Revista Científica Interdisciplinaria Investigación y Saberes
2024, Vol. 14, No. 2 e-ISSN: 1390-8146
Published by: Universidad Técnica Luis Vargas Torres
How to cite this article (APA):
Caicedo, I., Alvarado, E. (2024) Safety culture an essential component
of quality of care, Revista Científica Interdisciplinaria Investigación y Saberes, 14(2) 63-80
Safety culture an essential component of quality of care
La cultura de seguridad un componente esencial de la calidad asistencial
Iliana Alicia Caicedo Castro
MsC. Instituto Superior Tecnológico Universitario Espíritu Santo iacaicedo@tes.edu.ec
https://orcid.org/0009-0009-9744-9608
Eduardo Alvarado Villamar
Lic. Instituto Superior Tecnológico Universitario Espíritu Santo ealvarado2@tes.edu.ec
https://orcid.org/0009-0000-1900-1431
Safety focuses not only on the effectiveness of treatment, but also on
trust in the procedures and integrity of the system of care. This article
corresponds to a result of the research project “Promotion strategies
on adherence to pharmacological treatment in patients at the León
Becerra Hospital in Guayaquil” developed by teachers and students
of the Pharmacy Assistance career, of the TES. The objective sought
is to analyze how the safety culture allows guaranteeing quality in
medical care at the León Becerra Hospital in Guayaquil, an
explanatory investigation was used, for the study sample five
documentary theses were analyzed, which allowed an in-depth
analysis of the topic, the techniques were the documentary review
and longitudinal study technique, as an instrument the results
collection sheet was applied.
Key words:
Safety, Patient, Care, Medical, Culture.
Resumen
La seguridad no solo se centra en la eficacia del tratamiento, sino
también en la confianza en los procedimientos y la integridad del
Abstract
Received 2024-01-12
Revised 2024-03-14
Published 2024-05-01
Corresponding Author
Iliana Alicia Caicedo Castro
iacaicedo@tes.edu.ec
Pages: 63-80
https://creativecommons.org/lice
nses/by-nc-sa/4.0/
Distributed under
Copyright: © The Author(s)
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
64
sistema de atención. Este artículo se corresponde con un resultado
del proyecto de investigación “Estrategias de promoción sobre la
adherencia al tratamiento farmacológico en pacientes del Hospital
León Becerra de Guayaquil” que desarrollan docentes y estudiantes
de la carrera de Asistencia en Farmacias, del TES. El objetivo que
busca es analizar como la cultura de seguridad permite garantizar la
calidad en la atención medica en el Hospital León Becerra de
Guayaquil, se utilizó una investigación explicativa, para la muestra del
estudio se analizaron cinco tesis documentales, que permitieron un
análisis profundo del tema, Las técnicas, fueron la revisión
documental y técnica de estudio longitudinal, como instrumento se
aplicó la ficha de recolección de resultados.
Palabras clave:
Seguridad, Paciente, Atención, Medica, Cultura.
Introduction
In the context of healthcare, where quality is a priority to ensure the
well-being of patients, safety is positioned as an indispensable
element. However, the notion of quality is not only limited to the
effectiveness of treatments, but also encompasses confidence in
procedures and the integrity of the care system. In this sense, safety
culture emerges as an essential component of quality assurance.
This culture is not reduced to the application of protocols and
regulations, but implies a shared mindset among all those involved in
the healthcare setting, promoting transparency, continuous learning
and constant improvement. In this brief introduction, we will explore
how safety culture becomes a fundamental pillar in delivering
excellent healthcare and safeguarding the health of those who need
it most.
In many healthcare settings, the lack of a strong safety culture
contributes to a number of challenges that compromise the quality of
care provided to patients. The absence of a culture that promotes
open communication, proactive identification of risks, and active
involvement of medical and administrative staff in continuous process
improvement can lead to medical errors, preventable adverse events,
and decreased patient confidence in the healthcare system.
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
65
This raises a number of issues about the safety and effectiveness of
medical care, negatively impacting patients' quality of life and
generating additional costs for the healthcare system. Therefore,
understanding and addressing gaps in safety culture becomes a
crucial priority to ensure that all patients receive safe, high-quality
care.
The objective seeks to analyse how safety culture helps to ensure a
culture of safety and quality of care at the León Becerra Hospital in
Guayaquil. Understanding how values, norms and practices within a
medical entity influence error prevention, effective communication
among staff and the promotion of a continuous learning environment
is essential to ensure patient safety and improve clinical outcomes.
