Resultados da avaliação da cultura de segurança em um hospital público de ensino do Ceará

Abstract

Objective: To evaluate the characteristics of the patient safety culture of a public teaching hospital, identifying its strengths and fragilities. Methods: Observational, cross-sectional, quantitative study, conducted between December 2014 and January 2015, through the application of the Portuguese-adapted version of the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to employees of a referral hospital in Fortaleza, Ceará, Brazil. Data analysis was conducted by means of calculation of absolute and percentage values of positivity for each dimension of patient safety assessed in the instrument. Results: Expectations regarding the supervisor/chief and the actions promoting patient safety, and teamwork were the key points identified within the units, with 79% (n=380/484) and 73% (n=335/501) of positivity in the answers, respectively. In relation to the improvement opportunities, the main point identified was the non-punitive response to errors, which had the lowest percentage of positivity (18%, n=74/365). Other points to be improved that also stand out are shift changes/patient handover and staff adequacy (45%; n=225/470 and 36%; n=380/484). Conclusion: The safety culture of the evaluated hospital is characterized by the teamwork and present as fragilities the punitive issues, shift changes/patient handover and staff adequacy.