title: [Analysis of the safety culture in a Cardiology Unit managed by processes].
abstract: Safety culture is one of the requirements for preventing the occurrence of adverse effects. However, this has not been studied in the field of cardiology. The aim of this study is to evaluate the safety culture in a cardiology unit that has implemented and certified an integrated quality and risk management system for patient safety.
  
  
  
  A cross-sectional observational study was conducted in 2 consecutive years, with all staff completing the Spanish version of the questionnaire, "Hospital Survey on Patient Safety Culture" of the "Agency for Healthcare Research and Quality", with 42 items grouped into 12 dimensions. The percentage of positive responses in each dimension in 2014 and 2015 were compared, as well as national data and United States data, following the established rules.
  
  
  
  The overall assessment out of a possible 5, was 4.5 in 2014 and 4.7 in 2015. Seven dimensions were identified as strengths. The worst rated were: staffing, management support and teamwork between units. The comparison showed superiority in all dimensions compared to national data, and in 8 of them compared to American data.
  
  
  
  The safety culture in a Cardiology Unit with an integrated quality and risk management patient safety system is high, and higher than nationally in all its dimensions and in most of them compared to the United States.
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España. Electronic address: Rrasoraso@gmail.com.
authors.forename: Rafael
authors.initials: R
authors.lastname: Raso-Raso
authors.affiliation: Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, San Vicente del Raspeig, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Uris-Selles
authors.affiliation: Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, San Vicente del Raspeig, España.
authors.forename: Andreu
authors.initials: A
authors.lastname: Nolasco-Bonmatí
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Grau-Jornet
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Rosa
authors.initials: R
authors.lastname: Revert-Gandia
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Rebeca
authors.initials: R
authors.lastname: Jiménez-Carreño
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Ruth M
authors.initials: RM
authors.lastname: Sánchez-Soriano
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Carlos I
authors.initials: CI
authors.lastname: Chamorro-Fernández
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: Elvira
authors.initials: E
authors.lastname: Marco-Francés
authors.affiliation: Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors.forename: José V
authors.initials: JV
authors.lastname: Albero-Martínez
mesh_terms: D016507:Cardiology Service, Hospital / Q000458:organization & administration / Q000592:standards*; D003430:Cross-Sectional Studies; D006801:Humans; D061214:Patient Safety; D010564:Personnel, Hospital / Q000706:statistics & numerical data; D012308:Risk Management / Q000379:methods; D017751:Safety Management; D013030:Spain; D011795:Surveys and Questionnaires; D014481:United States
keywords: Cardiology; Cardiología; Cultura de seguridad; España; Gestión de la calidad; Hospital; Patient safety; Quality management; Safety culture; Seguridad del paciente; Spain