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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
91

Análise da cultura da segurança entre os profissionais da unidade de terapia intensiva adulto de uma instituição de ensino

Gomides, Mabel Duarte Alves 10 August 2016 (has links)
Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2016-09-06T10:34:38Z No. of bitstreams: 2 Dissertação - Mabel Duarte Alves Gomides - 2016.pdf: 3076873 bytes, checksum: 11fd0098a8a44b9d6b47bb01680e1048 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-09-06T13:26:18Z (GMT) No. of bitstreams: 2 Dissertação - Mabel Duarte Alves Gomides - 2016.pdf: 3076873 bytes, checksum: 11fd0098a8a44b9d6b47bb01680e1048 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-09-06T13:26:18Z (GMT). No. of bitstreams: 2 Dissertação - Mabel Duarte Alves Gomides - 2016.pdf: 3076873 bytes, checksum: 11fd0098a8a44b9d6b47bb01680e1048 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-08-10 / In recent decades, patient safety has aroused much concern and awareness in the world after scientific evidence of high mortality rates due to health care failures. The degree of complexity related to health care, especially in hospitals, requires specialized health management focused on quality and patient safety. This study aimed to evaluate the culture of patient safety the assets of the professional adult intensive care unit (ICU) in the Clinical Hospital of the Federal University of Uberlandia (HC-UFU), Brazil. The study was conducted in a cross exploratory study model in order to evaluate the culture of patient safety among professionals, with data collection in the period June-July 2016. The sample consisted of all professionals in the adult intensive care unit of the following areas: medical, nursing, physical therapy, psychology, nutrition, and management. This sample was applied to the Safety Attitudes Questionnaire (SAQ) as a tool in the assessment of patient safety culture. The analysis of statistical data and testing was performed using SPSS software (Statistical Package for Social Sciences for Windows) version 21.0. In the inferential analysis, we used the chi-square test (χ²), t-test and analysis of variance (ANOVA). The analysis adopted significance level (α) of 5%. The strength of association between variables was assessed by calculating the prevalence ratio (PR) (95%). A total of 163 permanent professionals in the adult ICU of the HC-UFU, 144 were active in their functions in the range on the collection and 138 SAQ questionnaires were validated by being properly filled, resulting in a validation rate of 96.5%. Most participants were female (76.1%) and had long experience ≥ 5 years (63.0%). The results of the SAQ noted an overall average of the safety culture in the ICU less than 75 points (57.80 ± 23.39). This result was detailed on an analysis of the areas and items without domains not strengthened findings, but with higher scores 60 to Working Climate team, Job Satisfaction, Stress Perception and collaboration among team members, and other below 50 for Hospital Management Perception, Work Condition and communication failures. It was concluded that the general perception of ICU for patient safety culture demonstrated weakening of all the attitudes of professionals and especially the actions of