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PATIENT SAFETY CULTURE IN DIALYSIS SERVICES DURING THE COVID-19 PANDEMIC: NURSING PERSPECTIVE* * Article extracted from the master’s thesis “Cultura de Segurança do paciente em três serviços de hemodiálise: fatores laborais e institucionais associados no contexto da pandemia da COVID-19 ”, Universidade Federal de São João del-Rei, Divinópolis, MG, Brasil, 2021.

HIGHLIGHTS

  1. Patient safety was rated as excellent by nursing staff.

  2. Non-punitive response to errors was an identified weakness.

  3. Staff sizing was a weakness identified.

  4. Dialysis service management influenced safety culture.

ABSTRACT

Objective:

to evaluate the patient safety culture from the perspective of nursing staff in dialysis services in the context of the COVID-19 pandemic.

Method:

cross-sectional study with 56 nursing professionals from three dialysis services in Minas Gerais - Brazil, between March and June 2021. The Hospital Survey on Patient Safety Culture instrument was used. The data were analyzed by descriptive and inferential statistics; chi-square test; and Generalizable Estimating Equations (p≤0.05).

Results:

Patient safety was rated as good or excellent by 69.6% of participants. The dimension “Expectations and actions of the service management that favor safety” was considered a strength (85.42%). “Non-punitive response to errors” (23.99%) and “Staff sizing” (45.83%) were considered weak. There was a higher percentage of positive responses in public and philanthropic services (p<0.001).

Conclusion:

few dimensions indicated strengths, and the type of management influenced the percentage of positive responses.

DESCRIPTORS:
Patient Safety; Organizational Culture; Safety Management; Renal Dialysis; Nursing, Team

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