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>Journals >Cirugía y Cirujanos >Year 2010, Issue 6


Fajardo-Dolci G, Rodríguez-Suárez J, Arboleya-Casanova H, Rojano-Fernández C, Hernández-Torres F, Santacruz-Varela J
Patient safety culture in healthcare professionals
Cir Cir 2010; 78 (6)

Language: Español
References: 29
Page: 527-532
PDF: 232.27 Kb.


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ABSTRACT

Background: Identifying the level of culture and awareness on patient safety is essential in order to improve the quality of care. The objective of our research was to assess patient safety culture in healthcare professionals.
Methods: Derived from the implementation of a survey on patient safety to 174 health professionals, data related to demographic characteristics were analyzed. Scores were determined on the 12 dimensions of the scale including additional items on perception and degree of overall patient safety, frequency and number of events reported, as well as Cronbach’s alpha for the different dimensions. Descriptive statistics were used.
Results: Overall perception on safety was 51%. The lowest dimension was communication openness (38%), whereas organizational learning had the highest scores (68%). Analysis showed low Cronbach’s alpha for dimensions of overall perception on safety (0.35), non-punitive response to error (0.55) and staff allocation (0.12).
Conclusions: A low overall perception on patient safety indicates the need for increased institutional actions for improvement. Low Cronbach’s alpha in some measurements may suggest the need for adjustments to the instrument. Results on the overall perception on patient safety, nonpunitive response to error and staff allocation (staffing) should be interpreted with caution, given the low reliability of such dimensions.


Key words: Patient safety, quality of health care.


REFERENCIAS

  1. Martin WF. Is your hospital safe? Disruptive behavior and workplace bullying. Hosp Top 2008;86:21-28.

  2. Grote G, Kunzler C. Diagnosis of safety culture in safety management audits. Saf Sci 2000;34:131-150.

  3. Howard L. Validating the competing values model as a representation of organizational cultures. Int J Organ Anal 1998;6:231-250.

  4. Cooper M. Towards a model of safety culture. Saf Sci 2000;36:111-136

  5. Grenny J. Crucial conversations: the most potent force for eliminating disruptive behavior. Health Care Manag 2009;28:240-245.

  6. Mustard LW. The culture of silence: disruptive and impaired physicians. J Med Pract Manage 2009;3:153-155.

  7. Leiker M. Sentinel events, disruptive behavior, and medical staff codes of conduct. WMJ 2009;108:333-334.

  8. Annas GJ. The patient’s right to safety—improving the quality of care through litigation against hospitals. N Engl J Med 2006;354:2063-2066.

  9. Fajardo DGE, Lamy P, Rodríguez S FJ, Fuentes DMA, Lucero MJJ, Hernández TF, et al. Sistema de registro electrónico de incidentes, basado en la Clasificación Internacional para la Seguridad del Paciente de la Organización Mundial de la Salud. Rev Conamed 2010;15:29-36.

  10. Haynes AB. A surgical safety checklist to reduce morbidity and mortality in a global population. NEJM 2009;360:491-499.

  11. Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Ann Surg 2007;246:705-11.

  12. Erickson TB, Kirkpatrick DH, De Francesco MS, Lawrence HC 3rd. Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Obstet Gynecol 2010;115:147-151.

  13. Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364-366.

  14. Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Health Care Manag Sci 2007;10:139-149.

  15. 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;6:44.

  16. Hutchinson A, Cooper KL, Dean JE, McIntosh A, Patterson M, Stride CB, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care 2006;15:347-353.

  17. Agency for Healthcare Research and Quality. Hospital survey on patient safety culture: 2010. User Comparative Database Report. Available at: http://www.ahrq.gov/qual/hospsurvey10/hosp10taba1.htm

  18. Leung GK, Patil NG. Patient safety in the undergraduate curriculum: medical students’ perception. Hong Kong Med J 2010;16:101-105.

  19. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand 2009;53:143-151.

  20. Saturno PJ, Da Silva Gama ZA, de Oliveira-Sousa SL, Fonseca YA, de Souza-Oliveira AC; Grupo Proyecto Indicadores de Seguridad del Paciente. Analysis of the patient safety culture in hospitals of the Spanish National Health System. Med Clin 2008;131:18-25.

  21. Bodur S, Filiz E. A Survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care 2009;21:348-355.

  22. Sorra JS, Nieva VF. Hospital survey on patient safety culture. Rockville, MD: Agency for Healthcare Research and Quality; 2010. Available at: http//:www.ahrq.gov/qual/patientsafetyculture/hospcult.doc

  23. Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur 2007;20:620-632.

  24. Bonneterre V, Liaudy S, Chatellier G, Lang T, de Gaudemaris R. Reliability, validity, and health issues arising from questionnaires used to measure Psychosocial and Organizational Work Factors (POWFs) among hospital nurses: a critical review. J Nurs Meas 2008;16:207-230.

  25. Attree M, Cooke H, Wakefield A. Patient safety in an English pre-registration nursing curriculum. Nurse Educ Pract 2008;8:239-248.

  26. Pronovost PJ, Weast B, Holzmueller CG, Rosenstein BJ, Kidwell RP, Haller KB, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual Saf Health Care 2003;12:405-410.

  27. Logio LS, Ramanujam R. Medical trainees’ formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf 2010;36:36-42.

  28. Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP. The psychometric properties of the ‘Hospital Survey on Patient Safety Culture’ in Dutch hospitals. BMC Health Serv Res 2008;7:230.

  29. Huang DT, Clermont G, Sexton JB, KArlo CA, Miller RG, Weissfeld LA, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007;35:165-176.






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