management. Since managers are responsible for determining human working conditions and freedom of communication between the errors, promoting gain knowledge without reprisal or warnings. / Nas últimas décadas, na medicina, a segurança do paciente despertou muita preocupação e alerta ao mundo, após evidências científicas de elevados índices de mortalidade relacionados a falhas durante a prestação de cuidados relacionados à saúde. O grau de complexidade relacionado ao cuidado na saúde, principalmente nos hospitais, exige uma gestão de saúde especializada e voltada para a qualidade e segurança do paciente. O objetivo deste estudo foi avaliar a cultura da segurança do paciente entre os profissionais da Unidade de Terapia intensiva adulto (UTI) do Hospital de Clínicas da Universidade Federal de Uberlândia (HC-UFU). A pesquisa foi realizada dentro de um modelo de estudo transversal prospectivo, de abordagem quantitativa, realizada entre os meses de junho e julho de 2016. A amostra foi composta por todos os profissionais que apresentavam contrato de trabalho permanente nessa unidade, das áreas: médicas, enfermagem, fisioterapia, nutrição, psicologia, gestores da unidade e auxiliares de secretaria. Nessa amostra foi aplicado o Questionário de Atitudes de Segurança (SAQ - Safety Attitudes Questionnaire), como instrumento na avaliação da cultura de segurança do paciente. A análise dos dados e testes estatísticos foi realizada no software SPSS (Statistical Package for Social Sciences for Windows) versão 21.0. A análise inferencial, foi feita pelos testes do qui-quadrado (χ²), teste t-Student e análise de variância (ANOVA). As análises adotaram nível de significância (α) de 5%. A força de associação entre variáveis foi avaliada pelo cálculo da razão de prevalência (RP) (IC 95%). De um total de 163 profissionais permanentes da UTI adulto do HC-UFU, 144 estavam ativos em suas funções no intervalo relativo à coleta e 138 questionários SAQ foram validados por estarem devidamente preenchidos, o que resulta em uma taxa de validação de 96,5%. A maioria dos participantes era do gênero feminino (76,1%) e apresentava tempo de experiência ≥ há 5 anos (63,0%). A análise dos resultados do SAQ observou uma média geral da cultura de segurança na UTI menor que 75 pontos (57,80 ± 23,39). Esse resultado foi detalhado na análise individualizada dos domínios e itens sem domínios com achados não fortalecidos, mas com pontuações maiores que 60 para Clima de Trabalho em equipe, Satisfação no Trabalho, Percepção de Estresse e Colaboração entre os membros da equipe, e outros abaixo de 50 para Percepção de Gerência do Hospital, Condição de Trabalho e Falhas de Comunicação. De forma geral, observou-se uma percepção não fortalecida entre os profissionais, quanto a cultura de segurança do paciente, sendo este dado esclarecido com a análise individualizada dos itens do SAQ, os quais demonstraram pontos muito enfraquecidos para atitudes de segurança na percepção da gerência, condições de trabalho e falhas de comunicação. Em conclusão, a UTI do HC-UFU apresenta-se em desarmonia e desequilíbrio pelas dificuldades de relacionamento entre os profissionais e os gestores, desfarorecendo as condições humanas de trabalho e a liberdade de comunicação entre os erros, com correções através de represálias e advertências.
92