From the adoption of standardised protocols to the promotion of a
continuous learning and improvement mindset, safety culture
becomes a fundamental pillar for excellence in healthcare.
Furthermore, detailed analysis of how safety culture relates to all
levels of a healthcare institution reveals its direct impact on quality of
care. Promoting a culture that fosters transparency, accountability and
teamwork among healthcare professionals not only reduces the
incidence of errors, but also strengthens patient confidence in the
healthcare system. By integrating culture and safety practices as an
essential component of quality at the León Becerra Hospital in
Guayaquil into every aspect of care, from process design to staff
training, an environment conducive to providing quality care that
prioritises patient safety and well-being is established.
The study of safety culture in healthcare is crucial for several reasons.
One is, it provides an in-depth understanding of how factors influence
patient safety and quality of care. This understanding enables the
identification of areas for improvement and the development of
effective strategies to prevent errors and minimise risks in healthcare
processes. Likewise, the study of safety culture promotes a proactive
mindset in risk management, rather than a reactive one, leading to
safer and higher quality care.
The fundamental purpose of analysing the safety culture in healthcare
at León Becerra Hospital in Guayaquil is to ensure the quality of
services provided to patients. An organisational culture that prioritises
safety creates an environment where open communication,
interdisciplinary collaboration and continuous learning are
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
66
encouraged. These elements are essential to identify and address
potential errors before they adversely affect patients. In addition, a
strong safety culture increases the confidence of patients at Hospital
León Becerra de Guayaquil in the healthcare system and improves
their satisfaction with the care they receive, contributing to more
positive clinical outcomes and greater efficiency in the delivery of
medical services.
In order to carry out the analysis of the safety culture in health care at
León Becerra Hospital in Guayaquil, it is necessary to integrate
explanatory research. This involves conducting comprehensive
assessments of existing safety policies, processes and practices in
health care institutions. Through document collection and analysis,
areas for improvement can be identified and specific strategies
developed to strengthen the safety culture. In addition, it is crucial to
involve all stakeholders, including organisational leaders, clinical staff
and patients, in the process of continuous improvement of patient
safety.
As cited by Mella, M. et al (2020) where the International Atomic
Energy Agency introduced the concept of "safety culture" after the
Chernobyl nuclear disaster in 1986. To date, this term has been the
subject of multiple definitions. The European Society for Quality in
Healthcare describes it as a comprehensive model encompassing
both individual and organisational behaviour, based on shared beliefs
and values, with the ongoing goal of reducing the harm associated
with healthcare.
The definition provided by the European Society for Quality in
Healthcare emphasises the holistic nature of safety culture,
encompassing both individual and organisational behaviour in
healthcare. It underlines the importance of shared values and beliefs
in promoting a culture of safety, with the ongoing goal of minimising
the harms associated with healthcare. This analysis highlights the
evolution and breadth of the concept of safety culture, as well as its
critical relevance in improving quality and safety in the health sector.
León, C. (2006), mentions that ensuring patient safety requires
assuming both legal and moral responsibilities in exercising and
practising the profession competently and safely, avoiding
negligence and malpractice, as well as fostering self-determination
and self-regulation.
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
67
The author highlights the fundamental importance of patient safety in
health care. It stresses the need for health professionals to assume
both legal and moral responsibilities in the exercise of their duties,
which implies practising competently and safely, avoiding negligence
and malpractice. This approach emphasises the importance of ethics
and professional integrity in the provision of medical services. In
addition, self-determination and self-regulation are emphasised,
suggesting the need for patients to be actively involved in their
medical care and for health professionals to be committed to
continuous improvement and compliance with quality standards
within the León Becerra Hospital in Guayaquil.
According to Ramírez, P & Pérez, J. (2021), a safety culture promotes
a work environment where the various factors that can contribute to
an incident, as well as the events that precede it, are considered and
recognised. In recent years, there have been significant advances in
the promotion of patient safety, with an increasingly deep and
nuanced understanding of its meaning. Robust methods are being
developed to measure and, to some extent, improve this culture. It is
important to note that the vast majority of incidents are not the result
of intentional actions or lack of competence on the part of healthcare
professionals, although it is recognised that even the most skilled staff
can make serious mistakes.
