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Advisor(s)
Abstract(s)
Introdução: As análises clínicas apresentam um papel central na prestação de cuidados de saúde sendo a principal fonte de informação para a prevenção, diagnóstico, prognóstico e monitorização do doente. Qualquer erro que ocorra durante o processamento laboratorial pode ter impacto negativo no outcome do doente. Na prevenção de erros assume um papel fundamental a cultura de segurança do doente. Os técnicos de análises clínicas são profissionais de saúde com atividade fundamental num laboratório de análises clínicas, pelo que as suas práticas relativas à segurança do doente têm impacto na diminuição dos riscos para os doentes. Objetivo: Este estudo teve como objetivo principal analisar a perceção da cultura de segurança do doente dos técnicos de análises clínicas e saúde pública a exercer funções no Serviço Nacional de Saúde. Metodologia: Para a realização deste estudo, quantitativo e descritivo, foi realizado um questionário misto, o Hospital Survey on Patient Safety Culture da Agency for Healthcare Research - versão portuguesa traduzida e validada, juntamente com questões para caraterizar a amostra em estudo. Foram analisados os dados demográficos e determinadas as percentagens de respostas positivas de 9 das 12 dimensões que o compõem. O questionário foi disponibilizado via Google Forms, entre dia 2 de fevereiro e 14 de maio de 2023. Resultados: Foram obtidas 116 respostas válidas. A dimensão com melhor cotação corresponde ao “trabalho em equipa” com 60,8% de respostas positivas, enquanto as dimensões de “expectativa do supervisor/gestor e ações que promovam a
segurança do doente” e “abertura na comunicação” representaram áreas de melhoria urgente, com 33,9% e 35,2% de respostas positivas respetivamente. Conclusão: Esta investigação, foi a primeira efetuada em Portugal para este grupo profissional, permitiu conhecer a perceção destes profissionais relativamente à SD. As dimensões de “resposta ao erro não punitiva”, “dotação de profissionais”, “frequência da notificação” e “abertura na comunicação” apresentam uma média de respostas positivas inferior às restantes. Realça-se desta forma a necessidade de formação na área referente a notificação proativa e comunicação. Resultados mais elevados em “trabalho de equipa” demonstraram cooperação e confiança entre os profissionais, fator decisivo para se proceder a alterações e implementação de ações de cultura de segurança do doente. Os resultados obtidos podem ser ponto de partida para a sensibilização entre os técnicos de análises clínicas.
ABSTRACT - Introduction: Clinical analyses play a vital role in the provision of health care, being the main source of information for prevention, diagnosis, prognosis, and patient monitoring. Any error that occurs during laboratory processing can hurt the patient's outcome. In the prevention of errors, the culture of patient safety (SD) plays a fundamental role. Clinical analysis technicians are health professionals with fundamental activity in a clinical analysis laboratory, so their practices related to patient safety have an impact on reducing the risks for patients. Objective: The main goal of this study was to analyze the perception of the patient safety culture of clinical analysis and public health technicians working in the National Health Service. Methodology: To conduct this quantitative and descriptive study, a mixed questionnaire was used, the Hospital Survey on Patient Safety Culture of the Agency for Healthcare Research - translated and confirmed Portuguese version, together with questions to characterize the sample under study. Demographic data were analysed and the percentages of positive answers for 9 of the 12 dimensions that compose it were determined. The questionnaire was made available via Google Forms, between February 2 and May 14, 2023. Results: 116 valid responses were obtained. The dimension with the best rating corresponds to “teamwork” with 60.8% of positive responses, while the dimensions “supervisor/manager expectations and actions that promote patient safety” and “openness in communication” represented areas for improvement urgently, with 33.9% and 35.2% of positive responses, respectively. Conclusion: his investigation, the first conducted in Portugal for this professional group, allowed us to know the perception of these professionals regarding DS. The dimensions of “non-punitive response to error”, “frequency of notification” and “openness in communication” had an average of lower positive responses. This highlights the need for training in the field of initiative-taking notification and communication. Higher results in “teamwork” proved cooperation and trust among professionals, a decisive factor for making changes and implementing CSD actions.
ABSTRACT - Introduction: Clinical analyses play a vital role in the provision of health care, being the main source of information for prevention, diagnosis, prognosis, and patient monitoring. Any error that occurs during laboratory processing can hurt the patient's outcome. In the prevention of errors, the culture of patient safety (SD) plays a fundamental role. Clinical analysis technicians are health professionals with fundamental activity in a clinical analysis laboratory, so their practices related to patient safety have an impact on reducing the risks for patients. Objective: The main goal of this study was to analyze the perception of the patient safety culture of clinical analysis and public health technicians working in the National Health Service. Methodology: To conduct this quantitative and descriptive study, a mixed questionnaire was used, the Hospital Survey on Patient Safety Culture of the Agency for Healthcare Research - translated and confirmed Portuguese version, together with questions to characterize the sample under study. Demographic data were analysed and the percentages of positive answers for 9 of the 12 dimensions that compose it were determined. The questionnaire was made available via Google Forms, between February 2 and May 14, 2023. Results: 116 valid responses were obtained. The dimension with the best rating corresponds to “teamwork” with 60.8% of positive responses, while the dimensions “supervisor/manager expectations and actions that promote patient safety” and “openness in communication” represented areas for improvement urgently, with 33.9% and 35.2% of positive responses, respectively. Conclusion: his investigation, the first conducted in Portugal for this professional group, allowed us to know the perception of these professionals regarding DS. The dimensions of “non-punitive response to error”, “frequency of notification” and “openness in communication” had an average of lower positive responses. This highlights the need for training in the field of initiative-taking notification and communication. Higher results in “teamwork” proved cooperation and trust among professionals, a decisive factor for making changes and implementing CSD actions.
Description
Mestrado em Tecnologias Clínico-Laboratoriais
Keywords
Qualidade em saúde Cultura de segurança Segurança do doente Laboratório clínico Técnicos de Análises Clínicas e Saúde Pública Quality in health care Safety culture Patient safety Clinical laboratory Biomedical laboratory scientist Serviço Nacional de Saúde Portugal
Citation
Carrapiço JF. Perceção da cultura de segurança do doente por técnicos de análises clínicas e saúde pública do Serviço Nacional de Saúde [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2023.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa