Loading...
Publication
Cultura de segurança do doente: melhoria contínua de segurança – uma scoping review
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.08 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A segurança do doente é essencial na qualidade dos cuidados de saúde. Apesar dos progressos nas últimas décadas, os eventos adversos evitáveis continuam a representar uma carga significativa para os doentes, profissionais e sistemas de saúde. A cultura de segurança do doente é fundamental na prevenção de danos. Este trabalho tem como objetivos sintetizar as principais evidências disponíveis sobre os fatores que influenciam a cultura de segurança do doente e identificar medidas baseadas na literatura que possam contribuir para a sua melhoria nos serviços de saúde. A pesquisa dos artigos foi realizada nas bases de dados PubMed e Scopus utilizando palavras-chave definidas, resultando na inclusão de 22 publicações. A análise demonstrou que os fatores mais frequentemente associados à quebra de segurança são o ambiente de trabalho, a falta de trabalho em equipa e a subnotificação de erros. As medidas mais referidas para mitigar estas fragilidades incluíram a resposta não punitiva ao erro e a abertura na comunicação A segurança do doente continua a ser um dos maiores desafios na área da saúde. Uma cultura de segurança eficaz depende não apenas de sistemas e protocolos, mas também do envolvimento ético, emocional e coletivo dos profissionais. Apesar de o objetivo de “zero dano” parecer inatingível, deve permanecer como orientação ética essencial para a qualidade e a integridade dos cuidados de saúde.
ABSTRACT Patient safety is essential in healthcare quality. Despite progress over recent decades, preventable adverse events continue to impose a significant burden on patients, healthcare professionals, and health systems. The culture of patient safety plays a crucial role in harm prevention. This study aims to synthesize the main available evidence on the factors that influence patient safety culture and to identify literature-based measures that may contribute to its improvement in healthcare services. The article search was conducted using the PubMed and Scopus databases, with predefined keywords, resulting in the inclusion of 22 publications. The analysis revealed that the factors most frequently associated with safety breakdowns were the work environment, lack of teamwork, and underreporting of errors. The most frequently cited strategies to address these weaknesses included a non-punitive response to error and open communication. Patient safety remains one of the greatest challenges in healthcare. An effective safety culture relies not only on systems and protocols but also on the ethical, emotional, and collective engagement of healthcare professionals. While the goal of “zero harm” may seem unattainable, it must remain an ethical imperative for ensuring the quality and integrity of care.
ABSTRACT Patient safety is essential in healthcare quality. Despite progress over recent decades, preventable adverse events continue to impose a significant burden on patients, healthcare professionals, and health systems. The culture of patient safety plays a crucial role in harm prevention. This study aims to synthesize the main available evidence on the factors that influence patient safety culture and to identify literature-based measures that may contribute to its improvement in healthcare services. The article search was conducted using the PubMed and Scopus databases, with predefined keywords, resulting in the inclusion of 22 publications. The analysis revealed that the factors most frequently associated with safety breakdowns were the work environment, lack of teamwork, and underreporting of errors. The most frequently cited strategies to address these weaknesses included a non-punitive response to error and open communication. Patient safety remains one of the greatest challenges in healthcare. An effective safety culture relies not only on systems and protocols but also on the ethical, emotional, and collective engagement of healthcare professionals. While the goal of “zero harm” may seem unattainable, it must remain an ethical imperative for ensuring the quality and integrity of care.
Description
Keywords
Cultura de segurança Segurança do doente Serviços de saúde Safety culture Patient safety Healthcare services Scoping review
Citation
Silva SL, Dias AC, Carvalho AC, Neto S, Eiras M. Cultura de segurança do doente: melhoria contínua de segurança – uma scoping review. TMQ – Tech Methodol Qual. 2025;(17):20-41.