Ocorrência de eventos adversos e sua relação com o fator comunicação em um hospital universitário / Occurrences of adverse events and their relation with the communication factor in a university hospital

Mileide Morais Pena 26 June 2015 (has links)
Anualmente, dezenas de milhões de pacientes sofrem lesões incapacitantes ou morte devido a eventos adversos no mundo. Inúmeros são os fatores que contribuem para tal, dentre eles, as falhas de comunicação. Objetivos: identificar as não conformidades referentes aos eventos adversos: erro de medicação, flebite, queda e úlcera por pressão (UPP) que causaram dano permanente ou temporário, no triênio 2011-2013; analisar as causas raízes dos eventos adversos; estratificar os eventos relacionados às falhas de comunicação e avaliar se eram evitáveis. Método: Estudo quantitativo e exploratório-descritivo com coleta retrospectiva dos dados, desenvolvido em um hospital universitário, cuja amostra foi de 263 Relatórios de Não Conformidade. A análise dos dados ocorreu pela estatística descritiva e testes específicos. Resultados: Os eventos foram distribuídos em 39,9% de flebites, 32,7% de erros de medicação, 16% de UPP e 11,4% de quedas. A média de idade dos pacientes foi de 52,04 anos. 39,5% dos eventos ocorreram no plantão da manhã, sendo 33,1% nas UTI. Na maioria dos eventos, houve o envolvimento de mais de um profissional e, na análise de causa raiz, a maioria dos eventos apresentou mais de uma causa. 98,9% dos eventos resultaram em dano temporário e 69,2% foram considerados evitáveis. Na análise do fator comunicação, 71% dos eventos evidenciaram falha de comunicação. No erro de medicação, a prevalência foi de 53,5% com falhas na comunicação verbal e escrita; nas quedas, 36,7% apresentaram falha na comunicação verbal; nas UPP, 52,4% com falhas na comunicação verbal e escrita; nas flebites, falha na comunicação escrita em 37,1% dos eventos. Os auxiliares/técnicos de enfermagem participaram de 98,1% dos eventos com falhas na comunicação escrita. 96,8% dos eventos relacionados aos profissionais apresentaram falhas de comunicação verbal e escrita. Dos eventos que apresentaram falha de comunicação verbal, 97,5% resultaram em danos temporários. Dentre os eventos que apresentaram falha de comunicação, 82,3% foram considerados evitáveis. Conclusões: Os achados deste estudo contribuem para o aperfeiçoamento dos processos de trabalho em saúde e enfermagem, ensino e pesquisa, direcionando as ações dos gestores para a implantação de melhores práticas e a capacitação contínua dos profissionais. / Every year, tens of millions of patients suffer incapable hurting or they die from adverse events all over the world. Several factors are the causes of the events and the miscommunication is one of them. Objectives: to identify the no-conformities related to the adverse events: medication error, phlebitis, fall and pressure ulcer which caused permanent or temporary damage from 2011 to 2013; to analyze the root causes of the adverse events; to stratify the events related to miscommunication and to evaluate if they could be avoided. Methodology: Exploratory-descriptive-quantitative-study with retrospective data collection developed in a university hospital whose sample was provided by 263 Non Compliance Reports. The analysis was based on descriptive statistics and specific tests. Results: The events were divided up into 39.9 % of phlebitis, 32.7% of medication errors, 16% of pressure ulcer and 11.4% of falls. The average age of the patients was 52.04 years old. 39.5% of the events took place in the morning, 33.1% of them in intensive care units. In the most part of the events, there were at least two professionals involved. About the root cause, the most part of the events had more than one cause. 98.9% of the events resulted in temporary damages and 69.2% were considered avoidable. Analyzing the communication factor, 71% of the events revealed miscommunication existence. For errors in medication, 53.5% represent verbal and written communication failure; 36.7 % of the cases of falls presented verbal communication failure; 52.4% of the pressure ulcer had verbal and written communication failures; 37.1% of the phlebitis cases had written communication failures. The nursing assistants/technicians participated in 98.1% of the events with written communication failures. 96.8% of the events related to workers had verbal and written communication failures. There were temporary damages in 97.5% of the events in which there was the verbal communication failure. 82.3% of the events with verbal communication failure could be avoided. Conclusions: The findings resulted from this study can improve working, teaching and researches in health and nursing and also guide the managers for better practices and training of their staffs.
93

Avaliação do processo de identificação do neonato de um hospital privado / Evaluation of the identification procedure for newborns in a private hospital

