Complicações da comunicação buco-sinusal em cirurgias bucais: fatores de riscos, complicações e intervenções / Complications of oral-sinusal communication in oral surgery: risk factors and interventions

A comunicação buco-sinusal, uma conexão direta entre boca e seios maxilares, ocorre comumente pela extração de dentes próximos ao seio maxilar e outros procedimentos. O diagnóstico precoce é crucial para prevenir complicações graves. A abordagem terapêutica varia conforme o tamanho do defeito, presença de infecção e localização específica. Realizou-se uma breve revisão de literatura qualitativa abordando as principais complicações da comunicação buco sinusal na cirurgia bucal e como intervi-las. Buscou-se artigos científicos indexados nas seguintes bases de dados: Google Scholar, Pubmed e Biblioteca Scielo com lapso temporal de 2013 a 2023. Foram utilizados para esta busca os seguintes descritores: Comunicação buco-sinusal; Complicações; Seio maxilar. Os critérios de inclusão desta pesquisa foram artigos em inglês, português e espanhol, sendo selecionados 26 trabalhos. Os principais critérios de exclusão foram artigos com mais de 10 anos de publicação. A prevenção e gestão eficaz das complicações na comunicação oral em cirurgias são essenciais. Identificar fatores de risco, usar técnicas cirúrgicas precisas e agir imediatamente diante de sinais de comunicação com os seios da face são medidas cruciais para garantir a segurança do paciente e aprimorar os resultados cirúrgicos.

Oral-sinusal communication, a direct connection between the mouth and maxillary sinuses, commonly occurs due to the extraction of teeth close to the maxillary sinus and other procedures. Early diagnosis is crucial to prevent serious complications. The therapeutic approach varies according to the size of the defect, presence of infection and specific location. A brief qualitative literature review was carried out looking at the main complications of oral sinus communication in oral surgery and how to intervene. We searched for scientific articles indexed in the following databases: Google Scholar, Pubmed and Scielo Library with a time span from 2013 to 2023. The following descriptors were used for this search: Oral-sinus communication; Complications; Maxillary sinus. The inclusion criteria for this study were articles in English, Portuguese and Spanish, and 26 papers were selected. The main exclusion criteria were articles published more than 10 years ago. The prevention and effective management of oral communication complications during surgery are essential. Identifying risk factors, using precise surgical techniques and acting immediately in the event of signs of communication with the sinuses are crucial measures to ensure patient safety and improve surgical outcomes.

Implementation of bedside medication preparation in intensive care: post-improvement cycle.

OBJECTIVE: To assess the implementation of the bedside medication preparation process in an Intensive Care Unit, following a quality improvement cycle. METHOD: A quasi-experimental study with non-paired samples, pre- and post-implementation, conducted in an Intensive Care Unit of a public hospital in southern Brazil, from September 2022 to April 2023, following the guidelines of the Standards for Quality Improvement Reporting Excellence 2.0. Adherence to bedside medication preparation, interruptions during preparation, adequate storage, identification and validity of multidose medications, and recording of storage refrigerator temperature were evaluated. Shapiro-Wilk and Mann-Whitney U tests were used for data analysis, and Carter's Positivity Index was used to determine compliance with observed practices. RESULTS: Forty-five audits were conducted pre-intervention and 122 audits three months after the implementation of the improvement cycle. All variables showed significant improvements. Overall compliance increased from 46% to 80% in the pre- and post-implementation periods, respectively, indicating a transition from "undesirable" to "safe" care stratum. CONCLUSION: The study revealed a positive relationship between the implementation of a quality improvement cycle focused on medication preparation and improvements in patient safety.

Carta de derechos para la seguridad del paciente / Patient Safety Bill of Rights

La presente publicación , teniendo en cuenta que aproximadamente uno de cada diez pacientes sufre algún tipo de daño cuando se le presta atención de salud, y que cada año se producen más de tres millones de muertes en todo el mundo a causa de una atención de salud insegura, describe los derechos de los pacientes en el contexto de la seguridad, en particular dado que más del 50% de esos daños son evitables. Se promueve la defensa de los derechos del paciente a la seguridad, tal como lo establecen las normas internacionales en materia de derechos humanos, para todas las personas, en todas partes, independientemente de su edad, género, etnia o raza, lengua, religión, discapacidad, situación socioeconómica o cualquier otra condición. La Carta ayudará a las partes interesadas a formular políticas y legislación, y a crear mecanismos que garanticen el respeto, la protección y el cumplimiento de los derechos de los pacientes a una atención segura

INFO IST Outubro 2024 / INFO IST October 2024

Jornal na sua 10ª edição (outubro 2024) com a análise e elaboração de conteúdo pela gerência de IST/AIDS e gerência de Hepatites Virais - SES- RJ.

Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital.

OBJECTIVES: to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture. METHODS: a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened. RESULTS: all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors. CONCLUSIONS: with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution's leaders.

Validação do procedimento operacional padrão para os cuidados de enfermagem no banho de aspersão no quotidiano do idoso institucionalizado / Validation of the standard operating procedure for nursing care in spray baths in the daily lives of institutionalized elderly people

Objetivo: Construir e validar um Procedimento Operacional Padrão para os cuidados de enfermagem no banho de aspersão, no cotidiano de uma Instituição de Longa Permanência para Idosos (ILPI). Metodologia: Estudo metodológico, desenvolvido em três etapas: revisão integrativa da literatura; entrevista individual; e validação de conteúdo por experts no cuidado com idoso. Resultados: A revisão integrativa da literatura foi composta por 13 artigos selecionados em seis bases de dados. Após análise dos dados qualitativos provenientes das entrevistas dos profissionais atuantes na instituição de longa permanência, emergiram duas categorias centrais: rotinas do banho de aspersão; e potências e limites no banho de aspersão. Conclusão: O Procedimento Operacional Padrão para os cuidados de Enfermagem no banho de aspersão no cotidiano de uma instituição de longa permanência para idosos é um recurso necessário para a segurança do idoso, qualifica a prática e promove melhor desempenho profissional. (AU)

Objective: Build and validate a Standard Operating Procedure for nursing care in the spray bath, in the daily life of a Long-Term Institution for the Elderly (LTCF). Methodology: Methodological study, developed in three stages: integrative literature review; individual interview; and content validation by experts in elderly care. Results: The integrative literature review consisted of 13 articles selected from six databases. After analyzing the qualitative data from interviews with professionals working in the long-term care institution, two central categories emerged: spray bath routines; and powers and limits in the spray bath. Conclusion: The Standard Operating Procedure for Nursing care in the spray bath in the daily routine of a long-term care institution for the elderly is a necessary resource for the safety of the elderly, qualifies the practice and promotes better professional performance.(AU)

Objetivo: Construir y validar un Procedimiento Operativo Estándar para el cuidado de enfermería en el baño de aspersión, en el cotidiano de una Institución de Larga Estancia para Adultos Mayores (LTCF). Metodología: Estudio metodológico, desarrollado en tres etapas: revisión integrativa de la literatura; entrevista individual; y validación de contenidos por parte de expertos en el cuidado de personas mayores. Resultados: La revisión integrativa de la literatura estuvo compuesta por 13 artículos seleccionados de seis bases de datos. Después de analizar los datos cualitativos de las entrevistas con profesionales que trabajan en la institución de cuidados a largo plazo, surgieron dos categorías centrales: rutinas de baños de spray; y poderes y límites en el baño de spray. Conclusión: El Procedimiento Operativo Estándar para el cuidado de Enfermería en el baño de aspersión en el día a día de una institución de atención a personas mayores es un recurso necesario para la seguridad de las personas mayores, califica la práctica y promueve un mejor desempeño profesional.(AU)

Segurança do paciente: Conhecimento dos discentes do curso técnico em enfermagem / Patient safety: Knowledge of students on the technical nursing course

Objetivo: Identificar a compreensão dos estudantes do curso de técnico em enfermagem sobre o erro humano e a segurança do paciente. Método: Pesquisa quantitativa, exploratória e descritiva, realizada entre abril e maio de 2023, por meio de um questionário online. Resultados: Participaram 312 discentes de uma instituição de ensino de São Paulo. Dentre os aspectos conceitu-ais 95,5% dos alunos concordaram que trabalhar com maior cuidado é uma efetiva estratégia de prevenção de futuros erros; em relação aos aspectos atitudinais 66,8% dos participantes concordaram que atuam em instituições que promovem boas práticas para a promoção da segurança do paciente. Conclusão: Foi possível identificar a presença de lacunas de conhecimento dos estudantes entre os aspectos conceituais e atitudinais avaliados pelo questionário. Portanto, sugere-se uma abordagem mais enfática acerca da segurança do paciente durante a formação desses futuros profissionais.(AU)

Objective: To identify nursing technician students' understanding of human error and patient safety. Method: Quantitati-ve, exploratory and descriptive research, carried out between April and May 2023, using an online questionnaire. Results: 312 students from an educational institution in São Paulo took part. Among the conceptual aspects, 95.5% of the students agreed that working with greater care is an effective strategy for preventing future errors; in relation to the attitudinal aspects, 66.8% of the participants agreed that they work in institutions that promote good practices to promote patient safety. Conclusion: It was possible to identify gaps in students' knowledge between the conceptual and attitudinal aspects assessed by the questionnaire. Therefore, a more emphatic approach to patient safety during the training of these future professionals is suggested.(AU)

Objetivo: Identificar la comprensión de los estudiantes de técnico de enfermería sobre el error humano y la seguridad del paciente. Método: Investigación cuantitativa, exploratoria y descriptiva, realizada entre abril y mayo de 2023, mediante cuestionario online. Resultados: Participaron 312 estudiantes de una institución de enseñanza de São Paulo. Entre los aspectos conceptuales, 95,5% de los alumnos concordaron que trabajar con mayor cuidado es una estrategia eficaz para prevenir errores futuros; en relación a los aspectos actitudinales, 66,8% de los participantes concordaron que trabajan en instituciones que promueven buenas prácticas para promover la seguridad del paciente. Conclusiones: Fue posible identificar brechas en el conocimiento de los estudiantes entre los aspectos conceptuales y actitudinales evaluados por el cuestionario. Por lo tanto, se sugiere un abordaje más enfático de la seguridad del paciente durante la formación de estos futuros profesionales.(AU)

Development of Automated Triggers in Ambulatory Settings in Brazil: Protocol for a Machine Learning-Based Design Thinking Study.

BACKGROUND: The use of technologies has had a significant impact on patient safety and the quality of care and has increased globally. In the literature, it has been reported that people die annually due to adverse events (AEs), and various methods exist for investigating and measuring AEs. However, some methods have a limited scope, data extraction, and the need for data standardization. In Brazil, there are few studies on the application of trigger tools, and this study is the first to create automated triggers in ambulatory care. OBJECTIVE: This study aims to develop a machine learning (ML)-based automated trigger for outpatient health care settings in Brazil. METHODS: A mixed methods research will be conducted within a design thinking framework and the principles will be applied in creating the automated triggers, following the stages of (1) empathize and define the problem, involving observations and inquiries to comprehend both the user and the challenge at hand; (2) ideation, where various solutions to the problem are generated; (3) prototyping, involving the construction of a minimal representation of the best solutions; (4) testing, where user feedback is obtained to refine the solution; and (5) implementation, where the refined solution is tested, changes are assessed, and scaling is considered. Furthermore, ML methods will be adopted to develop automated triggers, tailored to the local context in collaboration with an expert in the field. RESULTS: This protocol describes a research study in its preliminary stages, prior to any data gathering and analysis. The study was approved by the members of the organizations within the institution in January 2024 and by the ethics board of the University of São Paulo and the institution where the study will take place. in May 2024. As of June 2024, stage 1 commenced with data gathering for qualitative research. A separate paper focused on explaining the method of ML will be considered after the outcomes of stages 1 and 2 in this study. CONCLUSIONS: After the development of automated triggers in the outpatient setting, it will be possible to prevent and identify potential risks of AEs more promptly, providing valuable information. This technological innovation not only promotes advances in clinical practice but also contributes to the dissemination of techniques and knowledge related to patient safety. Additionally, health care professionals can adopt evidence-based preventive measures, reducing costs associated with AEs and hospital readmissions, enhancing productivity in outpatient care, and contributing to the safety, quality, and effectiveness of care provided. Additionally, in the future, if the outcome is successful, there is the potential to apply it in all units, as planned by the institutional organization. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/55466.

Safe care mobile application for surgical patients: development, content validation, and usability validation.

