Cultura de segurança do paciente em uma unidade de terapia intensiva coronariana de um hospital público universitário em Minas Gerais

Abstract

This study aimed to analyze the patient safety culture in a Coronary Intensive Care Unit (CCU) of a public university hospital in Minas Gerais, from the perspective of healthcare professionals. The method adopted was a single descriptive case study, using quantitative and qualitative techniques. In the first stage, the Hospital Survey on Patient Safety Culture (HSOPSC) instrument was applied to 110 professionals, analyzing the twelve dimensions of safety culture according to the recommendations of the Agency for Healthcare Research and Quality (AHRQ). In the second stage, semi-structured interviews were conducted and subjected to thematic analysis according to Franco. The quantitative results highlighted the shift handover/transfer dimension as a strength (77.3%), while management support for patient safety (12.9%) and staffing levels (14.4%) were identified as critical areas. Qualitative analysis revealed factors that interfere with the consolidation of a safety culture, such as work overload, communication failures, fear of punishment, and low managerial participation, but also pointed to positive practices of cooperation and multi-professional commitment. Data triangulation demonstrated convergence between structural weaknesses and professionals' perceptions, reinforcing the need for participative leadership, open communication, and encouragement of non-punitive reporting. It is concluded that the safety culture at UCO is at an intermediate stage of maturity, requiring continuous institutional actions to strengthen organizational learning and co-responsibility in care.