Evaluación de la cultura sobre seguridad del paciente entre médicos residentes de Medicina familiar y comunitaria en un servicio de urgencias hospitalario / Evaluation of patient safety culture among family and community medicine residents in a hospital A and E department

Fundamento. La mejora de la seguridad de los pacientes es prioritaria en los centros sanitarios. En los programas de las especialidades no aparece como un área de aprendizaje específica. El objetivo de este trabajo es evaluar la cultura de seguridad de los MIR de Medicina de Familia. Material y métodos. Estudio descriptivo transversal. Como cuestionario se utilizó la versión española del “Hospital Survey on Patient Safety”. Se determinaron las fortalezas y oportunidades de mejora del servicio de Urgencias. Resultados. La dimensión mejor valorada fue el trabajo en equipo en urgencias. Las peor calificadas fueron “dotación de personal” y “apoyo de la gerencia”. Ningún encuestado había notificado incidentes en el servicio. Conclusiones. Existe, entre los MIR encuestados, un desconocimiento de las vías para notificar eventos adversos, así como una deficiencia formativa en cultura de seguridad. Ésta debería potenciarse en la formación de los especialistas en Medicina Familiar y Comunitaria (AU)

Background. Improving patient safety is a priority in all health care centres. It does not appear as a specific area of training in specialty programs. The aim of this study is to evaluate the safety culture of Family Medicine residents (MIR - Médico Interno Residente/Medical Internship and Residency).Methods. Transversal descriptive study. The Spanish version of the “Hospital Survey on Patient Safety” questionnaire was used. Strengths and opportunities for improving the service of the A & E Department were determined. Results. The most highly valued dimension was team work in the A & E Department. The worst qualified were “staffing” and “management support”. None of those surveyed had notified any incidents in the unit. Conclusions. Amongst the MIR surveyed there is a lack of knowledge about the channels for notifying adverse events, as well as a training deficiency in safety culture. This should be strengthened in the training of specialists in Family and Community Medicine (AU)

[Evaluation of patient safety culture among family and community medicine residents in a hospital A& E department]. / Evaluación de la cultura sobre seguridad del paciente entre médicos residentes de medicina familiar y comunitaria en un servicio de urgencias hospita.

BACKGROUND: Improving patient safety is a priority in all health care centres. It does not appear as a specific area of training in specialty programs. The aim of this study is to evaluate the safety culture of Family Medicine residents (MIR - Médico Interno Residente/Medical Internship and Residency). METHODS: Transversal descriptive study. The Spanish version of the "Hospital Survey on Patient Safety" questionnaire was used. Strengths and opportunities for improving the service of the A & E Department were determined. RESULTS: The most highly valued dimension was teamwork in the A & E Department. The worst qualified were "staffing" and "management support". None of those surveyed had notified any incidents in the unit. CONCLUSIONS: Amongst the MIR surveyed there is a lack of knowledge about the channels for notifying adverse events, as well as a training deficiency in safety culture. This should be strengthened in the training of specialists in Family and Community Medicine.