Ellen Regina Sevilla Quadrado 09 June 2011 (has links)
Trata-se de um estudo exploratório, descritivo de abordagem quantitativa, que teve por objetivo avaliar o processo de identificação do neonato admitido na unidade de terapia intensiva neonatal e semi-intensiva de um hospital privado no Município de São Paulo. A casuística compôs-se de 540 oportunidades de análise, selecionadas pela amostragem probabilística aleatória simples. A coleta de dados ocorreu no período de maio a agosto de 2010, por meio de um formulário, contendo as três etapas do processo de identificação: componentes de identificação, condições da pulseira e quantitativo de pulseiras. Os dados foram analisados em função da estatística descritiva, e sendo aplicado o teste estatístico com significância de 5%. No que diz respeito ao desempenho geral do processo, o percentual de conformidade foi de 82,2%. No que tange as três etapas integrantes do processo, o maior índice de conformidade (93%) foi atribuído a segunda etapa e o menor (89,3%) a terceira etapa, com diferença estatística significante (p=0,046). Em relação a primeira etapa, a presença do código de internação obteve (98,5%) de conformidade; na segunda,o melhor percentual (99,8%), foi atribuído à confecção correta da pulseira e na terceira, houve (88,5%) de conformidade para o grupo de neonatos em condições especiais, não apresentando diferença estatística significante p=0,895. Acredita-se que os achados deste estudo subsidiem as reestruturações necessárias no processo de identificação dos recém-nascidos e o estabelecimento de metas assistenciais e gerenciais, para a melhoria contínua da qualidade e da segurança dos pacientes. / This is an exploratory, descriptive study of quantitative approach, aiming to evaluate the identification procedure for newborns admitted to a neonatal intensive and semi-intensive care unit of a private hospital in the city of São Paulo. The sample consisted of 540 opportunities for analysis, selected by the simple random probability sampling. Data collection occurred between May and August 2010, using a form containing the three phases of the identification procedure: identification components, conditions of ID bracelet and quantitative of ID bracelets. Data were analyzed according to descriptive statistics and the statistical test was applied with a significance of 5%. Regarding performance of the general process, the percentage of compliance was 82.2%. Regarding the three phases of the process, the highest compliance rate (93%) was related to the second phase and the lowest (89.3%) to the third phase, with a statistically significant difference (p = 0.046). Regarding the first phase, the presence of a hospitalization code obtained (98.5%) of compliance, in the second, the best percentage (99.8%) was attributed to correct manufacturing of the ID bracelet and third, with (88, 5%) of compliance for the group of newborns under special conditions, showing no statistically significant difference p = 0.895. It is believed that the findings of this study will subsidize the necessary reorganization of newborn identification procedure and establishment of assistance and management of goals for the constant improvement of quality and patient safety.
94

Health risk assessment in the occupational health nurse’s practice

de Jager, Nicolene 19 July 2012 (has links)
M.Cur. / Occupational health nurses are qualified registered nurses with a post-graduate qualification in occupational health nursing as a specialised discipline, and provide the basic healthcare aspect of the occupational health programme. Their most important activity is to identify and assess the health hazard risks in the workplace. Health risk assessments are conducted by occupational health nurses to determine all the stresses, e.g. hazardous chemicals, vibration, insufficient lighting, noise exposure and thermal exposure, which may affect employees‟ health and working efficiency. The researcher conducted audits and, over a period of time, observed that 85% (n=23) of occupational health nurses in different settings conduct health risk assessments only to a certain extent. The following questions were raised: To what extent do occupational health nurses conduct health risk assessments? What are the possible reasons for them conducting the health risk assessments only to a certain extent, or not at all? What can be done to improve this? The purpose of this study was thus to explore and describe the extent to which occupational health nurses conduct health risk assessments; and the possible reasons for not conducting them or conducting them only to a certain extent. Guidelines were developed to assist occupational health nurses in conducting health risk assessments. A quantitative, descriptive design was used in this study. A sampling frame was developed from a list of all the members of the South African Society of Occupational Health Nursing Practitioners (SASOHN) in Gauteng. From the target population of occupational health nurses in Gauteng, a systematic cluster sampling method was used. A developed questionnaire was distributed by mail and e-mails, and reminders were sent by the researcher to the respondents (Burns & Grove, 2006). The researcher ensured validity and reliability throughout the study by means of theoretical review, content securing and statistical assistance (Burns & Grove, 2006). Ethical standards of the right to self-determination, right to privacy, right to confidentiality and autonomy, right to fair treatment and right to protection from discomfort and harm were adhered to. The findings revealed that the occupational health nurse is a mature, predominately female experienced practitioner who operates on behalf of a disproportionably large number of employees. Four factors influencing these nurses in conducting a health risk assessment to a certain extent were identified: competence, ignorance about the role of the occupational health nurse, workload and attitude. The researcher formulated guidelines to assist practising occupational health nurses to conduct health risk assessments.
95

Analýza systému BOZP v organizaci PORT a.s. / Analysis of health and safety management system in organisation PORT, a. s.

