Title : Perceptions of patient safety culture in Brazilian Healthcare Organizations
Abstract:
Patient safety climate has been recognized as a core determinant for improving safety in hospitals. Describing workforce perceptions of patient safety climate is an important part of safety climate management. This study aimed to describe perceptions of patient safety climate in hospitals in Brazil and to determine how perceptions of patient safety climate differ between types of workers in China and Brazil.
This study is aimed to identify perceptions of safety in Brazilian Healthcare Organizations.
Survey of employees of 23 Healthcare Organizations in Brazil conducted during 2015 -2017 using a modified version of the U.S. Patient Safety Climate in Health Care Organizations (PSCHO) tool and Canadian patient safety climate survey (Can-PSCS). Utilized data from 1458 nursing professionals participated in the study and 3218 nursing assistants working.
The percentage of “problematic responses” (PPRs) was used to measure safety climate.
The mean and the standard deviation of the PPRs was 41.8% and 5.0%.
The minimum PPR was 35.6% in the workgroup norms and the maximum PPR was 47.7% in Communication.
The perceptions of patient safety climate were relatively positive among hospital employees and similar to those of employees in U.S. hospitals along most dimensions.
The study also showed that managers perceived the safety climate more favorably than other types of workers.
By the analysis of the results it becomes clear that clinical leaders lack the ability to recognize the contribution of the team's staff to patient safety and patient outcomes. Development of leadership skills is the main challenge in healthcare organizations in Brazil.
The difference in safety perception between groups of professionals, especially nursing assistant and nurses and physicians, signals the need to better understand the working relationships in these groups and prioritize the work in teams at the expense of individual work.
Audience Take Away:
- Use research as a quantitative tool to evaluate the safety climate perceived by professionals of health organizations.
- Compare the perception of safety among professionals and with the result of care.
- Direct top management in the definition of improvement strategies from the negative perception dimensions.
- To direct in the development of actions that fortify the policy of security and reduction of waste.
- Reduce incidents for patients and improve care performance.
- Apply research in organizations directs actions to strengthen the culture of security.
- Develop actions to improve working conditions (Better Working conditions).
- Relate the safety climate to patient outcomes.
- Implement communication tools between professionals, between processes and with the patient.
- Improve the ethical framework.
- Encourage the institutions to evaluate the perception of security and to correlate the incidents that occurred.