The author highlights the evolution and importance of a safety culture
in the health care work environment. It is emphasised that such a
culture involves considering and recognising the factors that may
contribute to incidents, as well as the events preceding them. In
addition, there is evidence of significant progress in the
understanding of patient safety, which has become deeper and more
nuanced over time.
The development of more robust methods for measuring and
improving safety culture in the medical environment. It is emphasised
that the vast majority of incidents are not the result of intentional
actions or lack of competence on the part of healthcare personnel,
although the possibility of even the most skilled professionals making
serious errors is acknowledged (Mogollon, I., et al., 2020). In this
sense, the text suggests that an effective safety culture is crucial to
prevent incidents and improve the quality of healthcare, recognising
the inherent complexity of healthcare delivery and the need to
address it systematically and continuously.
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
68
As referenced by Lara, N. (2020), pharmaceutical care encompasses
all activities related to the use of medicines in the health care setting,
including decision-making about their use, administration and
evaluation of their effectiveness. This encompasses a wide range of
services ranging from prevention, diagnosis and treatment to
rehabilitation, provided by a variety of health professionals such as
physicians, dentists, nurses, pharmacists and other health personnel.
The author stresses that pharmaceutical care encompasses all
activities related to the use of medicines, from decision-making about
their use to the evaluation of their effectiveness, and includes a variety
of services ranging from prevention to rehabilitation. Furthermore, it
is emphasised that this care is provided by a diverse range of health
professionals, such as physicians, dentists, nurses, pharmacists and
other health personnel.
Methodology
In the context of healthcare, where quality is a priority to ensure the
well-being of patients, safety is positioned as an indispensable
element. However, the notion of quality is not only limited to the
effectiveness of treatments, but also encompasses confidence in
procedures and the integrity of the care system. In this sense, safety
culture emerges as an essential component of quality assurance.
This culture is not reduced to the application of protocols and
regulations, but implies a shared mindset among all those involved in
the healthcare setting, promoting transparency, continuous learning
and constant improvement. In this brief introduction, we will explore
how safety culture becomes a fundamental pillar in delivering
excellent healthcare and safeguarding the health of those who need
it most.
In many healthcare settings, the lack of a strong safety culture
contributes to a number of challenges that compromise the quality of
care provided to patients. The absence of a culture that promotes
open communication, proactive identification of risks, and active
involvement of medical and administrative staff in continuous process
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
69
improvement can lead to medical errors, preventable adverse events,
and decreased patient confidence in the healthcare system.
This raises a number of issues about the safety and effectiveness of
medical care, negatively impacting patients' quality of life and
generating additional costs for the healthcare system. Therefore,
understanding and addressing gaps in safety culture becomes a
crucial priority to ensure that all patients receive safe, high-quality
care.
GENERAL OBJECTIVES
The objective seeks to analyse how safety culture helps to ensure a
culture of safety and quality of care at the León Becerra Hospital in
Guayaquil. Understanding how values, norms and practices within a
medical entity influence error prevention, effective communication
among staff and the promotion of a continuous learning environment
is essential to ensure patient safety and improve clinical outcomes.
From the adoption of standardised protocols to the promotion of a
continuous learning and improvement mindset, safety culture
becomes a fundamental pillar for excellence in healthcare.
Furthermore, detailed analysis of how safety culture relates to all
levels of a healthcare institution reveals its direct impact on quality of
care. Promoting a culture that fosters transparency, accountability and
teamwork among healthcare professionals not only reduces the
incidence of errors, but also strengthens patient confidence in the
healthcare system. By integrating culture and safety practices as an
essential component of quality at the León Becerra Hospital in
Guayaquil into every aspect of care, from process design to staff
training, an environment conducive to providing quality care that
prioritises patient safety and well-being is established.
The study of safety culture in healthcare is crucial for several reasons.
One is, it provides an in-depth understanding of how factors influence
patient safety and quality of care. This understanding enables the
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
70
identification of areas for improvement and the development of
effective strategies to prevent errors and minimise risks in healthcare
processes. Likewise, the study of safety culture promotes a proactive
mindset in risk management, rather than a reactive one, leading to
safer and higher quality care.
The fundamental purpose of analysing the safety culture in healthcare
at León Becerra Hospital in Guayaquil is to ensure the quality of
services provided to patients. An organisational culture that prioritises
safety creates an environment where open communication,
interdisciplinary collaboration and continuous learning are
encouraged. These elements are essential to identify and address
potential errors before they adversely affect patients. In addition, a
strong safety culture increases the confidence of patients at Hospital
León Becerra de Guayaquil in the healthcare system and improves
their satisfaction with the care they receive, contributing to more
positive clinical outcomes and greater efficiency in the delivery of
medical services.