Maříková, Jana January 2008 (has links)
This thesis judges a state of fulfilling the lawful requirements in the area of occupational safety and health in real organisation. The goal of this thesis is to define deficiencies in keeping lawful requirements and to propose possible solutions of this deficiencies. The output of this thesis is a suggestion of the health and safety management system in this organisation should work to follow the valid law requirements.
96

Systém řízení BOZP ve společnosti MIZ Olomouc, s.r.o. / Health and Safety Management System in the company MIZ Olomouc s.r.o.

Lošťáková, Jana January 2008 (has links)
The goal of this thesis is to judge Health and Safety Management system in the company MIZ Olomouc s.r.o. It states fulfilling lawful requirements in this area. In a theoretical part of the thesis there is clarifying of general terms, programs, management standards (Bezpečný podnik, BS 8800, OHSAS 18001 etc.), legal regulations and institutions of HSMS.
97

Analýza a zhodnocení způsobu výběru dodavatelů společnosti AHOLD Czech Republic, a. s. / Analysis and evaluation of the method of selection of suppliers of AHOLD Czech Republic, a.s.

Špačková, Lenka January 2009 (has links)
In the theoretical part of this thesis, there can be found some legislative requirements, that are necessary to be performed during a selection of suppliers and food safety management, such as ISO standards and GFSI. The indtroduction of the company AHOLD Czech Republic, a.s. follows. Some readers can get to know about its quality management and about the method of selection of suppliers there. After that I analyse it and suggest some measures to improve the process. I also mention some other factors, which influence the method of selection of suppliers, such as CSR of the company.
98

Risk analysis of the EASA minimum fuel requirements considering the ACARE-defined safety target

Drees, Ludwig, Mueller, Manfred, Schmidt-Moll, Carsten, Gontar, Patrick, Zwirglmaier, Kilian, Wang, Chong, Bengler, Klaus, Holzapfel, Florian, Straub, Daniel 24 September 2020 (has links)
We present the results of flight simulator experiments (60 runs) with randomly selected airline pilots under realistic operational conditions and discuss them in light of current fuel regulations and potential fuel starvation. The experiments were conducted to assess flight crew performance in handling complex technical malfunctions including decision-making in fourth-generation jet aircraft. Our analysis shows that the current fuel requirements of the European Aviation Safety Agency (EASA) are not sufficient to guarantee the safety target of the Advisory Council for Aviation Research and Innovation in Europe (ACARE), which is less than one accident in 10 million flights. To comply with this safety target, we recommend increasing the Final Reserve Fuel from 30 min to 45 min for jet aircraft. The minimum dispatched fuel upon landing should be at least 1 h.
99

A segurança de pacientes na administração de medicamentos em uma unidade de terapia intensiva de um hospital geral do interior paulista: a abordagem restaurativa em saúde / Patients safety in the medication administration at an intensive care unit in a general hospital in the São Paulo State: a restorative approach in healthcare

