Cultura de segurança do paciente sob a perspectiva das equipes administrativas e de staff

Abstract

This dissertation aimed at identifying and analyzing the Patient Safety Culture of the teams dedicated to administrative and staff care at a highly complex general hospital in southern Brazil. This research, according to Gil (2022), was classified as applied research, considering that it could contribute to solving problems in society. From the perspective of a more general scope, it was explanatory, cross-sectional, and observational and, therefore, a survey based on a quantitative self-report instrument, already validated in Brazil and, internationally, version 1.0 of the HSOPSC - Hospital Survey on Patient Safety Culture, this being the theoretical pillar of the research. The survey was applied using Google Forms, employees with less than three months of employment were excluded, resulting in the participation of 114 people. All of the participants signed the Informed Consent Form and were informed about the risks and benefits of participating in the research. Regarding the analysis of the responses of each of the twelve dimensions, it was identified that there is no strong dimension, nine were classified as potentially strong, and three were considered weak. Composing the result of each dimension, the results of publications on the HSOPSC, applied in several cities in Brazil and the world, as a result of a documentary research, were compared. Concerning the established objectives, the first of them was the identification of the Patient Safety Culture to contribute to the strengthening of the processes of the administrative and staff teams, which was evaluated through the analysis of the research dimensions. The strengths and weaknesses of research on the subject in Brazil and in the world, listed on the Agency for Healthcare Research and Quality (AHRQ) portal, were mapped, which was the second objective. The creation of a technical product was the third objective, given the result of the dimensions, some actions, and plans were formulated. One of them was to create an electronic instrument that guarantees basic information in shift changes at receptions that are open 24 hours a day (patient admission and emergency care); another action was a training method, through a virtual learning environment (Learning Management System - LMS), which workers access on the corporate platform, called MedPortal, customized to meet the target audience, AVASUS video clips and narrated slides were included, making the training journey welcoming. The fourth and final objective was to present a report on the results of the Hospital Survey on Patient Safety Culture (HSOPSC) instrument to the hospital management, which was used to compose a strategic action plan to strengthen the Patient Safety Culture. We must be aware that any of the fragile "links" in the chain, be it the care teams composed of doctors, nurses, physiotherapists, speech therapists, nutritionists, etc., or administrative teams and staff, composed of office assistants, doormen, maids, cleaners, etc., can reflect negatively on the Patient Safety.