In order to carry out the analysis of the safety culture in health care at
León Becerra Hospital in Guayaquil, it is necessary to integrate
explanatory research. This involves conducting comprehensive
assessments of existing safety policies, processes and practices in
health care institutions. Through document collection and analysis,
areas for improvement can be identified and specific strategies
developed to strengthen the safety culture. In addition, it is crucial to
involve all stakeholders, including organisational leaders, clinical staff
and patients, in the process of continuous improvement of patient
safety.
As cited by Mella, M. et al (2020) where the International Atomic
Energy Agency introduced the concept of "safety culture" after the
Chernobyl nuclear disaster in 1986. To date, this term has been the
subject of multiple definitions. The European Society for Quality in
Healthcare describes it as a comprehensive model encompassing
both individual and organisational behaviour, based on shared beliefs
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
71
and values, with the ongoing goal of reducing the harm associated
with healthcare.
The definition provided by the European Society for Quality in
Healthcare emphasises the holistic nature of safety culture,
encompassing both individual and organisational behaviour in
healthcare. It underlines the importance of shared values and beliefs
in promoting a culture of safety, with the ongoing goal of minimising
the harms associated with healthcare. This analysis highlights the
evolution and breadth of the concept of safety culture, as well as its
critical relevance in improving quality and safety in the health sector.
León, C. (2006), mentions that ensuring patient safety requires
assuming both legal and moral responsibilities in exercising and
practising the profession competently and safely, avoiding
negligence and malpractice, as well as fostering self-determination
and self-regulation.
The author highlights the fundamental importance of patient safety in
health care. It stresses the need for health professionals to assume
both legal and moral responsibilities in the exercise of their duties,
which implies practising competently and safely, avoiding negligence
and malpractice. This approach emphasises the importance of ethics
and professional integrity in the provision of medical services. In
addition, self-determination and self-regulation are emphasised,
suggesting the need for patients to be actively involved in their
medical care and for health professionals to be committed to
continuous improvement and compliance with quality standards
within the León Becerra Hospital in Guayaquil.
According to Ramírez, P & Pérez, J. (2021), a safety culture promotes
a work environment where the various factors that can contribute to
an incident, as well as the events that precede it, are considered and
recognised. In recent years, there have been significant advances in
the promotion of patient safety, with an increasingly deep and
nuanced understanding of its meaning. Robust methods are being
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
72
developed to measure and, to some extent, improve this culture. It is
important to note that the vast majority of incidents are not the result
of intentional actions or lack of competence on the part of healthcare
professionals, although it is recognised that even the most skilled staff
can make serious mistakes.
The author highlights the evolution and importance of a safety culture
in the health care work environment. It is emphasised that such a
culture involves considering and recognising the factors that may
contribute to incidents, as well as the events preceding them. In
addition, there is evidence of significant progress in the
understanding of patient safety, which has become deeper and more
nuanced over time.
The development of more robust methods for measuring and
improving safety culture in the medical environment. It is emphasised
that the vast majority of incidents are not the result of intentional
actions or lack of competence on the part of healthcare personnel,
although the possibility of even the most skilled professionals making
serious errors is acknowledged (Mogollon, I., et al., 2020). In this
sense, the text suggests that an effective safety culture is crucial to
prevent incidents and improve the quality of healthcare, recognising
the inherent complexity of healthcare delivery and the need to
address it systematically and continuously.
As referenced by Lara, N. (2020), pharmaceutical care encompasses
all activities related to the use of medicines in the health care setting,
including decision-making about their use, administration and
evaluation of their effectiveness. This encompasses a wide range of
services ranging from prevention, diagnosis and treatment to
rehabilitation, provided by a variety of health professionals such as
physicians, dentists, nurses, pharmacists and other health personnel.
The author stresses that pharmaceutical care encompasses all
activities related to the use of medicines, from decision-making about
their use to the evaluation of their effectiveness, and includes a variety
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
73
of services ranging from prevention to rehabilitation. Furthermore, it
is emphasised that this care is provided by a diverse range of health
professionals, such as physicians, dentists, nurses, pharmacists and
other health personnel.
