A PERCEPÇÃO DOS PROFISSIONAIS DE SAÚDE SOBRE A CULTURA DE SEGURANÇA DO PACIENTE EM UM HOSPITAL DE ENSINO DA GRANDE SÃO PAULO

Abstract

The perception of health professionals about the culture of patient safety in a teaching hospital in grande São Paulo. This is an intervention project whose objective was to analyze the perception of healthcare professionals, given the implanted patient safety culture. Applied in the multidisciplinary team of a hospital in greater São Paulo, using the instrument validated by REIS (2013), which is divided into two parts: sociodemographic characterization and eleven dimensions of patient safety culture. Questions written affirmatively or negatively following the criteria proposed in the Likert Scale. The technique used to facilitate adherence and participation was the availability of computers at the entrance to the inpatient and administration units, as well as sending a link to fill in through social media (WhatsApp). The research sample included the distribution of 1015 questionnaires, with a return of 772 (76%), which represents adequate participation by the participants. The survey results were disseminated via the institution's intranet to all of the multidisciplinary team, divided into two stages: strengths and weaknesses. It is noteworthy that in view of the results presented, proposals were also sent with reinforcement and improvement actions. Here are some of the main results: a) Staffing 19% believed that the institution had a sufficient amount of employees to handle the workload, however, 36% reported that employees work more than necessary, 50% reported that the institution uses more temporary employees than necessary, even with the intention of providing a better attendance and 33% considered they work in crisis mode, in response to high absenteeism; b) Internal transfers and shift changes - 32% said they lost information during internal patient transfers, 31% pointed out shift changes as problematic for patients and 36% identified frequent problems in the exchange of information between units; c) Non-punitive responses to errors - 31% have the perception that their errors are raised against them, 29% reported that when there is an event reported, collaborating is in evidence, with the person being evaluated and not the problem; 21% fear that mistakes made will be kept in their personal files. It is considered that the results are opportunities to improve and strengthen actions so that health care is of greater quality, minimizing existing problems and, in the future, gaining greater maturity in the culture of patient safety.