Keywords
Patient safety
Health services management
Health communication
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Abstract
Objective: To synthesize the findings of secondary research studies on the influence of organizational culture on patient safety practices in hospitals. Methods: An Sistematic Review type Umbrella was conducted, registered in PROSPERO (CRD42024558869), following Joanna Briggs Institute guidelines and the PRISMA protocol. Data collection took place between June and July 2024 in the PubMed, Embase, Scopus, LILACS, SciELO, ProQuest, Web of Science, and Google Scholar databases. After a thorough screening of 5,561 references, 13 studies were included, organized using the RAYYAN software. Results: Organizational cultures that foster open communication, cooperation, and psychological safety demonstrated a significant positive impact on patient safety. Factors such as transformational leadership, continuous training, and institutional supportwere crucial for streng thening safe practices. Identified challenges included punitive cultures, work load burdens, communication failures, and insufficient human resources. Regular training programs and assessment tools were deemed fundamental toover coming these barriers. Conclusion: Organizational culture plays a strategic role in patient safety. Integrated approaches focus edontransformational leadership, effective communication, and institutional support are essential for creating safe hospital environments and ensuring quality patient care.
References
ALBALAWI A, et al. Factors contributing to the patient safety culture in Saudi Arabia: a systematic review. BMJ Open, 2020; 10(10): 37875.
ALQATTAN H, et al. A narrative synthesis of qualitative studies conducted to assess patient safety culture in hospital settings. Sultan Qaboos Univ Med J, 2019; 19(2): 91-98.
ALSALEM G, et al. Assessing safety climate in acute hospital settings: a systematic review of the adequacy of the psychometric properties of surveyme asurement tools. BMC Health Serv Res, 2018; 18(1): 353.
ALZAHRANI NA, et al. Safety attitudes in hospital emergency departments: a systematic review. Emerald Publishing Limited, 2019; 32(7).
AROMATARIS E, et al. Avaliações de guarda-chuva. In: Aromataris, E.; Lockwood, C.; Porritt, K.; Pilla, B.; Jordânia, Z. (Eds.). Manual JBI para Síntese de Evidências JBI, 2024.
AROMATARIS E, et al. Revisões guarda-chuva. In: AROMATARIS, E.; MUNN, Z. (editores). Manual JBI para Síntese de Evidências. JBI, 2020; 10.
ARZAHAN ISN, et al. Safety culture, safety climate, and safety performance in health care facilities: A systematic review, 2021; 147.
AZYABI A, et al. Assessing patient safety culture in hospital settings. Multidisciplinary Digital Publishing Institute, 2021; 18(5).
BARRETO RS, et al. Marcos históricos e desafios da implementação do Programa Nacional de Segurança do Paciente na atenção primária à saúde. Revista Eletrônica Acervo Saúde, 2024.
BISPO CA, et al. Atuação do enfermeiro com qualidade e segurança do paciente. Revista JRG de Estudos Acadêmicos, 2023.
BRASIL. MINISTÉRIO DA SAÚDE. Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília, DF, 2014.
BRASIL. MINISTÉRIO DA SAÚDE. Portaria nº 529, de 1º de abril de 2013. BRASIL. Ministério da Saúde. de Diretoria Colegiada (RDC) nº 36, de 25 de julho de 2013.
BRITTAIN AC e CARRINGTON JM. Organizational health and patient safety: a systematic review, 2020; 5.
CAMACHO-RODRIGUEZ DE, et al. Patient safety culture in latin american hospitals: a systematic review with meta-analysis. 2022; Multidisciplinary Digital Publishing Institute, 2022; 19(21).
DUCHEK S. Organizational resilience: a capability-based conceptualization. Bus Res 13, 2020; 215-246.
FINN M, et al. Efeito de intervenções para melhorar a cultura de segurança em profissionais de saúde em ambientes hospitalares: uma revisão sistemática da literatura internacional: BMJ Open Quality, 2024; 13: 2506.
GALATTI EL, et al. Conhecimento do preceptor quanto a cultura de segurança do paciente para um cuidado eficaz. Revista Eletrônica Acervo Saúde, 2024; 24(10): 17584.
GREENLEAF RK. Servant leadership: a journey in to the nature of legitimate power and greatness. Paulist Press, New York, 1977.
HAAS LE, et al. Cultura da segurança do paciente em serviços de alta complexidade no contexto da pandemia de COVID-19. Cogitare Enfermagem, 2022; 27.
LEE M, et al. Interventions to engage patients and families in patient safety: a systematic review. Western Journal of Nursing Research, Thous and Oaks, 2021; 43(10): 972–983.
LIMA GMF, et al Proposta de um modelo alternativo para análise da qualidade de serviço na área de saúde. Revista da FAE, 2019; 22(1): 97-114.
LOPES AL, et al. Cultura de segurança do paciente em tempos de pandemia de COVID-19: estudo transversal em hospital. Revista Brasileira de Enfermagem, 2024; 77: 20230187.
MAHMOUD HA, et al. Barreiras e facilitadores para melhorar os sistemas de aprendizagem de segurança do paciente: uma revisão sistemática de estudos qualitativos e metassíntese: BMJ Open Quality, 2023; 12: 2134.
OMS. ORGANIZAÇÃO MUNDIAL DA SAÚDE. Conceptual Framework for the International Classification for Patient Safety. Geneva: OMS, 2009.
OUZZANI M, et al. Rayyan — um aplicativo web e móvel para revisões sistemáticas. Syst Rev, 2016; 5: 210.
REASON J. Managing the risks of organizational accidents. Aldershot, UK Ashgate, 1997.
REIS CT, et al. A cultura de segurança do paciente: uma revisão sistemática por características das dimensões do Hospital Survey on Patient Safety Culture, International Journal for Quality in Health Care, 2018; 30(9): 660–677.
SCHEIN EH. Organizational Culture and Leadership: A Dynamic View. San Francisco: Jossey-Bass, 1985.
SILVA LC, et al. Efeito da cultura organizacional para a segurança do paciente em ambiente hospitalar: revisão sistemática. Aquichán, Medellín, 2021; 21(2): 2023.