Results
Alvarez, S. (2019), in his thesis mentions that, in this study, no
dimension reaches the threshold to be considered a strength. The
continuous improvement learning dimension registered the highest
percentage of positive responses, specifically 70%, but even so it
cannot be labelled as a strength. On the other hand, the dimensions
with the lowest percentages of positive responses are, in ascending
order, feedback and communication about errors, comprising 45%,
followed by safety culture and the human resources dimension, both
with a percentage of positive responses of 46%. These findings
suggest that efforts should be concentrated on these dimensions
when making decisions related to patient safety.
In the thesis entitled "Impact of patient safety culture in the face of
the SARS-CoV-2 pandemic" by Mata, L. (2021). The results found that
the articles included are distributed according to the type of study as
follows: 50% (9 articles) correspond to descriptive studies and the
same percentage to quantitative studies, followed by 25% (4 articles)
of news articles on reliable websites and another 25% (4 articles) of
explanatory studies. From these findings, crucial issues are identified,
such as patient safety culture, the relationship and impact during the
coronavirus pandemic, and the strategies implemented.
Cordero, J. et al. (2018), the results of their study, benefits the surgical
team by facilitating the development of strategies aimed at mitigating
adverse events related to surgical procedures. In addition, it
contributed to raising awareness among healthcare professionals
about the relevance of this aspect, guiding their attention towards
comprehensive patient safety. This will encourage responsible and
committed action on the part of healthcare personnel in pursuit of this
goal.
In the study by Manchay, N. (2015), the presence of superfluous
activities in production processes was also analysed, which results in
wasted time and, consequently, economic losses for the company. In
Safety culture an essential component of quality of care
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addition, it highlights the lack of training among team members in
relation to new products and the need for proper planning of
activities. The aim is to improve the quality of processes by
systematically identifying and eliminating problems and continuously
improving procedures. This strategy is expected to lead to increased
productivity and employee well-being, promoting efficiency,
effectiveness and productivity under quality standards.
Gonzalez, L. et al. (2019), in their thesis found that, by implementing
the multimodal strategy, significant improvements in process
adherence were evidenced by using both face-to-face and online
training strategies for staff development. These sessions involved all
staff, both care and non-care staff, and were based on guidelines
provided by the WHO, combining theory and practice. In addition,
visual information was distributed through leaflets and posters in
different areas and units of the hospital, serving as a reminder of the
established procedures.
The study by Álvarez, S. (2019), presents a comprehensive analysis of
various dimensions related to patient safety. Although none reach the
status of strength, organisational learning/continuous improvement
stands out with the highest percentage of positive responses. On the
other hand, feedback and communication about errors, as well as
safety culture and the human resources dimension, show lower rates
of positive responses. These results highlight specific areas that
require more attention and focus in decision making to improve
patient safety. The study provides a solid basis for the implementation
of effective strategies aimed at strengthening these dimensions and
ensuring better health care outcomes that can be implemented at the
León Becerra Hospital in Guayaquil.
The analysis of the results of Mata, L. (2021), reveals a balanced
distribution of articles according to the type of study, with a notable
presence of descriptive and quantitative research, followed by news
articles on reliable websites and explanatory studies. This
methodological diversity suggests a comprehensive approach in
addressing relevant topics such as patient safety culture, the
relationship and impact during the coronavirus pandemic, and the
strategies implemented. The inclusion of diverse perspectives and
methodologies strengthens the robustness of the findings and
provides a solid basis for understanding and action in healthcare.
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Authors Cordero, J. et al. (2018), presents a thoughtful analysis of the
importance of the results obtained in relation to safety in surgical
procedures. He highlights how these results can positively impact the
work of the surgical team by allowing the development of effective
strategies to reduce adverse events, being of great contribution to
the methods applied in the León Becerra Hospital in Guayaquil. It also
underlines the crucial awareness-raising role that these findings play
in orienting the attention of health professionals towards patient
safety. In this sense, it emphasises the need for responsible and
dedicated action on the part of healthcare personnel to achieve this
crucial goal in medical care. The argumentative analysis underlines
the relevance of the results not only in terms of improving clinical
practice, but also in promoting a patient-centred safety culture.
Manchay, N. (2015), clearly and concisely exposes the existing
problems in the company's production processes, highlighting two
fundamental aspects: the presence of unnecessary tasks and the lack
of staff training in new products and effective planning. These
problems have a direct impact on the efficiency and profitability of
the company, generating time and economic losses. The proposal to
improve process quality by systematically identifying and eliminating
problems, together with continuous improvement, presents a sound
strategic approach. In doing so, it not only seeks to increase
productivity and operational efficiency, but also to improve employee
well-being. This demonstrates a clear understanding of how quality
management can not only optimise business results, but also promote
a healthier and more satisfying work environment.
