Avaliação da cultura de segurança do paciente em cinco hospitais brasileiros pertencentes a uma mesma organização gestora

Abstract

Safety culture is the product of values, attitudes, perceptions, and individual and group competencies, the outcome of which determines an institution's commitment and style. The aim of this study was to analyze and compare patient safety culture in five Brazilian hospitals belonging to the same managing organization, from the perspective of different professional categories involved in patient care, using the Hospital Survey on Patient Safety Culture (HSOPSC) tool, translated and validated version in Brazil. The form was digitized and sent to the email addresses of professionals working in the listed hospitals. The percentages of positive, neutral, and negative responses were calculated to identify strong and weak areas for the institutions' safety culture. A total of 535 questionnaires were filled out, and, among these, after applying the inclusion and exclusion criteria adopted in the study, 360 (67.29%) were analyzed. Considering the overall results, the general percentage of positive responses was 51.64%. The dimension with the highest percentage of positive responses was Organizational Learning – Continuous Improvement (with 71.21%), and the one with the worse performance was Non-Punitive Response to Error (with 26.19%). When evaluating the results by hospital, all participating institutions showed Adequacy of Professionals and Non-Punitive Response to Errors as weak areas, and only two out of the five hospitals had dimensions classified as Strong. Comparing the outcomes among professional categories, the group consisting of Physiotherapists, Occupational Therapists, and Speech Therapists had the highest percentage of positive responses (58.32%), while the group of doctors had the lowest (45.40%). The results indicate that, despite being under the coordination of the same funding and regulatory entity, the evaluated institutions do not demonstrate similarity or uniformity regarding patient safety culture. This suggests the existence of local microcultures and highlights the need for standardization of processes, protocols, and tools, as well as the establishment of continuous education cycles that encompass and involve all units and professional categories within the system. The results also emphasize the need to encourage, promote, and disseminate a fair culture within those units.