The importance of the patient safety culture in the clinical field

Cañadas-Aragón, Claudia Patricia

doi:10.1016/j.enfcle.2023.11.003

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Despite the efforts of many, figures based on studies conducted around the world continue to average drastic drastic rate of adverse events, due to the cost in many lives, the emotional impact on both families and professionals and the financial cost.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> Adverse events in hospitalized patients are occurring more and more frequently due to the increase in complexity of medical care, which implies a greater risk of making a human error inherent to care, constituting a serious threat to patient safety. Average figures indicate that approximately one in ten patients admitted to a clinic or hospital suffers an adverse event, which can range from minor harm to death.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> It would be simplistic to say that figures like these irrefutably prove that we continue to provide unsafe care to our patients, and sometimes staff training is not enough to achieve adequate patient care, where staff habits and beliefs play a major role in improving care. Being safe depends, to a large extent, on the person him or herself. When looking in detail at the causes of adverse events, we find factors inherent to human will, and it is common to find, among these, inadequate communication, lack of teamwork, personalistic attitudes that prioritize one’s knowledge over that of others, especially those at a lower level in the hierarchy, etc.Intending to ensure the safety of patient care, healthcare institutions have put in place some different policies, courses, and procedures; however, one of the main recommendations is the implementation of a patient safety culture, which involves having a proactive mindset that values the identification and prevention of errors, effective communication, continuous learning and constant improvement.<a class="elsevierStyleCrossRef" href="#bib0015">3</a> It, therefore, encompasses the values, attitudes, perceptions, and behaviours that prevail in a healthcare setting, and plays a critical role in preventing errors and improving the quality of care.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> Recent studies reveal that it is critical to continuously assess safety culture to diagnose areas for improvement to promote the quality and safety of patient care,<a class="elsevierStyleCrossRef" href="#bib0025">5</a> and it is for this reason that nurses are considered a key patient safety link between patients themselves and other healthcare professionals since they play a key role in promoting a patient safety culture. First of all, it is important, in our work as nurses, that we are conscious of the need to promote and increase our skills in providing safety and security. With this in mind, it can be said that the healthcare professional must learn to communicate properly, establishing communication with built-in redundancy between the sender and the receiver; working as a team; allowing leadership over the task to be assigned to the most expert; asking for help or asking about what you do not know before acting, understanding that all together we are smarter than ourselves in isolation; constantly identifying the risks that arise in daily work and doing whatever is necessary to avoid these; relying less and less on memory and checking more frequently through the use of checklists. We need to be an example to others as regards these behaviour patterns and adhere to the institution’s care guidelines. This is based not only on the large number of adverse events that take place in the world on a day-to-day basis but also on the principles of wanting to be and ought to be. If healthcare professionals improve their attitude, they will surely obtain better results and will avoid adverse events, as it is precisely one’s own attitude that healthcare professional can themselves control.FundingNo funding was received for the production of this research.Conflict of interestNone stated by the author." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The global burden of unsafe medical care: analytic modelling of observational studies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.K. Jha" 1 => "I. Larizgoitia" 2 => "C. Audera-Lopez" 3 => "N. Prasopa-Plaizier" 4 => "H. Waters" 5 => "D.W. Bates" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmjqs-2012-001748" "Revista" => array:6 [ "tituloSerie" => "BMJ Qual Saf" "fecha" => "2013" "volumen" => "22" "paginaInicial" => "809" "paginaFinal" => "815" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24048616" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eventos adversos y acciones esenciales para la seguridad del paciente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "N.A. Riera-Vázquez" 1 => "G. Gutiérrez-Alba" 2 => "H. Reyes-Morales" 3 => "P. Pavón-León" 4 => "M.C. Gogeascoechea-Trejo" 5 => "J. Muños-Hernandez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/J.JHQR.2021.12.003" "Revista" => array:6 [ "tituloSerie" => "J Healthc Qual Res" "fecha" => "2022" "volumen" => "37" "paginaInicial" => "239" "paginaFinal" => "246" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35039248" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seguridad del paciente y cultura de seguridad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Rocco" 1 => "A. Garrido" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmclc.2017.08.006" "Revista" => array:5 [ "tituloSerie" => "Rev Med Clin Condes" "fecha" => "2017" "volumen" => "28" "paginaInicial" => "785" "paginaFinal" => "795" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K. Churruca" 1 => "L.A. Ellis" 2 => "C. Pomare" 3 => "A. Hogden" 4 => "M. Bierbaum" 5 => "J.C. Long" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmjopen-2020-043982" "Revista" => array:5 [ "tituloSerie" => "BMJ Open" "fecha" => "2021" "volumen" => "11" "paginaInicial" => "e043982" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34315788" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cultura de seguridad del paciente en la práctica clínica de enfermería" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.P.C. Brás" 1 => "M.M.C. Ferreira" 2 => "M.C.A.B. Figueiredo" 3 => "J.C. Duarte" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1518-8345.6231.3836" "Revista" => array:4 [ "tituloSerie" => "Rev Latino-Am Enfermagem" "fecha" => "2023" "volumen" => "31" "paginaInicial" => "e3836" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24451479/0000003400000001/v1_202402090538/S2445147924000122/v1_202402090538/en/main.assets" "Apartado" => array:4 [ "identificador" => "63167" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24451479/0000003400000001/v1_202402090538/S2445147924000122/v1_202402090538/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2445147924000122?idApp=UINPBA00004N"]

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Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nurses from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. Its objectives are to promote the dissemination of knowledge, promote the development of evidence in care and contribute to the integration of research in clinical practice. These objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Reviews, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes two kinds of articles: comments about original articles of special interest written by experts, and evidence synthesis articles based on bibliographic reviews. The journal is included in National Library of Medicine/Pubmed/Medline, Scopus/SCImago Journal Rank(SJR), Emerging Sources Citation Index (ESCI) (Clarivate Analytics), CINHAL, Elsevier Bibliographic Databases, EBSCO Publishing, Biblioteca Nacional de Ciencias de la Salud, CSIC/IME, IBECS, Latindex, CUIDEN, Dialnet, Google Scholar Metrics.

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Vol. 34. Issue 1.

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