Análise da cultura da segurança do paciente: percepção de profissionais de saúde de um hospital da cidade de São Paulo

• Ano de defesa: 2018
• Autor(a) principal: Cardoso, Ana Tucunduva [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo; Brasil; São Paulo; UNIFESP; Ensino em Ciências da Saúde
• Palavras-chave em Português: Patient safety; Professional qualification; Professional competence; Interdisciplinary Health Team; Segurança do paciente; Capacitação profissional; Competência profissional; Equipe Interdisciplinar de Saúde
• Link de acesso: http://www2.unifesp.br/centros/cedess/mestrado/teses/tese_229_ana_cardoso.pdf; https://repositorio.unifesp.br/handle/11600/51826

The present study adopted as the central theme the Patient Safety Culture. Patient Safety is defined as the least acceptable reduction in the risk of unnecessary harm associated with health care. The safety culture has received increasing attention in recent decades in the field of health organizations. Safe cultures are those in which people voluntarily manifest themselves when they observe situations and risky behaviors. In Brazil, there is a shortage of published works on the subject, since the evaluation of safety culture in hospitals is still incipient. This research aims to analyze the culture of patient safety in the perception of health professionals of a hospital in the city of São Paulo. A descriptive exploratory study with a qualitative and quantitative approach was developed through a case study, carried out in a hospital institution in the city of São Paulo, which has 766 active beds and approximately 5,000 employees. The research was carried out in intensive care units and counted on 150 participants, health professionals at senior and technical levels, who worked in the function for more than three months and completed an instrument composed of Likert scale and open space assertions for other considerations. A questionnaire was applied with 9 participants to identify the strengths and weaknesses of the Patient Safety Culture in the institution and what competencies the health professional needs to develop the Patient Safety Culture. Likert scale data were analyzed statistically and spontaneous reports and questionnaire were treated with content analysis in the thematic modality. The results showed that 12% of the assertions are in danger zone, 69% in alert zone and 19% in comfort zone, and that in the perception of the professionals participating in the research, there are fragilities about Patient Safety. Based on the results, a technical-educational program was developed for the permanent education of health professionals with a view to providing functional knowledge in patient safety and related areas, and reinforcing safety-related skills. It was concluded that knowing the culture of patient safety in health organizations is imperative to develop any type of safety program.