Sousa, Fernanda Raphael Escobar Gimenes de 11 August 2011 (has links)
Os atuais serviços de saúde tornaram-se ambientes complexos e vulneráveis, fazendo-nos repensar acerca da necessidade de simplificar os processos de trabalho de modo a torná-los mais éticos e seguros. Os objetivos do estudo foram analisar o sistema de medicação e os processos de preparo e de administração de medicamentos de uma UTI, à luz da abordagem restaurativa em saúde. Tratou-se de pesquisa multimétodos, com delineamento embutido, a qual aplicou técnicas de coleta de dados embasadas na perspectiva sócio-ecológica: grupos focais, narração fotográfica e foto elicitation. A pesquisa foi realizada em uma UTI de um hospital geral do interior paulista e envolveu a participação de 23 profissionais da enfermagem e um médico intensivista. A investigação ocorreu em quatro fases. Na primeira, grupos focais foram formados com o objetivo de fazer emergir as opiniões dos participantes em relação aos aspectos de segurança, bem como identificar situações no ambiente e nos processos de trabalho que poderiam comprometer a segurança do paciente no preparo e na administração de medicamentos. Na segunda, a pesquisadora, junto à gerente de enfermagem, realizou narrativas visuais com os propósitos de refletir sobre o ambiente assistencial onde os medicamentos são preparados e administrados, de observar condições passadas e de identificar possibilidades de melhorias futuras, no que diz respeito aos aspectos de segurança. Na terceira fase, as imagens foram expostas ao segundo grupo focal com a finalidade de identificar potenciais mudanças a serem implantadas no sistema de medicação, bem como nos processos, nas práticas, nas políticas e no ambiente de trabalho da UTI. Na quarta, novos registros fotográficos foram feitos com o propósito de captar as mudanças ocorridas no sistema de medicação e no ambiente assistencial da UTI, por meio da comparação destes com as fotografias obtidas durante a segunda fase da pesquisa. A coleta e a análise dos dados ocorreram de maneira interativa em todas as fases da investigação, segundo a orientação teórica da abordagem restaurativa em saúde. Os achados auxiliaram na compreensão das barreiras e das medidas facilitadoras voltadas para a segurança no preparo e na administração de medicamentos, a partir da obtenção de seis temas: Identificando o ambiente assistencial como contribuinte para a segurança no preparo e na administração de medicamentos; Identificando riscos no ambiente assistencial; Percebendo o ambiente assistencial como fator de risco para os acidentes ocupacionais; Tendo que conviver com o sentimento de \"impotência\" diante da cultura organizacional vigente; Convivendo com os improvisos no dia-a-dia do trabalho e Vislumbrando possibilidades de mudanças no ambiente assistencial. A partir da construção conjunta do conhecimento entre pesquisadora e pesquisados, os resultados forneceram subsídios para pesquisas futuras e revelaram que os problemas existentes no sistema interferem na segurança, tanto do paciente como do profissional, devendo a instituição rever a forma de gerenciar os riscos existentes no ambiente assistencial. / The current health services have become vulnerable and complex environments. This has made us rethink about the need of simplifying the work processes so that they are more ethical and safer. The goals of the study were the analysis of the medication system and the processes of preparing and administering the medications at an ICU, in the light of the restorative approach in healthcare. It was a multi-method research, with an embedded delineation, which applied collecting techniques of data having a social ecological perspective: focus groups, photo narration and photo elicitation. The research was performed at an ICU of a general hospital in a city in the São Paulo state and it involved the participation of 23 nursing professionals and an intensivist physician. The investigation occurred in four phases. First, focus groups were formed with the goal of getting the participants\' opinions related to the safety aspects to emerge, as well as identifying situations in the work environment and in the processes that could compromise the patient\'s safety in the preparation and in the administration of medications. Next, the researcher, along with the nursing manager, performed several visual narratives with the purpose of reflecting about the healthcare environment where the medications are prepared and administrated, observing past conditions and identifying possibilities of future improvements, when it comes to the safety aspects. After that, the images were exposed to the second focus group with the aim to identify potential changes to be implemented in the medication system, as well as in the processes, in the practices, in the politics and in the workplace environment at the ICU. At the last phase, new photographic registrations were done with the aim to get the changes occurred in the medication system and in the care environment at the ICU, by comparing these ones with the pictures obtained during the second phase of the research. Collecting and analyzing data was performed in an interactive way at all the phases of the investigation, according to the theoretical orientations of the restorative approach in healthcare. The findings helped in understanding the barriers and the facilitating measures directed to the safety in the preparation and administration of medications, after obtaining six themes: Identifying the healthcare environment as a contributor for the safety in the preparation and administration of medications; Identifying risks in the healthcare environment; Realizing the healthcare environment as a risk factor for the occupational accidents; Having to live with an \"impotence\" feeling before the current organizational culture; Living with the everyday workarounds; and Envisioning possible changes in the healthcare environment. From the joint construction of the knowledge among the researcher and the investigated ones, the results provided subsidies for future investigations and revealed that the problems in the system interfere in the safety, both the patient and the professional, having the institution a necessity to revise the way it manages the risks in the healthcare environment.
100

