Factores asociados a la cultura de seguridad de los pacientes en diálisis en el contexto de la pandemia por COVID-19

Rodrigues, Tatiana Aparecida; Amaral, Fabrícia Moreira Amorim; Hoffmann, Marília Alves; Azevedo, Cissa; Ribeiro, Helen Cristiny Teodoro Couto; Mata, Luciana Regina Ferreira da

doi:10.1590/0034-7167-2022-0280

person Tatiana Aparecida Rodrigues

contributed to the conception or design of the study/research · contributed to the analysis and/or interpretation of data · contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil

0000-0002-0208-1866

person Fabrícia Moreira Amorim Amaral

contributed to the analysis and/or interpretation of data · contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil

0000-0003-4765-0062

person Marília Alves Hoffmann

contributed to the analysis and/or interpretation of data · contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

0000-0002-1950-9080

person Cissa Azevedo

contributed to the analysis and/or interpretation of data · contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

0000-0001-5881-5710

person Helen Cristiny Teodoro Couto Ribeiro

contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil

0000-0001-9365-7228

person Luciana Regina Ferreira da Mata

contributed to the conception or design of the study/research · contributed to the analysis and/or interpretation of data · contributed to the final review with critical and intellectual participation in the manuscript

schoolUniversidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

0000-0002-5080-4643

Corresponding author: Luciana Regina Ferreira da Mata, E-mail:
lucianarfmata@gmail.com

EDITOR IN CHIEF: Antonio José de Almeida Filho

ASSOCIATE EDITOR: Jules Teixeira

	General		Public service		Philanthropic service		Private service
	n	%	n	%	n	%	n	%
Response rate	114	92.03	65	90.3	21	75.9	28	84.8
Profession
Administration	9	7.9	2	3.1	2	7.1	5	23.8
Multidisciplinary	9	7.9	6	9.2	1	3.6	2	9.5
Physicians	29	25.4	16	24.6	8	28.6	5	23.8
Nursing	56	49.1	36	55.4	14	50.0	6	28.6
Missing	11	9.6	5	7.7	3	10.7	3	14.3
	M	SD	M	SD	M	SD	M	SD
Working time in service	6.99	±5.55	8.87	±5.91	6.12	±3.70	2.00	±1.82
Working time at the unit	7.16	±5.68	7.1	±4.81	7.68	±6.05	6.42	±7.76
Hours weekly	30.22	±13.31	31.69	±9.91	27.32	±13.95	29.26	±16.50
Number of adverse event reporting	1.60	±3.23	1.72	±2.56	1.80	±5.11	0.94	±1.58
Specialization time	12.89	±7.72	14.58	±6.83	10.32	±7.80	10.95	±9.19

Dimensions	General	Public service	Philanthropic service	Private service
Dimensions	PPR% (95%CI)^*	PPR% (95%CI)^*	PPR% (95%CI)^*	PPR% (95%CI)^*
Percentage of positive responses	62.3† (67.2-57.4)	56.0† (61.7-50.3)	68.3† (73.8-62.8)	72.1† (77.5-66.7)
D1 - Frequency of event reporting	58.9† (63.4-54.5)	48.2‡ (56.2-40.1)	73.2† (81.4-65.1)	71.7† (79.6-63.8)
D2 - Perception of safety	53.9† (84.6-23.2)	49.2‡ (82.4-16.1)	58.3† (87.1-29.5)	62.8† (90.2-35.5)
D3 - Supervisor/manager expectations & actions promoting safety	76.60§ (83.4-69.8)	71.5† (83.5-59.5)	84.5§ (89.9-79.0)	81.7§ (83.9-79.5)
D4 - Organizational learning-continuous improvement	85.6§ (95.8-75.5)	80.0§ (93.8-66.1)	91.6§ (101.0-82.3)	95.2§ (95.2-95.2)
D5 - Teamwork within units	72.8† (77.9-67.8)	69.6† (74.8-64.3)	75.6§ (81.7-69.6)	79.4§ (87.8-70.9)
D6 - Communication openness	56.0† (75.5-36.6)	48.7‡ (71.9-25.5)	69.9† (85.2-54.6)	61.0† (78.7-43.3)
D7 - Feedback and communication about error	60.1† (65.5-54.6)	53.5† (58.7-48.4)	68.6† (80.1-57.1)	69.3† (77.4-61.2)
D8 - Nonpunitive response to error	29.3‡ (47.4-11.2)	19.0‡ (37.0-1.0)	37.3‡ (62.5-12.1)	52.2† (67.4-36.9)
D9 - Staffing	49.3‡ (70.3-28.3)	41.8‡ (69.2-14.5)	64.7† (78.3-51.1)	52.1† (66.4-37.8)
D10 - Hospital management support for patient safety	63.5† (69.7-57.4)	53.6† (57.7-49.6)	77.6§ (95.4-59.9)	75.7§ (80.0-71.4)
D11 - Teamwork within units	55.9† (65.2-46.7)	46.5† (54.4-38.6)	67.7† (74.3-61.1)	75.8§ (94.8-94.8)
D12 - Hospital handoffs & transitions	56.7† (66.2-47.2)	52.7† (62.2-43.1)	60.0† (76.6-43.5)	68.9† (73.4-64.4)

