Banca de DEFESA: RAQUEL RAIZA FERREIRA DE FRANÇA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RAQUEL RAIZA FERREIRA DE FRANÇA
DATE: 23/11/2020
TIME: 14:30
LOCAL: Ambiente Virtual
TITLE:

CULTURE OF PACIENT SAFETY IN A SMALL CITY

KEY WORDS:

Keywords: Patient Safety; Quality management; Organizational culture; Improvement science.

PAGES: 77
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: In the current context, it is important to establish safe health services focused on strengthening the culture of patient safety, replacing guilt and punishment with the opportunity to learn from failures and improve health care. The research arose from the need to discuss actions aimed at strengthening the culture of patient safety in the context of a small city in the state of Rio Grande do Norte. Objective: To carry out an internal cycle of quality improvement aimed at the culture of patient safety from the perspective of primary health care and hospital professionals. Methodology: The Improvement cycle was carried out in the 2019-2020 biennium of the before and after type. With target audience professionals from NASF, ESF teams, Municipal Hospital and Health Managers, totaling 58 participants with an average response rate of 82% in both phases of collection. The questionnaire "Research on Patient Safety Culture for Primary Care" was used, which evaluated twelve dimensions of patient safety culture: Open communication, Communication about error, Exchange of information with other institutions, Standardization of processes, Organizational learning, General perception of patient safety and quality, Leadership support for patient safety, Monitoring of patient care, SP and quality problems, Team training, Team work, Pressure and work pace. For each assessment, the 95% confidence intervals were calculated for the conformity estimates and the absolute and relative improvement values were estimated. The differences in conformities before and after were tested for statistical significance and the Z value was calculated for the alternative hypothesis of improvement that is accepted when the null hypothesis is p <0.05. The analysis also identified the “strengths” of the safety culture with a percentage of positive responses equal to or greater than 75% and the “weaknesses” with a percentage of positive responses below 50%. Results: There was a significant increase in the percentage of compliance observed at the end of the cycle from seven to nine of the twelve dimensions of the patient safety culture assessed, with a total absolute improvement of 6.2%. Conclusion: The completion of this improvement cycle is associated with an increase in the rate of compliance with the dimensions / criteria analyzed, reduction of non-conformities and a predominance of the positive character in the perception of the safety culture.

BANKING MEMBERS:
Presidente - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS
Externa ao Programa - 2166798 - ADALA NAYANA DE SOUSA MATA
Externa ao Programa - 2495705 - GRASIELA PIUVEZAM
Externa à Instituição - CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA - SESAP