Patient safety from the perspective of the health team at the Hospital del Día Chimbacalle-IESS clinical-surgical center

• Evelyn Chavez Division of Graduate Studies Doctor of Health Sciences Program
• Juana Benites Universidad del Zulia, School of Medicine, Division of Graduate Studies Maracaibo- Venezuela
• Edith Chango Division of Graduate Studies Doctor of Health Sciences Program
• Cristina Abata Clinical Surgical Center Chimbacalle Day Hospital-IESS

DOI: https://doi.org/10.5281/zenodo.8078065

Keywords: patient safety, perspective of the health team, clinical surgical center

Abstract

In order to determine patient safety from the perspective of the health team at the Centro Clíni- co Quirúrgico Hospital del Día Chimbacalle-IESS, a cross-sectional descriptive observational study was carried out, whose population census was made up of 92 health professionals. Data collection was performed using the Spanish version of the Patient Safety Questionnaire, made up of three sections with twelve dimensions and 42 items. The ques- tionnaire responses were recoded into three cate- gories: negative, neutral (indifferent) and positive. In the results it was observed that in the negative category the following items stood out: My supe- rior/boss ignores the patient safety problems that usually occur with 73%; If colleagues or superiors find out that you have made a mistake, they use it against you with 69%; there are enough personnel to face the workload with 64%; when work pressure increases, my superior/boss wants us to work fas- ter, even though patient safety may be put at risk with 60%; In this unit there are problems related to “Patient Safety” with 58%. Concluding that, among the professionals of the health team there is a lack of knowledge of the ways to notify adverse events, as well as a deficient training in safety culture. It is suggested to apply a management model for patient safety from the perspective of the health team, which allows control mechanisms and monitoring of work processes between service units, prioritizing the measures to be taken to improve patient safety by improving the quality of care.

References

Aranaz-Andrés JM, Aibar-Remón C, Limón-Ra- mírez R, Amarilla A, Restrepo FR, Urroz O, et al (2011). Prevalence of adverse events in the hos- pitals of five Lat in American countries: results of the ‘Iberoameri□can study of adverse events’ (IBEAS). BMJ Qual Saf; 20:1043-51.
Bezerra ALQ, Silva AEBC, Branquinho NCSS,. Pa- ranaguá TTB (2009) Análise de queixas técnicas e eventos adversos notificados em um hospital sentinela.. Rev Enferm UERJ.17(4):467-72.
Battaglia JN, Lis JE, Chui MA (2013). Evaluation of a patient perspective module in a required medi- cation safety and quality course at a college of pharmacy. Inov Pharm.;4(1):102.
Bohomol E, Cunha ICKO (2015). Teaching patient safety in the medical undergraduate program at the Universidade Federal de São Paulo. Eins- tein;13(1):7-13.
Carvalho RE, Cassiani SH.(2012) Cross-cultural adaptation of the Safety Attitudes Questionnaire- Short Form 2006 for Brazil. Rev Lat Am Enfer- magem. 2012;20(3):575-82.
Carneiro FS, Bezerra ALQ, Silva AEBC, Souza LP, Paranaguá TTB, Branquinho NCSS (2011). Even- tos adversos na clínica cirúrgica de um hospital universitário: instrumento de avaliação da quali- dade. Rev Enferm UERJ;19(2):204-11.
C. Jaraba Becerril, M.T. Sartolo Romeo, M.V. Villa- verde Royo, L. Espuis Albas,M. Rivas Jiménez 2013 Evaluación de la cultura sobre seguridad del paciente entre médicos residentes de Medicina familiar y comunitaria en un servicio de urgencias hospitalario An. Sist. Sanit. Navar, Vol. 36, Nº 3, septiembre- diciembre
Estepa del Árbol, Miriam, Moyano Espadero, M.ª Carmen, Pérez Blancas, Carolina, & Crespo Mon- tero, Rodolfo. (2016). Eficacia de los programas de seguridad del paciente. Enfermería Nefrológi- ca, 19(1), 63-
75. Recuperado en 0 4
de noviembre de 2022, de http:// scielo.isciii.es/scielo.php?script=sci_arttext&pi- d=S2254-28842016000100008&lng=es&tlng=es.
Hinrichsen SL, Oliveira CLF, Campos MA, Possas LCM, Sabino G, Vilella T (2011). Gestão da quali- dade e dos riscos na segurança do paciente: es- tudo-piloto. RAHIS. (7):10-7.
Kreckler S, Catchpole K, McCulloch P, Handa A.( 2009) Factors influencing incident reporting in surgical care. Qual Saf Health Care.;18(2):116- 20.
Laschinger HK, Smith LM (2013). The influence of authentic leadership and empowerment on new-graduate nurses’ perceptions of interprofes- sional collaboration. J Nurs Adm.;43(1):24-9.
Marchon GS, Mendes Junior WV (2014). Segu- rança do paciente na atenção primária à saúde: revisão sistemática. Cad Saúde Pública.;30(9):1.
Organización Mundial de la Salud. (2020). Segu- ridad del paciente. Recuperado el 30 de 07 de 2020, de https://www.who.int/patientsafety/topics/ safe-surgery/en/
Reis CT, Laguardia J, Martins M (2012) Trans- lation and cross-cultural adaptation of the Bra- zilian version of the Hospital Survey on Pa- tient Safety Culture: initial stage. Cad Saúde Pública.;28(11):2199-210.


Roqueta Egea F, Tomás Vecina S, Chanovas Bo- rràs M (2011). Cultura de seguridad del paciente en los servicios de urgencias: resultados de su evaluación en 30 hospitales del Sistema Nacional de Salud español. Emergencias. ;23:356-64
Sammer CE, Lykens K, Singh KP, Mains DA, Lac- kan NA (2010). What is patient safety culture? A review of the literature. J Nurs Scholarsh; 42:156- 65.
Shenoy, A. Patient safety from the perspective of quality management frameworks: a review. Patient Saf Surg 15, 12 (2021). https://doi.org/10.1186/ s13037-021-00286-6
Silva RC, Ferreira MA. Características dos enfer- meiros de uma unidade tecnológica: implicações para o cuidado de enfermagem. Rev Bras En- ferm. 2011;64(1):98-105.
TomáS S, Gimena i. La seguridad del paciente en urgencias y emergencias. An Sist Sanit Na- var 2010; 33 (Supl 1): 131-148.
Tola Torres, J., Briones Olvera, J., Grunauer Rum- bea, F., & Zambrano García, J. Seguridad del pa- ciente en procesos quirúrgicos. (2020). RECIA- MUC, 4(3), 90-98. doi:10.26820/reciamuc/4.(3). julio.2020.90-98.
Torrijos Zarcero, M. (2019). Eficacia de un progra- ma de mindfulness y compasión para la mejora de la calidad de vida, compasión, autocuidado y malestar emocional del paciente con dolor cróni- co: ensayo clínico aleatorizado.
Torijano-Casalengua, M. L., Olivera-Cañadas, G., Astier-Peña, M. P., Maderuelo-Fernández, J. Á., & Silvestre-Busto, C. (2013). Validación de un cues- tionario para evaluar la cultura de seguridad del paciente de los profesionales de atención prima- ria en España. Atención Primaria, 45(1), 21-37.
Torijano-Casalengua, M. L., Astier-Peña, P., & Mi- ra-Solves, J. J. (2016). El impacto que tienen los eventos adversos sobre los profesionales sani- tarios de atención primaria y sus instituciones. Atención Primaria, 48(3), 143.