1. Patient safety in organizational culture: perception of the leadership of institutions with different administrative nature
- Author
-
Silva, Natasha Dejigov Monteiro da, Barbosa, Antonio Pires, Novaretti, M??rcia Cristina Zago, and Padilha, K??tia Grillo
- Subjects
cultura organizacional ,cultura de seguran??a do paciente ,qualidade em sa??de ,organizational culture ,health care quality ,ADMINISTRACAO DE SETORES ESPECIFICOS [ADMINISTRACAO] ,patient safety ,culture of patient safety ,avalia????o da qualidade em sa??de ,seguran??a do paciente ,quality assessment in health - Abstract
Submitted by Nadir Basilio (nadirsb@uninove.br) on 2015-07-16T17:52:38Z No. of bitstreams: 1 Natasha Dejigov Monteiro da Silva.pdf: 2789563 bytes, checksum: 4802430c85976463fb4fa4d5130e4bc1 (MD5) Made available in DSpace on 2015-07-16T17:52:38Z (GMT). No. of bitstreams: 1 Natasha Dejigov Monteiro da Silva.pdf: 2789563 bytes, checksum: 4802430c85976463fb4fa4d5130e4bc1 (MD5) Previous issue date: 2014-12-04 Considering patient safety one of the critical points that reflect the performance of a hospital organization, this study aimed to identify how patient safety is included in the organizational culture of hospital organizations in S??o Paulo, different in their administrative nature: public hospitals of direct administration, public hospitals operated by management contract, and private hospitals. The methodological strategy used was the multiple-case study, applying a self-assessment questionnaire from the Emergency Care Research Institute (ECRI), translated for the Portuguese language. The questionnaire was applied both to leaders who work directly with patient care and administrative leaders that ensure assistance is not prevented or interrupted, and thus indirectly reflect on patient safety. Qualitative and quantitative questions were graded using a Likert scale and consolidated according to seven dimensions, namely: expectations and safety promotion, support and investment from hospital management, security environment, openness to communication and non-punitive response, organizational learning, teamwork, and feedback (information and communication feedback about errors). Data analysis was performed using the statistical programSTATATM 12.1, whose response sample was subjected to linear regression for analysis of variance (ANOVA), having an F test of joint statistical significance as decision rule , in which the p-value is zero. The analysis of mean values of the groups in the studied organizations, as perceived by the respondents, showed a gradation among organizations, with higher values concentrating in private institutions. However, when assessing the specifics among the dimensions of safety culture used for the data analysis, it was found that, as perceived by the participants of the study, the most significant dimensions are Security Environment and Organizational Learning, with an explanatory power of 80%. In addition, also as perceived by the agents, the correlation between the above-mentioned dimensions is stronger in direct administration organizations, followed by the institutions under governmental autonomous administration. Considerando que a seguran??a do paciente ?? um dos pontos cr??ticos que refletem no desempenho de uma organiza????o hospitalar, o presente estudo teve como objetivo identificar como a seguran??a do paciente se insere na cultura organizacional de organiza????es hospitalares do munic??pio de S??o Paulo, de diferentes naturezas administrativas: hospitais p??blicos de administra????o direta, hospitais p??blicos administrados por contrato de gest??o e hospitais privados. A estrat??gia metodol??gica utilizada foi o estudo de casos m??ltiplos, com aplica????o do question??rio de autoavalia????o do Emergency Care Research Institute (ECRI), traduzido para a l??ngua portuguesa. Procedeu-se a aplica????o do instrumento com as lideran??as que atuam diretamente com a assist??ncia aos pacientes e com as lideran??as administrativas que garantem que a assist??ncia n??o seja inviabilizada ou interrompida, e, assim, refletem indiretamente na seguran??a dos pacientes. As quest??es, qualitativas e quantitativas, utilizaram uma escala de Likert para sua grada????o e foram consolidadas segundo sete dimens??es, a saber: expectativas e a????es de promo????o da seguran??a, apoio e investimento da gest??o hospitalar, ambiente de seguran??a, abertura para comunica????es e respostas n??o punitivas, aprendizado organizacional, trabalho em equipe e feedback (retorno da informa????o e comunica????o a respeito de erros). Para an??lise dos dados utilizou-se o programa de estat??stica STATATM 12.1, cuja amostra de resposta foi submetida a regress??o linear para an??lise de vari??ncia (ANOVA), considerando como base decis??ria um teste F, de relev??ncia estat??stica conjunta, em que p-valor ?? igual a zero. A an??lise das m??dias de respostas obtidas nos grupos das organiza????es estudadas, segundo a percep????o dos respondentes, evidenciou uma grada????o entre as organiza????es com maiores valores se concentrando nas de natureza privada. Entretanto, ao serem avaliadas as especificidades entre as dimens??es da cultura de seguran??a utilizadas para a an??lise dos dados, verificou-se que, segundo a percep????o dos participantes do estudo, as dimens??es significativas foram a do Ambiente de Seguran??a e Aprendizado Organizacional, com um poder explicativo de 80%. Al??m disso, tamb??m segundo a percep????o dos agentes, a correla????o entre as dimens??es citadas acima foi mais forte nas organiza????es de administra????o direta, seguida pelas institui????es sob administra????o aut??rquica.
- Published
- 2014