In the detailed analysis of Gonzalez, L. et al. (2019), the results
obtained by implementing a multimodal strategy in a hospital setting.
It highlights how this strategy has led to visible improvements in
process adherence, which is fundamental to ensure quality and safety
in medical care at the León Becerra Hospital in Guayaquil. The
combination of both face-to-face and online human talent training
strategies demonstrates a comprehensive approach to ensuring the
training of all staff, from care to non-care staff. In addition, basing
these sessions on guidelines provided by the WHO reinforces the
quality and relevance of the training provided. The inclusion of visual
information through brochures and posters throughout the hospital
also helps to reinforce knowledge and recall of established
procedures. Taken together, these elements demonstrate a proactive
Safety culture an essential component of quality of care
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and systematic approach to improving the quality of medical care,
highlighting the importance of continuous education and effective
communication in the hospital environment.
The studies conducted by the various authors address various
dimensions of patient safety culture and its impact on medical care at
the León Becerra Hospital in Guayaquil. One of them highlights the
need to improve feedback and communication about errors, as well
as the safety culture and the human resource dimension. Another
identifies the importance of patient safety culture, highlighting the
need to implement effective strategies. Some even highlight how
safety culture benefits the surgical team by mitigating adverse events
and raising awareness among healthcare professionals.
Some authors point out the importance of process management to
improve quality and productivity in a company, highlighting the need
to systematically identify and eliminate problems. Finally, they also
demonstrate how the implementation of multimodal strategies
improves adherence to patient safety processes through training and
distribution of visual information at the León Becerra Hospital in
Guayaquil. These studies emphasise the relevance of strengthening
the patient safety culture to ensure safe and quality care.
Conclusions
In the analysis of the studies collected, it is clear that patient safety
culture plays a key role in quality assurance in healthcare at the León
Becerra Hospital in Guayaquil. It is evident that aspects such as
effective communication, staff training, process management and
awareness of the importance of patient safety are key elements in
improving standards of care. However, areas for improvement are
identified in each study, such as the need to strengthen feedback and
communication on errors, as well as the implementation of more
effective strategies during crisis situations.
Despite the efforts made in each study, it is clear that there is still
some way to go to achieve an optimal patient safety culture in all
healthcare settings. While areas for improvement have been
identified and strategies have been proposed to address them,
effective implementation of these measures remains a challenge.
Safety culture an essential component of quality of care
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Continued commitment on the part of healthcare institutions, medical
professionals and healthcare staff is required to foster an ingrained
safety culture that ensures quality in healthcare in a comprehensive
manner.
In conclusion, while the studies reviewed provide enlightening
insights into the importance of patient safety culture, there is still work
to be done to fully realise the goal of ensuring quality of care at the
Hospital León Becerra in Guayaquil. It is essential that effective
strategies continue to be researched, implemented and evaluated to
strengthen this culture in all facets of healthcare, thus ensuring the
safety and well-being of patients at all times.
Reference
Álvarez Hernández, S. L. (2019). Cultura de Seguridad del Paciente en
personal asistencial del Hospital Universitario Nacional de
Colombia (Doctoral dissertation). Recuperado de:
https://repositorio.unal.edu.co/bitstream/handle/unal/76771/T
ESIS%20MAESTR%C3%8DA%20FINAL.pdf?sequence=1
Arnau, J., & Bono, R. (2008). Estudios longitudinales de medidas
repetidas: Modelos de diseño y análisis. Escritos de Psicología
(Internet), 2(1), 32-41. Recuperado de:
https://scielo.isciii.es/scielo.php?pid=S1989-
38092008000300005&script=sci_arttext
Cordero Medina, J. E., Porras Cachuan, Y., & Torres Bedón, G. (2018).