A percepção de profissionais de saúde sobre cultura de segurança do paciente em hospital universitário / The perception of health professionals about patient safety culture in a university hospital

Mota, Géssica Caroline Henrique Fontes 22 October 2018 (has links)
A Cultura de Segurança (CS) conceitua-se como o produto de valores, atitudes, competências e padrões de comportamento individuais e de grupo, os quais determinam o compromisso da administração de uma organização segura. O objetivo deste trabalho foi avaliar a CS do paciente em hospital universitário, por meio da aplicação do instrumento Hospital Survey on Patient Safety Culture (HSOPSC), que possui 42 itens divididos em 12 dimensões. O HSOPSC foi entregue aos funcionários de todos os departamentos do hospital e de diferentes níveis de escolaridade, no período de dezembro de 2016 à maio de 2017. Os percentuais de respostas positivas, neutras e negativas foram calculados para identificar áreas fortes e frágeis para CS. Dos 430 questionários distribuídos, 368 (86%) foram considerados válidos. A porcentagem geral de respostas positivas foi de 50,3%. A dimensão \"Ações e expectativas sobre seu supervisor/chefe e ações promotoras da segurança do paciente\" obteve o maior percentual de respostas positivas (67,1%), entretanto, nenhuma dimensão atingiu o valor acima de 75% para ser considerada uma \"área forte\" para segurança do paciente. A principal fragilidade para CS foi observada na dimensão \"Respostas não punitivas aos erros\", com menor porcentagem de respostas positivas (22,9%) e menor mediana (41,7%). A maioria dos profissionais (70,6%) não realizou notificação de eventos nos últimos 12 meses, os funcionários do departamento médico ou de nível superior de escolaridade foram os que apresentaram a menor frequência dessas notificações. Apesar disso, 69,5% dos participantes consideraram a segurança do paciente dentro da unidade/área de trabalho como \"excelente\" ou \"muito boa\". Conclui-se que a CS da instituição foi considerada mediana, sendo identificados dimensões frágeis, tais como: respostas não punitivas aos erros e adequação de profissionais. Assim, deve-se investir, principalmente, na promoção e disseminação de uma CS justa e não punitiva em todas as áreas do hospital. / The Safety Culture (SC) is conceptualized as the product of values, actions, skills and patterns of behavior of individuals and group, which determine the commitment of the management of a safe organization. The objective of this study was to evaluate the SC oh the patient in a university hospital, through the application of the instrument Hospital Survey on Patient Safety Culture (HSOPSC), which has 42 items divided into 12 dimensions. The HSOPSC was delivered to employees in all hospital departments and at different educational levels from December 2016 to May 2017. The percentages of positive, neutral and negative responses were calculated to identify strong and fragile areas for SC. Of the 430 questionnaires distributed, 368 (86%) were considered valid. The overall percentage of positive responses was 50.3%. The dimension \"Actions and expectations about your supervisor and actions that promote patient safety\" obtained the highest percentage of positive responses (67.1%). However, no dimension reached a value above 75% so could be considered an \"strong area\" for patient safety. The main fragility for SC was observed in the dimension \"Non-punitive responses to errors\", with a lower percentage of positive responses (22.9%) and a lower median (41.7%). Most professionals (70.6%) did not report events in the last 12 months, the medical department or higher educational level employees presented the lowest frequency of these reports. Despite this, 69.5% of the participants considered patient safety within the unit/work area to be \"excellent\" or \"very good\". Our results showed that the SC of the institution was considered median, and fragile dimensions were identified, such as: non-punitive responses to errors and adequacy of professionals. Thus, it is necessary to invest mainly in promoting and disseminating a fair and non-punitive culture in all areas of the hospital.

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