hospital filantrópico de Minas Gerais. Rev Cuid. 2021; 12(3). e1990. http://dx.doi.org/10.15649/cuidarte.1990
Tran HTN, Pham TQ, Tran HL, Nguyen HD, Nguyen TM, Bui HTT. Patient Safety Culture in 2 Public Hospitals in Vietnam: A Mixed Method Study. J Nurs Care Qual. 2022; 37(3): 39-47. https://doi.org/10.1097/NCQ.0000000000000597
Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Qual Saf. 2003;12(2):17-23. http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17
Bacaksız FE, Taşkıran Eskici GT, Uğuz G, Seren AKH. Türkiye’de “Hasta Güvenliği” Konusunda Son On Yılda (2008-2017) Yayımlanan Ulusal Çalışmaların Değerlendirilmesi: Bibliyografik Bir İnceleme. JAREN. 2020;6(3):523-37. https://www.researchgate.net/publication/346975096_Turkiye'de_Hasta_Guvenligi_konusunda_son_on_yilda_2008-2017_yayimlanan_ulusal_calismalarin_degerlendirilmesi_bibliyografik_bir_inceleme
Filiz E. Hastanede hasta güvenliği kültürü algılamasının ve sağlık çalışanları ile toplumun hasta güvenliği hakkındaki tutumunun. Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü. 2009. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
Bodur S, Filiz E. Validity and reliability of Turkish version of" Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey. BMC Health Serv Res. 2010;10(28):1-9. https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-28#:~:text=Conclusion,patient%20safety%20culture%20in%20Turkey
Famolaro T, Yount N, Hare R, et al. Hospital Survey on Patient Safety Culture 2018 User Database Report. AHRQ. 2018. No. 18-0025-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
Filiz E. Patient Safety Culture, Mendeley Data. 2023. https://doi.org/10.17632/bzcrpt47zz.1
Kuosmanen A, Tiihonen J, Repo‐Tiihonen E, Eronen M, Turunen H. Changes in patient safety culture: a patient safety intervention for Finnish forensic psychiatric hospital staff. J Nurs Manage. 2019;27(4):848-857. https://doi.org/10.1111/jonm.12760
Singer SJ, Gaba DM, Falwell A, Lin S, Hayes J, Baker L. Patient safety climate in 92 US hospitals: differences by work area and discipline. Medical care. 2009;47(1):23-31. https://www.jstor.org/stable/40221833
Abdi Z, Delgoshaei B, Ravaghi H, Abbasi M, Heyrani A. The culture of patient safety in an Iranian intensive care unit. J Nurs Manage. 2015;23(3):333-345. https://doi.org/10.1111/jonm.12135
Haugen AS, Søfteland E, Eide GE, Nortvedt MW, Aase K, Harthug S. Patient safety in surgical environments: cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient Safety. BMC Health Serv Res. 2010;10 (1):1-10. http://www.biomedcentral.com/1472-6963/10/279 0
Marsteller JA, Wen M, Hsu YJ,Thompson DA, Wahr JA, Martinez EA, et al. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Ann Thorac Surg. 2015;100(6):2182-2189. https://doi.org/10.1016/j.athoracsur.2015.05.109
Pimentel MPT, Choi S, Fiumara K, Kachalia A, Urman RD. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6): 412-416. https://pubmed.ncbi.nlm.nih.gov/28574955/
Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J. 2008;87(1):163-175. https://doi.org/10.1016/j.aorn.2007.07.003
Kaissi A, Johnson T, Kirschbaum MS. Measuring teamwork and patient safety attitudes of high-risk areas. Nursing Economics. 2003; 21(5): 211-8. https://pubmed.ncbi.nlm.nih.gov/14618970/
de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. BMJ Qual Saf. 2008; 17(3):216-223. http://dx.doi.org/10.1136/qshc.2007.023622
Wang M, Tao H. How does patient safety culture in the surgical departments compare to the rest of the county hospitals in Xiaogan City of China? Int J Environ Res Public Health. 2017; 14(10):1123. https://www.proquest.com/docview/1965687894/fulltextPDF/5F3C1FE0A8F64B0CPQ/1?accountid=16935
Vlayen A, Schrooten W, Wami W, Aerts M, Barrado LG, Claes N, et al. Variability of patient safety culture in Belgian acute hospitals. J Patient Saf. 2015; 11(2):110-121. https://www.jstor.org/stable/pdf/ 26633087.pdf
Kayral İH. Dünya’da ve Türkiye'de sağlık hizmetleri akreditasyonu. Sağlıkta Kalite ve Akreditasyon Dergisi. 2018;1(1): 27-31. https://dergipark.org.tr/en/download/article-file/479122
Resmi Gazete. Hasta ve Çalışan Güvenliğinin Sağlanmasına Dair Yönetmelik. 2011. http://www.resmigazete.gov.tr/eskiler/2011/04/20110406-3.htm
