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Abstract(s)
Introdução: A Avaliação da Cultura de Segurança do Doente [ACSD] é o ponto de partida para que as organizações de saúde possam desenvolver, monitorizar e avaliar intervenções e ações de melhoria para a segurança do doente. Tal como outros países, Portugal tem como prioridade reforçar a Cultura de Segurança do Doente para melhorar a qualidade e segurança dos cuidados de saúde. O Hospital Survey on Patient Safety [HSOPS] é aplicado internacionalmente na ACSD. Em 2019, foi lançada uma segunda versão: HSOPS 2.0. O objetivo deste estudo é avaliar e caracterizar a cultura de segurança do doente, em hospitais portugueses, com recurso ao HSOPS 2.0. Metodologia: O estudo enquadra-se no tipo observacional transversal. A tradução foi feita seguindo guidelines internacionais. Foi utilizado o coeficiente Alpha de Cronbach e Average Inter-Item Correlation na análise da consistência interna do inquérito. A validade foi determinada com base nos Modelos de Equações Estruturais (Análise Fatorial Exploratória e Análise Fatorial Confirmatória). Resultados: O inquérito foi aplicado numa amostra de 2.604 inquiridos (taxa de resposta de 32%) composta por funcionários de sete hospitais portugueses. As propriedades psicométricas da versão portuguesa mostraram-se satisfatórias, demonstrando boa consistência interna e validade de construto. As dimensões com resultados menos positivos foram a notificação de eventos e o apoio da gestão hospitalar para a segurança do doente. Conclusão: Os resultados sugerem a necessidade de implementar medidas para melhorar a cultura de segurança do doente, nomeadamente a implementação de uma cultura justa, o incentivo a notificação e o envolvimento dos gestores e líderes.
ABSTRACT - Introduction: To assess Patient Safety Culture [PSC] is the starting point for health organizations to develop, monitor, and evaluate interventions and improvement actions. Like several countries, Portugal too has the priority of strengthening the PSC to improve the quality and safety of health care. The Hospital Survey on Patient Safety [HSOPS] is a globally applied strategy. In 2019, a new version was launched: the HSOPS 2.0. This study aims to evaluate and characterize PSC in Portuguese hospitals, using the new version of HSOPS. Methodology: It is a cross-sectional observational study. The translation was done following international guidelines. Cronbach's Alpha coefficient and Average Inter-Item Correlation were used to analyze the internal consistency of the survey. Validity was determined based on structural equation models (Exploratory Factor Analysis and Confirmatory Factor Analysis). Results: The survey was applied to a sample of 2,604 respondents (32% response rate) comprising staff of seven Portuguese hospitals. The psychometric properties of the Portuguese version were satisfactory, demonstrating good internal consistency and construct validity. The dimensions with fewer positive results were Reporting patient safety events and Hospital management support for patient safety. Conclusion: The results suggest the need to implement measures to improve the patient safety culture, including the implementation of a fair culture, the encouragement of reporting and the involvement of managers and leaders.
ABSTRACT - Introduction: To assess Patient Safety Culture [PSC] is the starting point for health organizations to develop, monitor, and evaluate interventions and improvement actions. Like several countries, Portugal too has the priority of strengthening the PSC to improve the quality and safety of health care. The Hospital Survey on Patient Safety [HSOPS] is a globally applied strategy. In 2019, a new version was launched: the HSOPS 2.0. This study aims to evaluate and characterize PSC in Portuguese hospitals, using the new version of HSOPS. Methodology: It is a cross-sectional observational study. The translation was done following international guidelines. Cronbach's Alpha coefficient and Average Inter-Item Correlation were used to analyze the internal consistency of the survey. Validity was determined based on structural equation models (Exploratory Factor Analysis and Confirmatory Factor Analysis). Results: The survey was applied to a sample of 2,604 respondents (32% response rate) comprising staff of seven Portuguese hospitals. The psychometric properties of the Portuguese version were satisfactory, demonstrating good internal consistency and construct validity. The dimensions with fewer positive results were Reporting patient safety events and Hospital management support for patient safety. Conclusion: The results suggest the need to implement measures to improve the patient safety culture, including the implementation of a fair culture, the encouragement of reporting and the involvement of managers and leaders.
Description
Mestrado em Gestão e Avaliação de Tecnologias em Saúde
Keywords
Cultura de segurança Segurança do doente HSOPS 2.0 Propriedades psicométricas Safety culture Patient safety Psychometric properties Hospital Portugal
Citation
Freitas EM. Avaliação da cultura de segurança do doente em meio hospitalar: adaptação da nova versão do Hospital Survey on Patient Safety Culture para a cultura portuguesa [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; Escola Superior de Saúde da Universidade do Algarve; 2023.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa