Efecto de la cultura organizativa para la seguridad del paciente en el entorno hospitalario: revisión sistemática
DOI:
https://doi.org/10.5294/aqui.2021.21.2.3Palabras clave:
cultura organizacional, Personal de Salud, seguridad del paciente, hospitales, administración de la seguridadResumen
Objetivo: identificar el efecto de la cultura organizativa para la seguridad del paciente en el entorno hospitalario.
Materiales y métodos: revisión sistemática, sin metaanálisis, registrada en el PROSPERO con el número CRD42020162981. Se seleccionaron estudios transversales y observacionales que evaluaron el clima de seguridad y la cultura de seguridad publicados en revistas indexadas en las bases EMBASE, Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), por medio de la Biblioteca Virtual en Salud (BVS), Medline (Literatura Internacional en Ciencias de la Salud), vía PubMed y Cumulative Index to Nursing and Allied Health Literature (CINAHL), entre 2014 y 2020.
Resultados: los hallazgos evidencian que el clima de seguridad positivo impacta de forma benéfica en la cultura de seguridad, favorece la notificación de eventos y posibilita la mejoría de la calidad del cuidado a la salud.
Conclusiones: la efectiva interacción entre cultura de seguridad y cultura organizativa aun es escasa en la literatura. Gran parte de los estudios realizados investiga el diagnóstico situacional y poco se avanza en el sentido de profundizar las consecuencias para la práctica profesional y la repercusión para la seguridad del paciente hospitalizado.
Descargas
Citas
Silva-Batalha EMS da, Melleiro MM. Cultura de segurança do paciente em um hospital de ensino: Diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto e Context Enferm. 2015;24(2):432-41. DOI: https://doi.org/10.1590/0104-07072015000192014
Fan CJ, Pawlik TM, Daniels T, Vernon N, Banks K, Westby P et al. Association of Safety Culture with Surgical Site Infection Outcomes. J Am Coll Surg. 2016;222(2):122-8. DOI: https://doi.org/10.1016/j.jamcollsurg.2015.11.008
National Patient Safety Agency. Seven steps to patient safety for primary care — The full reference guide [internet]. Londres; 2006. Available from: https://www.publichealth.hscni.net/sites/default/files/directorates/files/Seven%20steps%20to%20safety.pdf
World Health Organization (WHO). Human Factors in patient safety: Review of topics and tools [internet]. 2009. Available from: https://www.who.int/patientsafety/research/methods_measures/human_factors/human_factors_review.pdf
Schein, EH. Organizational Culture. American Psychologist. 1990;45:109-19. Available from: http://ciow.org/docsB/Schein(1990)OrganizationalCulture.pdf
Colla, JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: A review of surveys. Qual Sf Health Care. 2005;14(5);364-6. DOI: http://dx.doi.org/10.1136/qshc.2005.014217
Silva-Batalha EM, Melleiro MM. Gestão hospitalar e cultura de segurança do paciente na percepção da equipe de enfermagem. Rev. baiana saúde pública. 2017;40(2016). DOI: https://doi.org/10.22278/2318-2660.2016.v40.n0.a2670
Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Plos Medicine. 2009;6(7):e1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097
National Institute for Health Research (NIHR). PROSPERO International prospective register of systematic reviews. Available from: https://www.crd.york.ac.uk/prospero/#aboutpage
Ministério da Saúde do Brasil. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Diretrizes metodológicas: elaboração de revisão sistemática e metanálise de ensaios clínicos randomizados. Brasília: Editora do Ministério da Saúde; 2012. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_elaboracao_sistematica.pdf
National Heart Lung and Blood Institute (NIH). Ferramenta de Avaliação de BI/Qualidade da NHL para estudos de coorte, observacional e transversal. Disponível em: https://www.nhlbi.nih.gov/health-pro/guidelines/in-develop/cardiovascular-risk-reduction/tools/cohort
Kolankiewicz ACB, Schmidt CR, Carvalho REFL, Spies J, Dal Pai S, Lorenzini E. Patient safety culture from the perspective of all the workers of a general hospital. Revista Gaucha de Enfermagem [Internet]. 2020;41:1-10. DOI: https://doi.org/10.1590/1983-1447.2020.20190177
Kumbi M, Hussen A, Lette A, Nuriye S, Morka G. Patient safety culture and associated factors among health care providers in Bale Zone Hospitals, southeast Ethiopia: An institutional based cross-sectional study. Drug Healthc Patient Saf. 2020;12:1-14. DOI: https://doi.org/10.2147/DHPS.S198146
Yari S, Naseri M, Akbari H, Shahsavari S, Akbari H. Interaction of safety climate and safety culture: A model for cancer treatment centers. Asian Pacific Journal of Cancer Prevention, 2019;20(3):961-9. DOI: https://doi.org/10.31557/APJCP.2019.20.3.961
Magalhães FH, Pereira IC, Luiz RB, Barbosa MH, Ferreira MB. Patient safety atmosphere in a teaching hospital. Rev Gaúcha Enferm. 2019;40(esp):e20180272. DOI: https://doi.org/10.1590/1983-1447.2019.20180272
Jiang K, Tian L, Yan C, Li Y, Fang H, Peihang S et al. A cross-sectional survey on patient safety culture in secondary hospitals of Northeast China. Plos one. 2019;14(3):e0213055. DOI: https://doi.org/10.1371/journal.pone.0213055
Akologo A, Abuosi AA, Anaba EA. A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana. Plos one. 2019;14(8):e0221208. DOI: https://doi.org/10.1371/journal.pone.0221208
Alqattan H, Cleland J, Morrison Z. An evaluation of patient safety culture in a secondary care setting in Kuwait. Journal of Taibah University Medical Sciences. 2018;13(3):272-80. DOI: https://doi.org/10.1016/j.jtumed.2018.02.002
Zhou P, Bai F, Tang H et al. Patient safety climate in general public hospitals in China: Differences associated with department and job type based on a cross sectional survey. BMJ Open. 2018;8:e015604. DOI: http://dx.doi.org/10.1136/bmjopen-2016-015604
Najjar S, Baillien E, Vanhaecht K, Hamdan M, Euwema M, Vleugels A et al. Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: A national cross-sectional study in Palestinian and Belgian hospitals. BMJ Open. 2018;8:e021504. DOI: http://dx.doi.org/10.1136/bmjopen-2018-021504
Li Y, Zhao Y, Hao Y, Jiau M, Ma H, Teng B et al. Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China: A cross-sectional study. International Journal for Quality in Health Care. Journal of the International Society for Quality in Health Care. 2018;30(8):618-23. DOI: https://doi.org/10.1093/intqhc/mzy084
Noord IV, Smits M, Zwijnenberg NC, Spreeuwenberg P, Wagner C. A nation-wide transition in patient safety culture: A multilevel analysis on two cross-sectional surveys. International Journal for Quality in Health Care. 2018;31(8):1-6. DOI: https://doi.org/10.1093/intqhc/mzy228
Huang CH, Wu HH, Chou CY, Dai H, Lee YC. The Perceptions of physicians and nurses regarding the establishment of patient safety in a regional teaching hospital in Taiwan. Iran J Public Health. 2018;47(6):852-60. Available from: https://pubmed.ncbi.nlm.nih.gov/30087871/
Rajalatchumi A, Ravikumar TS, Muruganandham K, Thulasingam M, Selvaraj K, Reddy MM et al. Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India. J Nat Sc Biol Med. 2018;9:14-8. DOI: https://doi.org/10.4103/jnsbm.JNSBM_86_17
Burlison JD, Quillivan RR, Kath LM, Zhou YM, Courtney SC, Cheng C et al. A multilevel analysis of U.S. Hospital patient safety culture relationships with perceptions of voluntary event reporting. J Patient Saf. 2016 [published online ahead of print, 2016 Nov 3]. DOI: https://doi.org/10.1097/PTS.0000000000000336
Carvalho RE, Arruda LP, Nascimento NK, Sampaio RL, Cavalcante ML, Costa AC. Assessment of the culture of safety in public hospitals in Brazil. Rev. Latino-Am. Enfermagem [internet]. 2017;25:e2849. DOI: https://doi.org/10.1590/1518-8345.1600.2849
Cheikh AB, Bouafia N, Mahjoub M, Ezzi O, Nouira A, Njah M. Patient’s safety culture among Tunisian healthcare workers: Results of a cross sectional study in university hospital. Pan Afr Med J. 2016;24:299. DOI: https://doi.org/10.11604/pamj.2016.24.299.8466
Elsous A, Sari AA, Rashidian A, Aljeesh Y, Radwan M, AbuZaydeh H. A cross-sectional study to assess the patient safety culture in the Palestinian hospitals: A baseline assessment for quality improvement, Journal of the Royal Society of Medicine. 2016;7(12):1-12. DOI: https://doi.org/10.1177/2054270416675235
Zhou P, Bundorf MK, Gu J, He X, Xue D. Survey on patient safety climate in public hospitals in China. BMC Health Services Research. 2015;15(1):1-10. DOI: https://doi.org/10.1186/s12913-015-0710-x
Kristensen S, Badsberg JH, RischelV, Anhøj J, Mainz J, Bartels P. The patient safety climate in Danish hospital units. Dan Med J. 2015;62(11):A5153. Available from: https://pubmed.ncbi.nlm.nih.gov/26522479/
Barbosa MH, Sousa EM, Felix MM, Oliveira KF, Barichello E. Clima de segurança do paciente em um hospital especializado em oncologia, Rev. Eletr. Enf. [internet]. 2015;17(4). DOI: http://dx.doi.org/10.5216/ree.v17i4.34614
Chakravarty A, Sahu A, Biswas M, Chatterjee K, Rath S. A study of assessment of patient safety climate in tertiary care hospitals. Medical Journal Armed Forces India. 2015;71(2):152-7. DOI: htttps://doi.org/10.1016/j.mjafi.2015.01.007
Al MandhariA, Al-Zakwani I, Al-Kindi M, Tawilah J, Dorvlo A, AlAdawi S. Patient Safety Culture Assessment in Oman. Oman Medical Journal. 2014;29(4):264-70. DOI: https://doi.org/10.5001/omj.2014.70
Santiago TH, Turrini RN. Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva. Rev. esc. enferm. USP. 2015;49(spe):123-30. DOI: http://dx.doi.org/10.1590/S0080-623420150000700018
Cunha MR, Guirardello EB. Patient Safety Climate in Healthcare Organizations: tradução e adaptação para a cultura brasileira. Rev. Gaúcha Enferm. [internet]. 2018;39:e20180010. DOI: https://doi.org/10.1590/1983-1447.2018.20180010
Singer S, Meterko M, Baker L, Gaba D, Falwell A, Rosen A. Workforce perceptions of hospital safety culture: Development and validation of the patient safety climate in healthcare organizations survey. Health Services Research. 2007;42(5):1999-2021. DOI: https://doi.org/10.1111/j.1475-6773.2007.00706.x
Hamdan M. Measuring safety culture in Palestinian neonatal intensive care units using the Safety Attitudes Questionnaire. J CritCare. 2013;28(5):886.e7-e14. DOI: https://doi.org/10.1016/j.jcrc.2013.06.002
Tereanu C, Sampietro G, Sarnataro F, Siscanu D, Palaria R, Savin V, Cliscovscaia T, Pislaru V, Oglinda V, Capmare L, Ghelase M, Turcanu T. Survey on patient safety culture in the Republic of Moldova: A baseline study in three healthcare settings. Medicine and Pharmacy Reports [internet]. 2018;91(1):65-4. DOI: https://doi.org/10.15386/CJMED-869
Fassarella CS, Silva LD, Camerini FG, Barbieri-Figueiredo M. Indicador organizacional da cultura de segurança em um hospital universitário [Organizational indicator of safety culture in a university hospital] [Indicador organizacional de la cultura de seguridad en un hospital universitario]. Revista Enfermagem UERJ. 2019;27:e34073. DOI: https://doi.org/10.12957/reuerj.2019.34073
Fassarella CS, Camerini FG, Henrique DM, Almeida LF, Figueiredo MCB. Evaluation of patient safety culture: Comparative study in university hospitals. Rev Esc Enferm USP. 2018;52:e03379. DOI: http://dx.doi.org/10.1590/S1980-220X2017033803379
Notaro MK, Corrêa AR, Tomazoni A, Rocha PK, Manzo BF. Cultura de segurança da equipe multiprofissional em Unidades de Terapia Intensiva Neonatal de hospitais públicos. Rev. Latino-Am. Enfermagem [internet]. 2019;27:e3167. DOI: https://doi.org/10.1590/1518-8345.2849.3167
Boughaba A, Aberkane S, Youcef-Oussama F, Djebabra M. Study of safety culture in healthcare institutions: Case of an Algerian hospital. Int J Health Care Qual Assur. 2019; 32(7):1081-97. DOI: https://doi.org/10.1108 / IJHCQA-09-2018-0229
Harmanci AK, Topcu İ, Bacaksiz FE, Baydin, NU, Ekici ET, Yildirim, A. Organisational silence among nurses and physicians in public hospitals. J Clin Nurs. 2018;27:1440-51. DOI: https://doi.org/10.1111/jocn.14294
Minuzzi AP, Salum NC, Locks MO. Avaliação da Cultura de Segurança do Paciente em Terapia Intensiva na perspectiva da equipe de saúde. Texto contexto - enferm. [internet]. 2016;25(2):e1610015. DOI: https://doi.org/10.1590/0104-07072016001610015
Merino-Plaza MJ, Carrera-Hueso FJ, Roca-Castelló MR, Morro-Martín MD, Martínez-Asensi A, Fikri-Benbrahim N. Relación entre la satisfacción laboral y la cultura de seguridad del paciente. Gac Sanit [internet]. 2018;32(4):352-61. DOI: http://dx.doi.org/10.1016/j.gaceta.2017.02.009
González IB, Melo NA, Limón ML. (2014). El clima organizacional y su relación con la calidad de los servicios públicos de salud: diseño de un modelo teórico. Estudios Gerenciales. 2015;31:8-19. DOI: http://dx.doi.org/10.1016/j.estger.2014.08.003
Andrade LE, Lopes JM, Filho MC, Júnior RF, Farias LP, Santos CC et al. Cultura de segurança do paciente em três hospitais brasileiros com diferentes tipos de gestão. Ciênc. saúde coletiva [Internet]. 2018;23(1):161-72. DOI: https://doi.org/10.1590/1413-81232018231.24392015
Petitta L, Probst TM, Barbaranelli C, Ghezzi V. Disentangling the roles of safety climate and safety culture: Multi-level effects on the relationship between supervisor enforcement and safety compliance. Accident Analysis & Prevention. 2017;99:77-89. DOI: https://doi.org/10.1016/j.aap.2016.11.012
Shaw CD. Quality and safety of health care in the Republic of Moldova. WHO Regional Office for Europe. Republic of Moldova; 2015. (Health Policy Paper Series No. 19). Available from: https://www.euro.who.int/__data/assets/pdf_file/0007/281869/Quality-safety-of-health-care-in-MDA.pdf
Reis CT, Paiva SG, Sousa P. The patient safety culture: A systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions, International Journal for Quality in Health Care. 2018;30(9):660-77. DOI: https://doi.org/10.1093/intqhc/mzy080
Siddharth V, Koushal VK, Goyal V. Patient safety is the need of the hour: A study in nursing department of a tertiary care teaching hospital. International Journal of Research Foundation of Hospital & Healthcare Administration. 2017;5(2):55-9. DOI: https://doi.org/10.5005/jp-journals-10035-1076
Wegner W, Silva SC, Kantorski KJ, Predebon CM, Sanches MO, Pedro EN. Educação para cultura da segurança do paciente: Implicações para a formação profissional. Esc. Anna Nery [internet]. 2016;20(3):e20160068. DOI: http://dx.doi.org/10.5935/1414-8145.20160068
Elmontsri M, Almashrafi A, Banarsee R et al. Status of patient safety culture in Arab countries: A systematic review. BMJ Open. 2017;7:e013487. DOI: https://doi.org/10.1136/bmjopen-2016013487
Fassarella CS, Silva LD, Camerini FG, Figueiredo MC. Nurse safety culture in the services of a university hospital. Rev Bras Enferm. 2019;72(3):767-73. DOI: https://doi.org/10.1590/0034-7167-2018-0376
Santos FJ, Nascimento HM, Santos JM, Cunha JO, Santos JC, Pena JA. Patient safety culture in a low-risk maternity hospital. ABCS Health Sci. [internet]. 2019;44(1). DOI: https://doi.org/10.7322/abcshs.v44i1.1066
Santos RP, Soppa FB, Ruths JC, Rizzoto ML. Evaluation of the implantation of a patient safety nucleus. Rev. enferm. UFPE on line. 2019;13(2):532-7. DOI: https://doi.org/10.5205/1981-8963-v13i02a238189p532-537-2018
Bishop AC, Boyle TA. The Role of safety culture in influencing provider perceptions of patient safety. J Patient Saf. 2016;12(4):204‐9. DOI: https://doi.org/10.1097/PTS.0000000000000092
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2021 Aquichan
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
Esta revista y sus artículos se publican bajo la licencia CreativeCommons CC BY 4.0 DEED Atribución 4.0 Internacional, usted es libre de: Compartir — copiar y redistribuir el material en cualquier medio o formato para cualquier propósito, incluso comercialmente. Adaptar — remezclar, transformar y construir a partir del material para cualquier propósito, incluso comercialmente. La licencia no puede revocar estas libertades en tanto usted siga los términos de la licencia.