Analysis of the patient safety culture in a public hospital in Brazil

This study to intend analyze the patient safety culture from the working professional’s perception in a public hospital in the state. This is a cross-sectional study performed with 204 employees. The instrument (Hospital Survey on Patient Safety Culture) was applied for the data collection. Throughout this study the perception of the patient's safety degree as adequate and inadequate was considered as the main outcome. To analyze the variables, we performed a prevalence calculation with Confidence Intervals of 95% (95% CI). Were considered the prevalence of positive and negative responses of each variable that composes the dimentions of the instrument. Poisson regression was used in the gross and adjusted analysis. For all analyzes was adopted the significance level of 5%.The internal consistency of the instrument showed good reliability (0.81). All 12 dimensions of the study presented prevalence’s below 75%. The safety patient degree was considered adequate by 56.6% of the interviewees. The adjusted analysis showed influence of the dimensions: Teamwork within the units (RP: 0.92, 95% CI: 0.87-0.97); on-call and internal transfers (RP: 0.90, 95% CI: 0.84-0.96) in the patient safety perception degree. The patient safety culture is considered fragile in this institution.