Dimensions	Nursing	Medicine	Multidisciplinary	Administration
Dimensions	PPR% (95%CI)^*	PPR% (95%CI)^*	PPR% (95%CI)^*	PPR% (95%CI)^*
Percentage of positive responses	55.8† (61.2-50.4)	67.8† (73.1-62.6)	61.3† (67.3-55.4)	66.5† (73.1-60.0)
D1 - Frequency of event reporting	48.3‡ (55.2-41.5)	63.8† (66.8-60.7)	62.7† (75.4-49.9)	79.3§ (89.3-69.3)
D2 - Perception of safety	53.2† (86.9-53.2)	62.0† (95.2-28.8)	46.8‡ (77.5-16.1)	65.2† (86.3-44.2)
D3 - Supervisor/manager expectations & actions promoting safety	74.4† (82.7-67.6)	78.8§ (84.1-73.6)	75.0§ (91.3-58.6)	77.4§ (85.7-69.0)
D4 - Organizational learning-continuous improvement	85.0§ (94.7-74.8)	87.3§ (105.3-69.3)	85.1§ (99.7-70.6)	100.0§ (100.0-100.0)
D5 - Teamwork within units	68.6† (75.2-63.6)	88.6§ (93.1-84.1)	83.3§ (89.6-77.0)	63.8† (74.3-53.4)
D6 - Communication openness	55.2† (78.2-35.7)	62.0† (83.7-40.3)	64.3† (75.5-53.2)	50.0† (81.4-18.5)
D7 - Feedback and communication about error	58.7† (61.2-53.3)	61.5† (72.5-50.5)	61.1† (72.0-50.2)	76.8§ (89.5-64.1)
D8 - Nonpunitive response to error	26.3‡ (46.4-8.2)	40.6‡ (69.1-12.0)	35.1‡ (55.1-15.2)	35.4‡ (44.6-26.2)
D9 - Staffing	46.5‡ (71.1-25.5)	52.5† (74.1-31.1)	47.2‡ (65.8-28.6)	44.8‡ (54.3-35.3)
D10 - Hospital management support for patient safety	60.1† (67.4-53.9)	73.8† (76.1-71.5)	63.4† (79.1-47.6)	73.2† (80.5-65.9)
D11 - Teamwork within units	53.5† (63.3-44.2)	62.8† (68.8-56.8)	55.5† (64.4-46.6)	64.7† (85.2-44.2)
D12 - Hospital handoffs & transitions	55.5† (66.9-45.9)	57.8† (70.7-44.9)	55.5† (64.4-46.6)	63.9† (78.1-49.7)

Variables	unadjusted β	Wald 95%CI		Hypothesis test
Variables	unadjusted β	Lower	Upper	x² Wald	df	p value
Interception
Service
Private service	42.62	32.001	54.481	56.851	1	<0.001
Philanthropic service	43.24	25.400	52.192	32.221	1	<0.001
Public service	0

[1] PPR - Percentage of Positive Responses; ^{^*}95%CI - 95% Confidence Interval;

[TFN1] ^†
Dimensions classified as opportunities for improvement;

[TFN2] ^‡
Dimensions classified as weaknesses;

[TFN3] ^§
Dimensions classified as strengths.