Cultura de seguridad del paciente desarrollado por el equipo
de salud en centro quirúrgico del HNCH. Recuperado de:
https://repositorio.upch.edu.pe/bitstream/handle/20.500.1286
6/7206/Cultura_CorderoMedina_Josselyn.pdf
Espinosa, G. J. L., Izquierdo, N. V., & Bada, E. P. (2021). Médico de
familia y atención integral a la salud del trabajador. Revista
Cubana de Medicina General Integral, 37(4), 1-15. Recuperado
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
78
de: https://www.medigraphic.com/pdfs/revcubmedgenint/cmi-
2021/cmi214s.pdf
Esteban Nieto, N. (2018). Tipos de investigación. Recuperado de:
http://repositorio.usdg.edu.pe/bitstream/USDG/34/1/Tipos-
de-
Investigacion.pdf?fbclid=IwAR1KJ7KpZV2MkQLkueXTz6SoWc
1aXqcvUu6RXVsCd1Ej_yB8wKO3ZCPhiHk
Gómez, D., Carranza, Y., & Ramos, C. (2017). Revisión documental,
una herramienta para el mejoramiento de las competencias de
lectura y escritura en estudiantes universitarios. Revista
Chakiñan de Ciencias Sociales y Humanidades, (1), 46-56.
Recuperado de:
http://scielo.senescyt.gob.ec/scielo.php?pid=S2550-
67222017000300046&script=sci_arttext
Gonzalez Ávila, L. R., Morales Soler, L. C., & Peñuela, R. A.
(2019). Estrategias para la implementación de la cultura de
seguridad del paciente en el personal de enfermería (Doctoral
dissertation, Universidad Santo Tomás). Recuperado de:
https://repository.usta.edu.co/bitstream/handle/11634/10412/
2018lorenagonzalez.pdf?sequence=3
Lara-Aké, N. J. (2020). Un panorama general de la atención
farmacéutica en México. Revista de la OFIL, 30(4), 334-336.
Recuperado de: https://scielo.isciii.es/scielo.php?pid=S1699-
714X2020000400012&script=sci_arttext&tlng=pt
León Román, C. A. (2006). La seguridad del paciente, una
responsabilidad en el acto del cuidado. Revista Cubana de
enfermería, 22(3), 0-0. Recuperado de:
http://scielo.sld.cu/scielo.php?pid=S0864-
03192006000300007&script=sci_arttext&tlng=en
Manchay Lascano, N. M. (2015). Gestión de procesos en el área de
producción de la Compañía IPC DUBLAUTO ECUADOR
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
79
LTDA (Bachelor's thesis, Universidad Técnica de Ambato.
Facultad de Ingeniería en Sistemas, Electrónica e Industrial.
Carrera de Ingeniería Industrial en Procesos de
Automatización). Recuperado de:
https://repositorio.uta.edu.ec/bitstream/123456789/8651/1/Te
sis_t972id.pdf
Mata Torres, L. Y. (2021). Impacto de la cultura de seguridad del
paciente ante la pandemia por SARS-CoV-2. Recuperado de:
https://repositorio.xoc.uam.mx/jspui/bitstream/123456789/26
079/1/cbs1973633.pdf
Mella Laborde, M., Gea Velázquez, M. T., Aranaz Andrés, J. M.,
Ramos Forner, G., & Compañ Rosique, A. F. (2020). Análisis de
la cultura de seguridad del paciente en un hospital
universitario. Gaceta sanitaria, 34(5), 500-513. Recuperado de:
https://scielo.isciii.es/scielo.php?pid=S0213-
91112020000500015&script=sci_arttext
Mogollon, I. C. M., Maroto, M. M., & González, A. R. Á. (2020). Cultura
de seguridad del paciente en la formación de
enfermería. Revista Cubana de Enfermería, 36(2), 1-14.
Recuperado de:
https://www.medigraphic.com/pdfs/revcubenf/cnf-
2020/cnf202i.pdf
Ramírez de Angel, V., & Pérez Castro y Vázquez, J. A. (2021).
Percepción de la cultura de seguridad del paciente en el
Hospital Ángeles Metropolitano, mediante la aplicación de la
encuesta de la Agencia para la Investigación Sanitaria y la
Calidad (AHRQ), por sus siglas en inglés. Acta médica Grupo
Ángeles, 19(2), 195-203. Recuperado de:
https://www.scielo.org.mx/scielo.php?pid=S1870-
72032021000200195&script=sci_arttext
Safety culture an essential component of quality of care
Revista Científica Interdisciplinaria Investigación y Saberes , / 2024/ , Vol. 14, No. 2
80
Ramos-Vera, C. A. (2021). Conceptos de interés en la atención
integral de los pacientes con multimorbilidad. Atención
primaría, 53(6). Recuperado de:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024880/
