Organizational culture and climate for patient safety in dialysis services: a scoping review.

Abstract

<h4>Objective</h4>To map the scientific literature on the assessment of the organizational culture and climate for patient safety in renal dialysis services from the perspective of the multidisciplinary team.<h4>Method</h4>Scope review according to JBI methodology. The articles were extracted from LILACS via VHL, Medline via PubMed, Cochrane Library, Scopus, Web of Science, Embase and gray literature (Google Scholar, CAPES, and university repositories). All descriptors were controlled terms extracted from DeCS/MeSH or Emtree. The guiding question was: which studies available in the literature assessed the organizational culture and climate for patient safety in renal dialysis services from the perspective of the multidisciplinary team?<h4>Results</h4>A total of 13,703 studies were identified, 312 were read in full, and 12 were included. The greatest strengths were in the domains: teamwork, organizational learning and continuous improvement, feedback, and error communication. Weaknesses and opportunities for improvement involved staffing, shift change, leadership support, adverse event reporting, and non-punitive responses to errors. The professional category and type of management influenced the perception of the patient care team.<h4>Conclusion</h4>The findings highlighted areas of weakness in the organizational culture and climate for patient safety in nephrology practices, but did not detail the causal factors, which calls for further studies.