Cultura de segurança do paciente em uma unidade hospitalar de hemodiálise

Abstract

Introduction: Patient safety is critical to ensuring quality care in all healthcare organizations. Objective: To analyze the patient safety culture of professionals in the hemodialysis service of a teaching hospital. Method: This is a quantitative, descriptive-exploratory study. Data collection took place between June and August 2019, through the application of the Hospital Survey on Patient Safety (HSOPSC) questionnaire, an instrument validated for the Brazilian reality and made available for use in health services. It was applied to 32 professionals working in a hospital hemodialysis service, being available by email and in print. Results: Regarding working time in the current hospital unit, three main groups were evidenced: one under one year old in the institution (9.4%), one from one to ten years old (59.2%) and another. from eleven to twenty years (31.1%). Most health team professionals (81.3%) worked in this unit between 20 and 40 hours per week. The results showed better evaluations in the dimensions: teamwork and organizational learning and continuous improvement. The aspects with the worst evaluations were internal transfers, shift change, and general perception of patient safety. Regarding the assessment of the patient's safety level, 9.4% considered it excellent, 56.2% very good and 34.4% fair. Notification of adverse events is not present in the daily lives of the professionals of this unit, as there are few reported events in the last 12 months. Conclusion: This study showed a safety culture with potential for improvement in almost all dimensions, thus posing a challenge for risk management, with a view to developing patient safety in this service. As well as other hemodialysis services may based on these results seek better quality in patient safety.