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Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave
INTRODUCTION: Current healthcare settings and ICUs especially are complex, highly technical, and multidisciplinary, with interactions between healthcare professionals and users, in which there may be errors at different levels. Our objective was to assess the perception of patient safety in our unit...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España, S.L.U.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618430/ https://www.ncbi.nlm.nih.gov/pubmed/36372732 http://dx.doi.org/10.1016/j.enfie.2021.09.007 |
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author | Gil-Aucejo, A. Martínez-Martín, S. Flores-Sánchez, P. Moyano-Hernández, C. Sánchez-Morales, P. Andrés-Martínez, M. Calvo-Doñate, E. Bataller-Guerrero, M. García-García, M.A. |
author_facet | Gil-Aucejo, A. Martínez-Martín, S. Flores-Sánchez, P. Moyano-Hernández, C. Sánchez-Morales, P. Andrés-Martínez, M. Calvo-Doñate, E. Bataller-Guerrero, M. García-García, M.A. |
author_sort | Gil-Aucejo, A. |
collection | PubMed |
description | INTRODUCTION: Current healthcare settings and ICUs especially are complex, highly technical, and multidisciplinary, with interactions between healthcare professionals and users, in which there may be errors at different levels. Our objective was to assess the perception of patient safety in our unit at the end of the third wave of the COVID pandemic, with the intention of conducting subsequent improvement actions. METHODS: Observational, cross-sectional, and descriptive study. The perception of Safety Culture was estimated using the HSOPS questionnaire translated into Spanish. Some questions were posed in a positive sense, and others in a negative sense. The response was also rated as positive, negative, or neutral. Our findings were compared visually, not mathematically, with those found in the previous national study «Analysis of the culture on patient safety in the hospital setting of the Spanish National Health System» published in 2009. A subgroup analysis was performed according to professional group and seniority as a health worker. The Student’s t, χ(2) and ANOVA tests were used. RESULTS: Sixty-two professionals responded to the questionnaire, 73.90% of the total. The median time working in ICU 2 years (interquartile range 2–4.5 years). The rating for the degree of safety was 8.06 (SD 1.16). The majority (91.20%) had not reported any adverse event in the last year. A total of 30.90% had recently received patient safety training. The dimensions considered as weaknesses were 9 (“Staffing”, with 27.57% of positive responses) and 10 (“Support of the hospital management in safety”, with 17.64% of positive responses). The dimensions considered as strengths were 3 (“Expectation of actions by management/supervision of the service”) with 85.29% of positive responses, and 5 (“Teamwork”) with 95.58% of positive responses. The Cronbach's alpha index values suggest that the questionnaire has adequate internal consistency. In general, our data are more positive than those collected in the 2011 national survey, although the 2 dimensions considered weaknesses were already considered such in the previous work. CONCLUSIONS: The perception of patient safety in the ICU of our hospital after the end of the third wave of the COVID pandemic is adequate, with a more positive rating than that of the national study on safety culture at the hospital level carried out in 2009. The constant quest for patient safety should prioritize activity in the 2 dimensions considered weaknesses: staffing, and support from hospital management in everything related to patient safety. |
format | Online Article Text |
id | pubmed-9618430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España, S.L.U. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96184302022-10-31 Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave Gil-Aucejo, A. Martínez-Martín, S. Flores-Sánchez, P. Moyano-Hernández, C. Sánchez-Morales, P. Andrés-Martínez, M. Calvo-Doñate, E. Bataller-Guerrero, M. García-García, M.A. Enferm Intensiva (Engl Ed) Original Article INTRODUCTION: Current healthcare settings and ICUs especially are complex, highly technical, and multidisciplinary, with interactions between healthcare professionals and users, in which there may be errors at different levels. Our objective was to assess the perception of patient safety in our unit at the end of the third wave of the COVID pandemic, with the intention of conducting subsequent improvement actions. METHODS: Observational, cross-sectional, and descriptive study. The perception of Safety Culture was estimated using the HSOPS questionnaire translated into Spanish. Some questions were posed in a positive sense, and others in a negative sense. The response was also rated as positive, negative, or neutral. Our findings were compared visually, not mathematically, with those found in the previous national study «Analysis of the culture on patient safety in the hospital setting of the Spanish National Health System» published in 2009. A subgroup analysis was performed according to professional group and seniority as a health worker. The Student’s t, χ(2) and ANOVA tests were used. RESULTS: Sixty-two professionals responded to the questionnaire, 73.90% of the total. The median time working in ICU 2 years (interquartile range 2–4.5 years). The rating for the degree of safety was 8.06 (SD 1.16). The majority (91.20%) had not reported any adverse event in the last year. A total of 30.90% had recently received patient safety training. The dimensions considered as weaknesses were 9 (“Staffing”, with 27.57% of positive responses) and 10 (“Support of the hospital management in safety”, with 17.64% of positive responses). The dimensions considered as strengths were 3 (“Expectation of actions by management/supervision of the service”) with 85.29% of positive responses, and 5 (“Teamwork”) with 95.58% of positive responses. The Cronbach's alpha index values suggest that the questionnaire has adequate internal consistency. In general, our data are more positive than those collected in the 2011 national survey, although the 2 dimensions considered weaknesses were already considered such in the previous work. CONCLUSIONS: The perception of patient safety in the ICU of our hospital after the end of the third wave of the COVID pandemic is adequate, with a more positive rating than that of the national study on safety culture at the hospital level carried out in 2009. The constant quest for patient safety should prioritize activity in the 2 dimensions considered weaknesses: staffing, and support from hospital management in everything related to patient safety. Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España, S.L.U. 2022 2022-10-31 /pmc/articles/PMC9618430/ /pubmed/36372732 http://dx.doi.org/10.1016/j.enfie.2021.09.007 Text en © 2021 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Original Article Gil-Aucejo, A. Martínez-Martín, S. Flores-Sánchez, P. Moyano-Hernández, C. Sánchez-Morales, P. Andrés-Martínez, M. Calvo-Doñate, E. Bataller-Guerrero, M. García-García, M.A. Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title | Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title_full | Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title_fullStr | Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title_full_unstemmed | Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title_short | Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave |
title_sort | assessment of the patient safety culture in the icu of a second level hospital at the end of the third covid-19 wave |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618430/ https://www.ncbi.nlm.nih.gov/pubmed/36372732 http://dx.doi.org/10.1016/j.enfie.2021.09.007 |
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