Safety culture in surgical centers from the perspective of the multiprofessional team

Keywords: Surgicenters; Organizational Culture; Patient Safety; Nursing.


Objective: to evaluate the safety culture through an observation of the safety climate of health workers from a Surgical Center. Methods: cross-sectional study in eight surgical centers from a hospital complex. A validated Brazilian version of the Safety Attitudes Questionnaire/Operating Room was applied to a convenience sample of 172 health and support workers (physicians and nurses). The Chi-squared, Student's t, and Mann-Whitney's tests were used. Results: the general evaluation showed a positive safety climate. Only the nursing professionals reached the minimum score that indicates a positive result in the domain Quality of communication and collaboration. The domains Safety climate, Stress recognition, Communication in the surgical environment, and Perception of professional performance showed positive results, while Perception of management and Work conditions had the worst scores. Conclusion: the safety climate was positive. Nonetheless, communication showed shortcomings pointed out by the workers. Contributions to practice: identifying domains that need to be improved helps fomenting safety culture in surgical centers, leading to better care outcomes and work environments.


Gomes JA, Martins MM, Tronchin DMR, Fernandes CS. Quality assessment of the surgery center regarding structure, process and results. Cogitare Enferm. 2021;26:e71083. doi:

Holmer H, Bekele A, Hagander L, Harrison EM, Kamali P, Ng‐Kamstra JS, et al. Evaluating the collection, comparability and findings of six global surgery indicators. Br J Surgery. 2019;106(2):e138-e150.doi:

Covre ER, Melo WA, Tostes MFP, Fernandes CAM. Permanence, cost and mortality related to surgical admissions by the Unified Health System. Rev Latino-am Enfermagem. 2019;27:e3136. doi:

Batista J, Cruz EDA, Alpendre FT, Rocha DJM, Brandão MB, Maziero ECS. Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil. Rev Latino-am Enfermagem. 2019;27:e2939. doi:

Erestam S, Haglind E, Bock D, Anderson AE, Angenete E. Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study. Patient Saf Surg. 2017;11:4. doi:

Magalhães FHL, Pereira ICA, Luiz RB, Barbosa MH, Ferreira MBG. Patient safety atmosphere in a teaching hospital. Rev Gaúcha Enferm. 2019;40(esp):e20180272. doi:

Lourenção DCA, Tronchin DMR. Safety climate in the surgical center: validation of a questionnaire for the Brazilian scenario. Rev Eletr Enf. 2018;20:v20a10. doi:

Lourenção DCA, Tronchin DMR. Confirmatory factor analysis of the safety attitudes questionnaire/operating room. Enferm Glob. 2019;18(3):230-45. doi:

Dezordi CCM, Benett SAW, Tanaka AK da R, Benetti ERR, Treviso P, Caregnato RCA, et al. Safety climate in the operating room: attitudes of health professionals. Cogitare Enferm. 2020;25:e65577. doi:

World Health Organization. Consensus statement: role of policy-makers and health care leaders in implementation of the Global Patient Safety Action Plan 2021–2030 [Internet]. 2022 [cited May 13, 2022]. Available from:

Sousa EN, Alexandre SG, Silva RA, Araújo TM, Martins MG, Caetano JA. Healing process of venous ulcers of difficult healing in treatment with an Unna’s boot. Rev Rene. 2022;23:e72429. doi:

Fassarella CS, Fernandes LFG, Cavalcanti RS, Camerini FG, Meneses RO, Souza RM. Safety culture at the university surgery center. Res Soc Dev. 2020;9(8):e119985164. doi:

Fagundes TE, Acosta AS, Gouvea PB, Massaroli R, Rangel RCT, Andrade PD. Cultura de segurança do paciente em centro cirúrgico na perspectiva da equipe de enfermagem. J Nurs Health [Internet]. 2021 [cited Jan. 6, 2022];11(2):e2111219510. Available from:

Mucelini FC, Matos FGO, Silva EB, Alves DCI, Nishiyama JAP, Oliveira JLC. Clima de segurança do paciente em centro cirúrgico: avaliação pela equipe multidisciplinar. Rev SOBECC. 2021;26(2):91-8. doi:

Barboza PC, Pires AS, Pérez Júnior EF, Oliveira EB, Santo TBE, Gallasch CH. The meaning of work: perspectives of nursing professionals who work in clinical units. Rev Rene. 2018;19:e32819. doi:

Gutierres LS, Santos JLG, Barbosa SFF, Maia ARC, Koerich C, Gonçalves N. Adherence to the objectives of the Safe Surgery Saves Lives Initiative: perspective of nurses. Rev Latino-am Enfermagem. 2019;27:e3108. doi:

Kolankiewicz ACB, Schmidt CR, Carvalho REFL, Spies J, Dal Pai S, Lorenzini E. Patient safety culture from the perspective of all the workers of a general hospital. Rev Gaúcha Enferm. 2020;41:e20190177. doi:

Ramírez-Torres CA, Pedraz-Marcos A, Maciá-Soler ML, Rivera-Sanz FA. Scoping review of strategies used to implement the surgical safety checklist. AORN J. 2021;113(6):610-9. doi:

Oliveira JLC, Magalhães AMM, Bernardes A, Haddad MCFL, Wolff LDG, Marcon SS, et al. Influence of hospital accreditation on professional satisfaction of the nursing team: mixed method study. Rev Latino-m Enfermagem. 2019;27:e3109. doi:

Silva Júnior JF, Jesus Júnior PJ, Carvalho TA, Campos MPA, Mendonça SCB, Lordelo DS. Cultura de segurança do paciente: percepções e atitudes dos trabalhadores de centro cirúrgico. Rev SOBECC. 2020;25(3):136-42. doi:

Santos FJ, Nascimento HM, Santos JMJ, Cunha JO, Santos JCS, Pena JA. Patient safety culture in a low-risk maternity hospital. ABCS Health Sci. 2019;44(1):52-7. doi:

Akgül GY, Aksoy N. The relationship between organizational stress levels and patient safety attitudes in operating room staff. J Perianesth Nurs. 2021;36(5):499-506. doi:

Liao X, Zhang P, Xu X, Zheng D, Wang J, Li Y, et al. Analysis of factors influencing safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. J Healthc Eng. 2022;2022:8315511. doi:

How to Cite
Oliveira Junior, N. J. de, Lourenção, D. C. de A., Poveda, V. de B., Riboldi, C. de O., Martins, F. Z., & Magalhães, A. M. M. de. (2022). Safety culture in surgical centers from the perspective of the multiprofessional team. Rev Rene, 23, e78412.
Research Article