Resmi Gazete. Sağlıkta Kalitenin Geliştirilmesi ve Değerlendirilmesine Dair Yönetmelik. CUMARTESİ. 2015; (27). https://www.resmigazete.gov.tr/eskiler/2015/06/20150627-2.htm
Nekoei‐Moghadam M, Raadabadi M, Heidarijamebozorgi M. Patient safety culture in university hospital's emergency departments: A case study. Int J Health Plann Manage. 2020;35(4):852-858. https://onlinelibrary.wiley.com/doi/pdf/10.1002/hpm.2948
Aiken LH, Ceron C, Simonetti M, Lake ET, Galiano A, Garbarini A, et al. Hospital nurse staffing and patient outcomes. Revista Médica Clínica Las Condes. 2018;29(3):322-327. https://www.sciencedirect.com/science/article/pii/S0716864018300609
Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Int J Nurs Stud. 2018; 78:10-15. https://www.sciencedirect.com/science/article/pii/S0020748917301761
Needleman J, Liu J, Shang J, Larson EL, Stone PW. Association of registered nurse and nursing support staffing with inpatient hospital mortality. BMJ Qual Saf. 2020; 29 (1):10-18. https://dergipark.org.tr/en/download/article-file/35839
Sayan İÖ, Küçük A. Türkiye’de kamu personeli istihdamında dönüşüm: sağlık bakanlığı örneği. Ankara Üniversitesi SBF Dergisi. 2012;67(01):171-203. https://www.jstor.org/stable/pdf/ 26633087.pdf
Üner S, Okyay P. (Ed.). Türkiye Sağlık Raporu 2020. Ankara: Hipokrat Yayınevi. 2020. ISBN: 978-605-7874-83-2.
Kim KJ, Yoo,MS, Seo EJ. Exploring the influence of nursing work environment and patient safety culture on missed nursing care in Korea. Asian Nurs Res. 2018;12(2):121-126. https://www.sciencedirect.com/science/article/pii/S1976131717306837
Donaghy C, Doherty R, Irwin T. Patient safety: A culture of openness and supporting staff. Surgery (Oxford). 2018;36(9):509-514. https://www.sciencedirect.com/science/article/pii/ S0263931918301376
Kirwan M, Matthews A, Scott PA. The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach. Int J Nurs Stud. 2013;50(2):253-263. https://www.sciencedirect.com/science/article/pii/S0020748912003021
Alswat K, Abdalla RAM, Titi MA, Bakash M, Mehmood F, Zubairi B, et al. Improving patient safety culture in Saudi Arabia (2012–2015): trending, improvement and benchmarking. BMC Health Serv Res. 2017;17(1):1-14. https://pubmed.ncbi.nlm.nih.gov/14618970/
Alves MDFT, de Carvalho DS, de Albuquerque GSC. Barriers to patient safety incident reporting by Brazilian health professionals: an integrative review. Ciencia & saude coletiva. 2019;24: 2895-2908. https://www.scielosp.org/article/csc/2019.v24n8/2895-2908/en/
Sözer E. Tıbbi Hatanın Hasta Yakınları ile Paylaşılması. İçinde: Çakmakçı M, Akalın HE, editör. Hasta Güvenliġi: Türkiye ve Dünya. Füsun Sayek TTB Raporları. Birinci Baskı,Ankara: Türk Tabipleri Birliği Yayınları. 2011; 71. https://www.ttb.org.tr/kutuphane/fsayek10_hastaguvenlik.pdf
WHO. World alliance for patient safety: WHO draft guidelines for adverse event reporting and learning systems: from information to action. World Health Organization. 2005; 12, 2022. https://apps.who.int/iris/handle/10665/69797
Security Reporting System. Güvenlik Raporlama Sistemi 2016 Yılı İstatistik ve Analiz Raporu, Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı, Ankara. SRS. 2016; 10, 2022. https://shgmkalitedb.saglik.gov.tr/TR,15234/guvenlik-raporlama-sistemi-2016-yili-raporu-yayinlandi.html
Sağlık Bakanlığı. SHGM Sağlıkta Verimlilik Kalite ve Akreditasyon Dairesi Başkanlığı. Güvenlik Raporlama Sistemi 2017 Yılı İstatistik ve Analiz Raporu. Ankara (Türkiye); 2017. https://www.saglikaktuel.com/d/file/28439,grs2017-sonpdf.pdf
Badir A. The development of patient safety in Turkey: constraints and limitations. J Nurs Care Qual. 2009;24(4):348-353. https://journals.lww.com/jncqjournal/FullText /2009/10000/The_Development_of_Patient_Safety_in_Turkey_.11.aspx
Beauregard K. Patient safety, elephants, chickens, and mosquitoes. Plast Surg Nurs. 2006; 26(3):123-125. https://journals.lww.com/psnjournalonline/Fulltext/2006/07000/Patient_ Safety,_Elephants,_Chickens,_and.5.aspx
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Br J Anaesth. 2012;109(suppl_1): i3-i16. https://academic.oup.com/bja/article/109/suppl_1/ i3/292754 /
Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‘To Err is Human’. BMJ Qual Saf. 2016;25(2):92-99. https://pubmed.ncbi.nlm.nih.gov/26217037/
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.
