ArticleBMJ open quality2025
Patient safety culture through the perspectives of healthcare workers: a longitudinal study in a private healthcare network in Brazil.
Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The trial behind it
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Who cites it
2 citing papers in PubMed.
- Temporal trends in hospital technical quality under unified clinical governance: a nationwide multicenter longitudinal study in Brazil.BMC health services research · 2026Article
- Effect of Accreditation on Patient Safety Culture: Insights from a Brazilian Multicenter Cross-Sectional Study.Global journal on quality and safety in healthcare · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhancing security and dependability of health systems necessitates resource allocation, a well-defined infrastructure and a steadfast commitment to ensuring its safety and stability over time.
objectiveThe aim of this study was to evaluate the temporal trend of patient safety culture according to the perception of professionals working in a private healthcare network in Brazil over a 7-year period (2015-2022).
methodsThe Hospital Survey on Patient Safety Culture questionnaire was distributed to 34 hospitals between 2015 and 2022 with 160 607 responders. A linear mixed-effects regression model was applied to fit the trend for the dimension score over time.
resultsOut of the 12 measured dimensions in the HSOPSC Survey, 8 showed significant improvement over a 7-year period (p<0.05). The dimensions of communication openness (p=0.22), non-punitive response to errors (p=0.08), staffing (p=0.06) and the frequency of reported events (p=0.22) have not demonstrated improvement over time. Management support for patient safety and organisational learning received positive responses from at least 75% of those surveyed in 2022, earning the distinction as 'strong areas of patient safety'. Comparing 2015 and 2022, the proportion of participants who rated their unit/work area on patient safety as 'fair' or 'good' decreased, while the proportion of participants who considered it 'very good' increased (p<0.001).
conclusionsFindings indicate an improvement in patient safety culture from 2015 to 2022. Key challenges identified in enhancing safety culture included communication openness, staffing, frequency of reported events, and nonpunitive response to errors.
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Registered trials
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