Cultura de Segurança do Doente: Melhoria Contínua da Segurança – uma scoping review
Cultura de Segurança do Doente: Melhoria Contínua da Segurança - uma scoping review
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A segurança do doente é essencial na qualidade dos cuidados de saúde. Apesar dos progressos nas últimas décadas, os eventos adversos evitáveis continuam a representar uma carga significativa para os doentes, profissionais e sistemas de saúde. A cultura de segurança do doente é fundamental na prevenção de danos.
Este trabalho tem como objetivos sintetizar as principais evidências disponíveis sobre os fatores que influenciam a cultura de segurança do doente e identificar medidas baseadas na literatura que possam contribuir para a sua melhoria nos serviços de saúde.
A pesquisa dos artigos foi realizada nas bases de dados PubMed e Scopus utilizando palavras-chave definidas, resultando na inclusão de 22 publicações.
A análise demonstrou que os fatores mais frequentemente associados à quebra de segurança são o ambiente de trabalho, a falta de trabalho em equipa e a subnotificação de erros. As medidas mais referidas para mitigar estas fragilidades incluíram a resposta não punitiva ao erro e a abertura na comunicação
A segurança do doente continua a ser um dos maiores desafios na área da saúde. Uma cultura de segurança eficaz depende não apenas de sistemas e protocolos, mas também do envolvimento ético, emocional e coletivo dos profissionais. Apesar de o objetivo de “zero dano” parecer inatingível, deve permanecer como orientação ética essencial para a qualidade e a integridade dos cuidados de saúde.
Sara Lisete Silva has a degree in Laboratory Biomedical Sciences (EssUalg). Post graduated in Laboratory Medicine (Portuguese Catholic University), Health Technology Assessment and Management (HTAM) (ESTeSL) and Infectious diseases (Lisbon Medicine University). Master student in HTAM (ESTeSL). Laboratory biomedical scientist at immunohemotherapy service of ULS Coimbra. Interests in health management, Lean Six Sigma and patient safety.
Ana Cristina Dias has a degree in Environmental Health (ESTeSL), Specialization in Occupational Health and Safety (IST), and Executive master’s in health management and Assessment (CESPU) Master student in HTAM (ESTeSL). Works at the Public Health Unit of ULS Almada-Seixal. Interests in Environmental Health, Public Health and Occupational Safety.
Ana Catarina Carvalho has a degree in Environmental Health and Master student in HTAM (ESTeSL). Works in a private Occupational Health and Safety Company. Interests in Public Health, Health management and patient safety.
Sara Neto has a degree in Clinical Physiology and Master student in HTAM (ESTeSL). Works as cardiopmeumologist in a private cardiology clinic in Almada. Interests in health management, patient safety and cardiology.
Margarida Eiras has received a PhD from the National Public Health School, Nova University of Lisbon – Portugal. She is currently Adjunct Professor at the Higher School of Health Technologies of Lisbon. Her research interests are in the areas of quality and management.
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Cultura de segurança; Risco; Segurança do doente; Serviços de saúde
