Authors

Gerard Andreu Morera1, Ramón Mir Abellán2, Antonio J. Cruz Antolín3, María Luisa de la Puente Martorell4, Anna Falcó Pegueroles5

Position

¹Máster en Enfermería y Salud Mental. Parc Sanitari Sant Joan de Déu. Barcelona (España)²Doctor en Enfermería y Salud. Parc Sanitari Sant Joan de Déu. Barcelona (España)³Máster en Gestión y Metodología de la Calidad y Seguridad de la Atención en Salud. Máster en Gestión de Prevención, Vigilancia y Control de las Infecciones Relacionadas con el Sistema Sanitario. Parc Sanitari Sant Joan de Déu. Barcelona (España)⁴Doctora en Medicina y Cirugía. Universidad de Barcelona (España)⁵Doctora en Ciencias Enfermeras. Facultad de Medicina y Ciencias de la Salud. Universidad de Barcelona (España)

Contact email: ramon.mir@sjd.es

Abstract

Objective: to identify the strengths and improvement opportunities regarding Safety Culture (SC) for patients by healthcare professionals in different settings of care, and to analyse their association with social and professional factors.

Method: a descriptive cross-sectional study conducted at the Parc Sanitari Sant Joan de Déu in Sant Boi de Llobregat, (Barcelona, Spain). The study included healthcare professionals; students or those who had been working for <1 year were excluded (N= 1,976). The Spanish version of the Hospital Survey on Patient Safety Culture questionnaire was administered. Strengths were considered at ≥ 75% of positive answers, and improvement opportunities at ≥ 50% of negative answers. Descriptive analysis was conducted, and bivariate analysis through Square Chi, Mann-Whitney’s U and Kruskal-Wallis; statistical significance was considered at p< 0.05 values.

Results: the study involved 205 professionals (10.4%); 56.1% were female, 25.4% were nurses, 54.6% worked in Mental Health, 76.1% worked in the day shift, and 71.7% had been working for > 5 years. The dimension “teamwork within the units/ departments” was the only one out of the 12 analysed which represented a strength (75.31% of positive answers). No improvement opportunities were identified, but “staffing” was the dimension with the worst rating (44.26% of negative answers). Nursing assistants showed higher SC, as well as those in the night shift, those who had been working >5 years and those in the hospital setting. The setting with the lowest SC was Mental Health.

Conclusions: teamwork is a key element in SC. It is essential to design strategies that will generate a positive impact on patient safety, such as reinforcing the staff.

 

Keywords:

safety; patient safety; safety management; quality of health care; quality improvement; Hospital Survey on Patient Safety Culture

Versión en Español

Título:

Cultura de seguridad del paciente en diferentes ámbitos asistenciales: fortalezas y oportunidades de mejora