OBJECTIVE: To describe the development, content validation, and usability of an application to orient surgical patients and ensure their safety. METHOD: Methodological study, carried out between July and August 2023, developed in three stages: (1) selection of relevant content based on a review of scientific literature; (2) development of the application; and (3) validation of the content and usability of the software, evaluated using two validated instruments, which were sent to eight nurse judges from the states of São Paulo, Minas Gerais, and Santa Catarina, and eight professional information technology judges from Minas Gerais. RESULTS: The contents of the "Minha Cirurgia" application included information based on relevant scientific literature regarding patient safety, preoperative guidelines, timing of surgery, and post-surgical care. Its content was classified as "superior" and its usability was classified as "the best possible" by the judges. CONCLUSION: The application was approved by nurses and IT professionals regarding its content and usability. It will be available for free download in the Play Store. The tool is expected to be useful in the education of surgical patients, allowing them to acquire knowledge that supports them in the search for safe care.

Development and Implementation of a Safety Incident Report System for Health Care Discipline Students During Clinical Internships: Observational Study.

BACKGROUND: Patient safety is a fundamental aspect of health care practice across global health systems. Safe practices, which include incident reporting systems, have proven valuable in preventing the recurrence of safety incidents. However, the accessibility of this tool for health care discipline students is not consistent, limiting their acquisition of competencies. In addition, there is no tools to familiarize students with analyzing safety incidents. Gamification has emerged as an effective strategy in health care education. OBJECTIVE: This study aims to develop an incident reporting system tailored to the specific needs of health care discipline students, named Safety Incident Report System for Students. Secondary objectives included studying the performance of different groups of students in the use of the platform and training them on the correct procedures for reporting. METHODS: This was an observational study carried out in 3 phases. Phase 1 consisted of the development of the web-based platform and the incident registration form. For this purpose, systems already developed and in use in Spain were taken as a basis. During phase 2, a total of 223 students in medicine and nursing with clinical internships from universities in Argentina, Brazil, Colombia, Ecuador, and Spain received an introductory seminar and were given access to the platform. Phase 3 ran in parallel and involved evaluation and feedback of the reports received as well as the opportunity to submit the students' opinion on the process. Descriptive statistics were obtained to gain information about the incidents, and mean comparisons by groups were performed to analyze the scores obtained. RESULTS: The final form was divided into 9 sections and consisted of 48 questions that allowed for introducing data about the incident, its causes, and proposals for an improvement plan. The platform included a personal dashboard displaying submitted reports, average scores, progression, and score rankings. A total of 105 students participated, submitting 147 reports. Incidents were mainly reported in the hospital setting, with complications of care (87/346, 25.1%) and effects of medication or medical products (82/346, 23.7%) being predominant. The most repeated causes were related confusion, oversight, or distractions (49/147, 33.3%) and absence of process verification (44/147, 29.9%). Statistically significant differences were observed between the mean final scores received by country (P<.001) and sex (P=.006) but not by studies (P=.47). Overall, participants rated the experience of using the Safety Incident Report System for Students positively. CONCLUSIONS: This study presents an initial adaptation of reporting systems to suit the needs of students, introducing a guided and inspiring framework that has garnered positive acceptance among students. Through this endeavor, a pathway toward a safety culture within the faculty is established. A long-term follow-up would be desirable to check the real benefits of using the tool during education. TRIAL REGISTRATION: Trial Registration: ClinicalTrials.gov NCT05350345; https://clinicaltrials.gov/study/NCT05350345.

Carta dos Direitos de Segurança do Paciente

A Carta dos Direitos da Segurança do Paciente é um recurso fundamental destinado a apoiar a implementação do Plano de Ação Global para a Segurança do Paciente 2021–2030: Rumo à eliminação de danos evitáveis ​​nos cuidados de saúde. A Carta visa delinear os direitos dos pacientes no contexto da segurança e promove a defesa desses direitos, conforme estabelecido pelas normas internacionais de direitos humanos, para todos, em todos os lugares, em todos os momentos.

Carta de derechos para la seguridad del paciente

La Declaración de Derechos sobre Seguridad del Paciente es un recurso clave destinado a apoyar la implementación del Plan de acción global para la seguridad del paciente 2021-2030: hacia la eliminación de daños evitables en la atención de salud. La Carta tiene como objetivo perfilar los derechos de los pacientes en el contexto de la seguridad y promueve la defensa de estos derechos, tal como lo establecen las normas internacionales de derechos humanos, para todos, en todas partes y en todo momento.

Speaking Up About Patient Safety, Withholding Voice and Safety Climate in Clinical Settings: a Cross-Sectional Study Among Ibero-American Healthcare Students.

