Avaliação da cultura de segurança do paciente entre médicos de uma maternidade do nordeste brasileiro

Abstract

This dissertation brings a study about the evaluation of the safety culture of a maternity patient from a Brazilian Northeast, a reference in obstetric and gynecological care. With the evaluation of the safety culture of the patient being carried out from the application of the HSOPSC questionnaire, which brings dimensions considered as keys in the process of maintenance of safe care. The study was set up as a quantitative approach to the results, considering the self-perception of 124 physicians of the institution, among residents, statutory and outsourced. Among the main results are the on-call / shift tickets, internal transfers and the frequency of event notification as dimensions that need improvement to maintain a patient's safety culture. The other dimensions presented strength in relation to the safety culture of the patient (> 50%). Considering the feedback dimension in the communication, a weak point was found in the information received about changes implemented from the event reports since the percentage of Positive responses was below 50%. The reported error rate is higher among outsourced physicians (58.82%), while statutory physicians presented a rate of 29.41% and residents 11.76%. In relation to the occurrence of problems in the exchange of information between the hospital units being frequent, there is also a weak point, since the disagreement of the participants in relation to the affirmation was 40.32%. The fact that the care process was compromised when a patient is transferred from one unit to another was observed as a weakness in the dimension of on-call shifts, since the percentage of disagreement, despite being predominant, did not exceed 50%, there was a greater (44.62%) and statutory (46.43%) when compared to residents, while residents presented a higher percentage of disagreement (35.48%). In general, it was possible to verify the need for improvements in communication among physicians, it is believed that improving this sector with information about error notification as well as information of patients in shift shifts can obtain better results in patient safety.