Cultura de segurança do paciente e atenção primária à saúde: Medical Office Survey on Patient Safety Culture (MOSPSC) na estratégia saúde da família

Abstract

Health services are the privileged locus of health care systems, characterized as the space where the professionals and material technologies responsible for providing health care to the population are located (NOVAES, 2004). Primary health care is essential health care based on practical, scientifically well-founded and socially acceptable methods and technologies, placed within the universal reach of individuals and families in the community, through their full participation and at a cost that the community and country can maintain at each stage of its development, in the spirit of self-confidence and self-determination (WORLD HEALTH ORGANIZATION, 2000). After 30 years of the constitutional creation of the Sistema Único de Saúde, the importance of PHC in expanding access, improving health indicators and reducing socio-regional inequalities should be recognized (GIOVANELLA; RIZZOTTO, 2018). The patient safety culture is a complex and interdependent topic with the principles of the Sistema Único de Saúde. The patient safety culture is one in which people, whether workers, managers or users, recognize their role and responsibilities in a process of autonomy with co-responsibility. Understanding that the observation of facts must be carried out in a punishment-free way, but firm in the necessary transformation and improvement of processes, the safety culture is intensely dynamic and intimately related to health education and in-service training (MINAYO, 2014). Assessing the safety culture in primary care provides the basic understanding for safety and detailed insights from health care providers. The safety culture must be regularly evaluated to assess the effectiveness of safety in health institutions (AL LAWATI et al., 2018). Thus, the objective was to assess the patient safety culture in primary care in primary health units in the Federal District.