Objectives: To explore speaking up behaviours, barriers to openly expressing patient safety concerns, and perceived psychological safety climate in the clinical setting in which healthcare trainees from Ibero-America were receiving their practical training. Methods: Cross-sectional survey of healthcare trainees from Colombia, Mexico, and Spain (N = 1,152). Before the field study, the Speaking Up About Patient Safety Questionnaire (SUPS-Q) was translated into Spanish and assessed for face validity. A confirmatory factor analysis was conducted to establish the construct validity of the instrument, and the reliability was assessed. The SUPS-Q was used to evaluate voice behaviours and the perceived psychological safety climate among Ibero-American trainees. Descriptive and frequency analyses, tests for contrasting means and proportions, and logistic regression analyses were performed. Results: Seven hundred and seventy-one trainees had experience in clinical settings. In the previous month, 88.3% had experienced patient safety concerns, and 68.9% had prevented a colleague from making an error. More than a third had remained silent in a risky situation. Perceiving concerns, being male or nursing student, and higher scores on the encouraging environment scale were associated with speaking up. Conclusion: Patient safety concerns were frequent among Ibero-American healthcare trainees and often silenced by personal and cultural barriers. Training in speaking up and fostering safe interprofessional spaces is crucial.

Root cause analysis of safety incidents in antineoplastic use in children.

OBJECTIVES: to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients. METHODS: a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors. RESULTS: in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages. CONCLUSIONS: the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.

Global Perfusion Practice Survey: Readiness of On-Call and Emergency Operation Rooms.

INTRODUCTION: Perfusion safety in cardiac surgery is vital, and this survey explores perfusion practices, perspectives, and challenges related to it. Specifically, it examines the readiness of on-call and emergency operation rooms for perfusion-related procedures during urgent situations. The aim is to identify gaps and enhance perfusion safety protocols, ultimately improving patient care. METHODS: This was a preliminary survey conducted as an initial exploration before committing to a comprehensive study. The sample size was primarily determined based on a one-month time frame. The survey collected data from 236 healthcare professionals, including cardiac surgeons, perfusionists, and anesthetists, using an online platform. Ethical considerations ensured participant anonymity and voluntary participation. The survey comprised multiple-choice and open-ended questions to gather quantitative and qualitative data. RESULTS: The survey found that 53% preferred a dry circuit ready for emergencies, 19.9% preferred primed circuits, and 19.1% chose not to have a ready pump at all. Various reasons influenced these choices, including caseload variations, response times, historical practices, surgeon preferences, and backup perfusionist availability. Infection risk, concerns about error, and team dynamics were additional factors affecting circuit readiness. CONCLUSION: This survey sheds light on current perfusion practices and challenges, emphasizing the importance of standardized protocols in regards to readiness of on-call and emergency operation rooms. It provides valuable insights for advancing perfusion safety and patient care while contributing to the existing literature on the subject.

Nursing care for hospitalized older adults - fall accidents versus safe mobility: a scoping review.

OBJECTIVES: to map the constituent elements of the safe mobility concept present in hospital care for older adults. METHODS: a scoping review of 35 articles searched in databases and gray literature - BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed and CAPES Theses and Dissertations Catalog. No time or language cut-off was established. RESULTS: none of the studies presented a clear safe mobility concept, however its constituent elements involve factors related to patient (behavioral factors, conditions, diseases, signs and symptoms, nutritional status, age, balance, strength, gait quality, sleep), the institution (environment, treatment devices, guidelines, medications and polypharmacy, material and human resources and clothing/shoes) and the nature of the interventions (related to the patient, institution and family). FINAL CONSIDERATIONS: the constituent elements of safe mobility express hospital units' capacity to guarantee care and protection from fall accidents for hospitalized older adults.

Association between patient safety culture and professional quality of life among nursing professionals.

OBJECTIVE: To analyze the association between patient safety culture and professional quality of life in nursing professionals. METHOD: Correlational study carried out in a hospital in Salvador, Bahia, Brazil, with 180 participants. The data were collected through the Hospital Survey on Patient Safety Culture and Professional Quality of Life Scale and analyzed with correlation tests. RESULTS: The use of the Quality of Professional Life model, which encompasses Compassion Satisfaction, Burnout and Traumatic Stress, showed that a better assessment of the safety culture was negatively associated with Burnout. Regarding the dimensions of culture, better evaluations of the general perception of safety, teamwork and staffing were negatively associated with Burnout and Traumatic Stress. Higher Burnout was negatively associated with better handoffs and greater Traumatic Stress was positively associated with error communication. CONCLUSION: Higher levels of Burnout were associated with worse perception of safety culture and worse teamwork evaluations; staffing and general perception of safety were associated to a higher level of Burnout and Traumatic Stress, which emphasizes the importance of investment in these areas.

