Patient safety culture in a COVID-19 ICU compared to a clinical-surgical ICU in the Brazilian Eastern Amazon: A cross-sectional study.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE Pub Date : 2023-01-01 DOI:10.3233/JRS-210071

Maria Luiza Rodrigues Dos Santos, Victória Brioso Tavares, Natália Silva da Costa, Marcos Valério Santos da Silva, João Simão de Melo-Neto

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引用次数: 1

Abstract

Background: The COVID-19 pandemic highlighted the need for a new dynamic in the organization and practices of health services, as it required rapid restructuring to promote safe and harm-free assistance.

Objective: To assess the dimensions of the patient safety culture (PSC) from the perspective of the health team professionals in clinical-surgical ICU (G1) compared to a COVID-19 ICU (G2).

Methods: Cross-sectional, analytical, descriptive and inferential study, using the "Hospital Survey on Patient Safety Culture" questionnaire.

Results: The domain "Supervisor/Manager Expectations and Actions Promoting Patient Safety (PS)" was a potential weakness for G1 (p = 0.003). G2 was most positive on improving PS, being informed about errors, considering PS as a top priority to management, and that the units work together to provide the best care (p > 0.05). G1 was most negative about the work culture with staff from other units, exchange of information across units, and shift changes (p > 0.05). The highest PS grade was related to greater communication, and a smaller frequency of events was reported only for G2 (p > 0.05).

Conclusion: There must be a balance in terms of attention focused on PS between different ICUs in times of crisis, especially regarding the supervisors/managers actions.

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巴西东亚马逊地区COVID-19重症监护室与临床外科重症监护室的患者安全文化比较:一项横断面研究

背景:2019冠状病毒病大流行突出表明，卫生服务的组织和做法需要一种新的动态，因为它需要快速重组，以促进安全和无害的援助。目的:从临床外科ICU (G1)与COVID-19 ICU (G2)的卫生团队专业人员的角度评估患者安全培养(PSC)的维度。方法:采用“医院患者安全文化调查”问卷进行横断面、分析、描述和推理研究。结果:“主管/经理期望和行动促进患者安全(PS)”领域是G1的潜在弱点(p = 0.003)。G2最积极的是改善PS，被告知错误，将PS视为管理的首要任务，各单位共同努力提供最佳护理(p > 0.05)。G1对与其他单位员工的工作文化、跨单位信息交流和轮班变化最为负面(p > 0.05)。最高的PS分级与更大的沟通有关，只有G2的事件发生频率较小(p > 0.05)。结论:在危机时刻，不同icu之间对PS的关注程度必须达到平衡，特别是在主管/管理人员的行动方面。

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来源期刊

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.20

自引率

17.60%

发文量

102

期刊介绍： The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.