Cultura de segurança como elemento para a efetivação da qualidade da assistência.

Abstract

Patient safety must be guided in order to reduce to minimum the risk that the assisted person has, to suffer any kind of iatrogenesis during the care received within the health organizations, going hand in hand with quality in providing assistance, detecting and diagnosing errors and generating conditions. The study aimed to analyze the national scientific production on Patient Safety Culture, identify the contributions of these productions for the same and promote discussion on the topic. With analytical descriptive approach, this research was designed through a literature integrative review. Held in January and February 2016, in electronic databases Latin American and Caribbean Health Sciences, Scientific Electronic Library Online and Nursing Databases. With Health Sciences Descriptors: nursing, patient safety, safety culture. Using 16 articles published between 2011-2015 that had free access to the full text in Portuguese. As a result we can see a high production about the patient safety issue in nursing. There was an increase in scientific production about patient safety from the year 2013, year of establishment of the National Patient Safety Program at the national level. With 75% of the articles published in journals with international standard. Regarding methodological aspects of the studies it was observed that 48% of them are descriptive studies, and/or exploratory and/or retrospective of quantitative approach. Qualitative descriptive studies are 33%. Still, 9% is characterized as experience report, 5% integrative review and 5% reflective comment. As to the objectives most investigated studies observe the safety culture in the professional field analyzing the perception of those within their institutions, as well as the description of the strategies that they are seeking to systematize for an effective implementation of a safe environment, and the establishment of effective communication to analyze the process that triggered the error. The results in this study show the importance of a continuous evaluation process to direct the actions implemented to the needs of assisted users.