Challenges of safety culture in Surgical Center: mixed methods study.

OBJECTIVE: to analyze the safety attitudes of health and support areas professionals working in Surgical Center. METHOD: sequential explanatory mixed methods study. The quantitative stage covered 172 health and support professionals in eight Surgical Centers of a hospital complex. The Safety Attitudes Questionnaire/Surgical Center was applied. In the subsequent qualitative stage, 16 professionals participated in the Focus Group. Photographic methods were used from the perspective of ecological and restorative thinking, and data analysis occurred in an integrated manner, through connection. RESULTS: the general score, by group of Surgical Centers, based on the domains of the Safety Attitudes Questionnaire/Surgical Center, reveals a favorable perception of the safety climate, with emphasis on the domains Stress Perception, Communication in the Surgical Environment, Safety Climate and Perception of Professional Performance. The overall analysis of the domain Communication and Collaboration between Teams appears positive and is corroborated by data from the qualitative stage, which highlights the importance of interaction and communication between healthcare teams as fundamental for daily work. CONCLUSION: the perception of safety attitudes among health and support professionals was positive. The perception of the nursing team stands out as closer or more favorable to attitudes consistent with the safety culture.

Patient safety culture in the Operating Room of an emergency hospital in Amazonas: perspectives from the healthcare team.

INTRODUCTION: The concept of safe care permeates health institutions around the world, however, it is necessary to understand the safety culture of an institution to improve the provision of safety to patients and professionals. METHODOLOGY: Cross-sectional study with a quantitative approach. The sample was made up of 119 health professionals who made up the multidisciplinary team at the surgical center from August to September 2021, where data collection took place. The Hospital Survey on Patient Safety Culture (HSOPSC) instrument was used to evaluate the twelve dimensions that make up patient safety culture. Data analysis was carried out using descriptive statistics, to evaluate the reliability of the responses to the HSOPSC instrument, the Cronbachs Alpha test was used. RESULTS: Of the twelve dimensions evaluated, there was no dimension considered strong for patient safety in the unit. The dimensions with potential for patient safety were "Expectations and actions of the supervisor/manager to promote patient safety"; "Teamwork within units" and "Organizational learning - continuous improvement", while all other dimensions were evaluated as weak for patient safety. 39.50% of participants consider patient safety in the unit to be regular, despite this, 89.91% of participants reported not having made any event notifications in the last 12 months. CONCLUSION: The study highlighted the need to strengthen all dimensions of the patient safety culture by the team at the hospital studied, as none of them were identified as strong.

Validation of the patient reported experiences and outcomes of safety in primary care compact Form Brazil.

OBJECTIVE: To analyze the psychometric properties of the cross-culturally adapted version of the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) Compact Form Brazil. METHODS: A methodological study was conducted with 281 adult Primary Health Care users. Data collection took place online. Confirmatory Factor Analysis (CFA) was used to evaluate the psychometric properties of the PREOS-PC after the process of cross-cultural adaptation to the Brazilian context. Internal consistency was evaluated through Cronbach's alpha coefficient (α) and McDonald's omega coefficient (ω). RESULTS: The sample consisted of 73.3% women. The mean age was 36.1 years (SD = 12.2). Of the 23 items of the PREOS-PC that were eligible for CFA, a model with four correlated domains and 16 items presented satisfactory fit indexes. The domains were Practice Activation (PrA) (four items), Patient Activation (PaA) (two items), Experiences of patient safety events (EPaS) (five items) and Outcomes of patient safety (OPaS) (six items). One domain (GPeS) presented one question with a 0 to 10 response scale and two open questions, which cannot be inserted in the CPA due to the nature of the items, but can be included in the application of the scale, being evaluated individually. In this factorial model, five items (EPaS2, EPaS3, EPaS4, EPaS5, EPaS6 and EPaS8) presented factor loadings ≤ 0.30. The α and ω values demonstrated good internal consistency for all domains of the PREOS-PC. CONCLUSIONS: The Brazilian version of the PREOS-PC Compact Form Brazil composed of four domains (PrA, PA, EPaS and OPaS) and 16 items presented evidence of validation of its psychometric properties and can be used to evaluate the experiences and results of patient safety in Primary Health Care in the Brazilian context.