Efeito da cultura organizacional para a segurança do paciente em ambiente hospitalar: revisão sistemática

• Silva, Leonor Coelho da ^[1] ; Caldas, Célia Pereira ^[1] ; Fassarella, Cintia Silva ^[1] ; Souza, Patricia Simas de ^[2]
  1. [1] Universidade do Estado do Rio de Janeiro

     Universidade do Estado do Rio de Janeiro

     Brasil

     
  2. [2] Hospital Universitário Gaffrée Guinle
• Localización: Aquichan, ISSN-e 2027-5374, ISSN 1657-5997, Vol. 21, Nº. 2, 2021
• Idioma: portugués
• DOI: 10.5294/aqui.2021.21.2.3
• Títulos paralelos:
  • Efecto de la cultura organizativa para la seguridad del paciente en el entorno hospitalario: revisión sistémica
  • Effect of the organizational culture for patient safety in the hospital setting: A systematic review
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Objetivo: identificar el efecto de la cultura organizativa para la seguridad del paciente en el entorno hospitalario.

    Materiales y métodos: revisión sistemática, sin metaanálisis, registrada en el PROSPERO con el número CRD42020162981. Se seleccionaron estudios transversales y observacionales que evaluaron el clima de seguridad y la cultura de seguridad publicados en revistas indexadas en las bases EMBASE, Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), por medio de la Biblioteca Virtual en Salud (BVS), Medline (Literatura Internacional en Ciencias de la Salud), vía PubMed y Cumulative Index to Nursing and Allied Health Literature (CINAHL), entre 2014 y 2020.

    Resultados: los hallazgos evidencian que el clima de seguridad positivo impacta de forma benéfica en la cultura de seguridad, favorece la notificación de eventos y posibilita la mejoría de la calidad del cuidado a la salud.

    Conclusiones: la efectiva interacción entre cultura de seguridad y cultura organizativa aun es escasa en la literatura. Gran parte de los estudios realizados investiga el diagnóstico situacional y poco se avanza en el sentido de profundizar las consecuencias para la práctica profesional y la repercusión para la seguridad del paciente hospitalizado.

  • português

    Objetivo: identificar o efeito da cultura organizacional para a segurança do paciente no contexto hospitalar.

    Materiais e métodos: revisão sistemática, sem metanálise, registrada no PROSPERO sob o número CRD42020162981. Foram selecionados estudos transversais e observacionais que avaliaram o clima de segurança e a cultura de segurança publicados em periódicos indexados nas bases EMBASE, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), via Biblioteca Virtual em Saúde (BVS), Medline (Literatura Internacional em Ciências da Saúde), via PubMed e Cumulative Index to Nursing and Allied Health Literature (CINAHL), entre 2014 e 2020.

    Resultados: os achados demostraram que o clima de segurança positivo impacta de forma benéfica na cultura de segurança, favorece a notificação de eventos e possibilita a melhoria da qualidade do cuidado à saúde.

    Conclusões: a efetiva interação entre cultura de segurança e cultura organizacional ainda é escassa na literatura. A maioria dos estudos realizados investiga o diagnóstico situacional e pouco se avança no sentido de aprofundar a implicação para a prática profissional e para a repercussão para a segurança do paciente hospitalizado.

  • English

    Objective: To identify the effect of the organizational culture on patient safety in the hospital context.

    Materials and methods: A systematic review, without meta-analysis, registered in PROSPERO with number CRD42020162981. Cross-sectional and observational studies were selected that assessed the safety environment and safety culture published between 2014 and 2020 in journals indexed in the EMBASE, Latin American and Caribbean Literature in Health Sciences (Literatura Latinoamericana e do Caribe em Ciências da Saúde, LILACS) via the Virtual Health Library (Biblioteca Virtual em Saúde, BVS), Medline (International Literature in Health Sciences) via PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL).

    Results: The findings show that a positive safety environment exerts a beneficial effect on the safety culture, favors the notification of events, and enables improvements in the quality of health care.

    Conclusions: The effective interaction between safety culture and organizational culture is still scarce in the literature. Most of the studies carried out investigate the situational diagnosis and little progress is made in terms of deepening the implications for the professional practice and the repercussions for the safety of hospitalized patients.

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