Cultura de segurança em uma maternidade pública de ensino: conhecer para intervir

Abstract

Objective: To evaluate the safety culture of patients from the perspective of physicians who work in a maternity hospital. Method: This is a cross-sectional and quantitative study, with a descriptive approach, carried out between March and May 2016, with 124 physicians working in a public maternity hospital in the city of Fortaleza, Ceará, Brazil. The information was obtained through the Hospital on Patient Safety Culture (HSOPSC), Created by the Agency for Healthcare Research and Quality (AHRQ), which assesses the perceptions of professionals regarding patient safety in 12 dimensions. Results: among the twelve dimensions evaluated, one presented a positive response rate above 75% (strengthened area): organizational learning and continuous improvement (80.4%), and below 50% (areas with potential for improvement): dimensions on-call transfers, internal transfers (45.96%) and frequency of reported events (39.51%). As for the general perception about patient safety, it needs improvements in doctors’ eyesight. Conclusion: The study demonstrated the existence of a safety culture in the institution but with potential for improvement in some dimensions, which can be achieved through the development of more effective interventions. This type of research is useful as it serves as an effective planning tool, assisting managers in this activity.