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25 - DADOS PÚBLICOS DA CULTURA DE SEGURANÇA DO PACIENTE: SUBSÍDIOS PARA A POLÍTICA NACIONAL DE QUALIDADE E SEGURANÇA DO PACIENTE

Doi: 10.47094/IIICOLUBRASMU.2026/RS/27

PALAVRAS CHAVE: Segurança do paciente. Gestão da segurança. Cultura organizacional.

KEYWORDS: Patient safety. Safety management. Organizational culture.

ABSTRACT:
Introduction: Patient safety culture is a cornerstone of quality care and the strengthening of resilient health systems. In Brazil, initiatives aimed at patient safety were driven by the National Patient Safety Program (PNSP)—established by Ministry of Health Ordinance No. 529/2013—and by RDC Resolution No. 36/2013 from the National Health Surveillance Agency (Anvisa). Building upon these initiatives, the National Patient Safety and Quality Policy (PNQSP)—established by Ministry of Health Ordinance No. 11.527/2026—reinforces the importance of using data to support decision-making, risk management, and the continuous improvement of health services. Objective: To analyze the potential of national public data on patient safety culture as a strategic tool for hospital management and for strengthening the actions proposed by the PNQSP. Methodology: A descriptive and analytical documentary study based on public data from Anvisa regarding national assessments of patient safety culture using the Hospital Survey on Patient Safety Culture (HSOPS), versions 1 and 2. Overall results, as well as identified strengths and weaknesses, were analyzed and discussed in light of the PNQSP. Results: Analysis of national assessments conducted between 2021 and 2026—involving 1,108 health services, 240,519 respondents, and representation from all 27 federal units—demonstrated an evolution in the overall safety culture score (from 60.7% to 65.8%), the frequency of incident reporting (from 34.7% to 47.1%), and the positive perception of safety (from 73.7% to 77.8%). Organizational learning, continuous improvement, and support from immediate supervisors stood out as strengths. Conversely, a non-punitive response to errors, an institutional response to errors, staffing levels, and work pace emerged as priorities for improvement. The findings highlight the potential of public data as a tool for benchmarking and management support. Final considerations: National public data on patient safety culture constitute a strategic tool for hospital management, supporting the implementation of the PNQSP and contributing to the strengthening of a just culture and risk management, as well as the continuous improvement of care quality.

Autores

  • Andréa Mara Bernardes Da Silva

  • Ester Lara Nunes De Souza

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