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Patient safety culture in South America: a cross-sectional study
BACKGROUND: Every year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesse...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565275/ https://www.ncbi.nlm.nih.gov/pubmed/37802541 http://dx.doi.org/10.1136/bmjoq-2023-002362 |
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author | Pedroso, Aline Cristina Fernandes, Fernanda Paulino Tuma, Paula Vernal, Sebastian Pellizzari, Marcelo Seisdedos, Mariana Graciela Prieto, Constanza Wilckens, Bernd Oberpaur Villamizar, Omar Javier Salamanca Olaya, Lilian Arlette Castaneda Delgado, Pedro Cendoroglo Neto, Miguel |
author_facet | Pedroso, Aline Cristina Fernandes, Fernanda Paulino Tuma, Paula Vernal, Sebastian Pellizzari, Marcelo Seisdedos, Mariana Graciela Prieto, Constanza Wilckens, Bernd Oberpaur Villamizar, Omar Javier Salamanca Olaya, Lilian Arlette Castaneda Delgado, Pedro Cendoroglo Neto, Miguel |
author_sort | Pedroso, Aline Cristina |
collection | PubMed |
description | BACKGROUND: Every year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesses, serving as a guide to improvement interventions; nevertheless, there is a lack of studies related to PSC in Latin America. AIM: To assess the PSC in South American hospitals. METHODS: A multicentre international cross-sectional study was performed between July and September 2021 by the Latin American Alliance of Health Institutions, composed of four hospitals from Argentina, Brazil, Chile and Colombia. The Hospital Survey on Patient Safety Culture (HSOPSC V.1.0) was used. Participation was voluntary. Subgroup analyses were performed to assess the difference between leadership positions and professional categories. RESULTS: A total of 5695 records were analysed: a 30.1% response rate (range 25%–55%). The highest percentage of positive responses was observed in items related to patient safety as the top priority (89.2%). Contrarily, the lowest percentage was observed in items regarding their mistakes/failures being recorded (23.8%). The strongest dimensions (average score ≥75%) were organisational learning, teamwork within units and management support for patient safety (82%, 79% and 78%, respectively). The dimensions ‘requiring improvement’ (average score <50%) were staffing and non-punitive responses to error (41% and 37%, respectively). All mean scores were higher in health workers with a leadership position except for the hospital handoff/transitions item. Significant differences were found by professional categories, mainly between physicians, nurses, and other professionals. CONCLUSION: Our findings lead to a better overview of PSC in Latin America, serving as a baseline and benchmarking to facilitate the recognition of weaknesses and to guide quality improvement strategies regionally and globally. Despite South American PSC not being well-exploited, local institutions revealed a strengthened culture of safety care. |
format | Online Article Text |
id | pubmed-10565275 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105652752023-10-12 Patient safety culture in South America: a cross-sectional study Pedroso, Aline Cristina Fernandes, Fernanda Paulino Tuma, Paula Vernal, Sebastian Pellizzari, Marcelo Seisdedos, Mariana Graciela Prieto, Constanza Wilckens, Bernd Oberpaur Villamizar, Omar Javier Salamanca Olaya, Lilian Arlette Castaneda Delgado, Pedro Cendoroglo Neto, Miguel BMJ Open Qual Original Research BACKGROUND: Every year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesses, serving as a guide to improvement interventions; nevertheless, there is a lack of studies related to PSC in Latin America. AIM: To assess the PSC in South American hospitals. METHODS: A multicentre international cross-sectional study was performed between July and September 2021 by the Latin American Alliance of Health Institutions, composed of four hospitals from Argentina, Brazil, Chile and Colombia. The Hospital Survey on Patient Safety Culture (HSOPSC V.1.0) was used. Participation was voluntary. Subgroup analyses were performed to assess the difference between leadership positions and professional categories. RESULTS: A total of 5695 records were analysed: a 30.1% response rate (range 25%–55%). The highest percentage of positive responses was observed in items related to patient safety as the top priority (89.2%). Contrarily, the lowest percentage was observed in items regarding their mistakes/failures being recorded (23.8%). The strongest dimensions (average score ≥75%) were organisational learning, teamwork within units and management support for patient safety (82%, 79% and 78%, respectively). The dimensions ‘requiring improvement’ (average score <50%) were staffing and non-punitive responses to error (41% and 37%, respectively). All mean scores were higher in health workers with a leadership position except for the hospital handoff/transitions item. Significant differences were found by professional categories, mainly between physicians, nurses, and other professionals. CONCLUSION: Our findings lead to a better overview of PSC in Latin America, serving as a baseline and benchmarking to facilitate the recognition of weaknesses and to guide quality improvement strategies regionally and globally. Despite South American PSC not being well-exploited, local institutions revealed a strengthened culture of safety care. BMJ Publishing Group 2023-10-06 /pmc/articles/PMC10565275/ /pubmed/37802541 http://dx.doi.org/10.1136/bmjoq-2023-002362 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Pedroso, Aline Cristina Fernandes, Fernanda Paulino Tuma, Paula Vernal, Sebastian Pellizzari, Marcelo Seisdedos, Mariana Graciela Prieto, Constanza Wilckens, Bernd Oberpaur Villamizar, Omar Javier Salamanca Olaya, Lilian Arlette Castaneda Delgado, Pedro Cendoroglo Neto, Miguel Patient safety culture in South America: a cross-sectional study |
title | Patient safety culture in South America: a cross-sectional study |
title_full | Patient safety culture in South America: a cross-sectional study |
title_fullStr | Patient safety culture in South America: a cross-sectional study |
title_full_unstemmed | Patient safety culture in South America: a cross-sectional study |
title_short | Patient safety culture in South America: a cross-sectional study |
title_sort | patient safety culture in south america: a cross-sectional study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565275/ https://www.ncbi.nlm.nih.gov/pubmed/37802541 http://dx.doi.org/10.1136/bmjoq-2023-002362 |
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