日本《医院患者安全文化调查》（HSOPS）的发展与适用性。
Development and applicability of Hospital Survey on Patient Safety Culture (HSOPS) in Japan.
机构信息
Department of Social Medicine, Toho University School of Medicine, Tokyo, Japan.
出版信息
BMC Health Serv Res. 2011 Feb 7;11:28. doi: 10.1186/1472-6963-11-28.
BACKGROUND
Patient safety culture at healthcare organizations plays an important role in guaranteeing, improving and promoting overall patient safety. Although several conceptual frameworks have been proposed in the past, no standard measurement tool has yet been developed for Japan.
METHODS
In order to examine possibilities to introduce the Hospital Survey on Patient Safety Culture (HSOPS) in Japan, the authors of this study translated the HSOPS into Japanese, and evaluated its factor structure, internal consistency, and construct validity. Healthcare workers (n = 6,395) from 13 acute care general hospitals in Japan participated in this survey.
RESULTS
Confirmatory factor analysis indicated that the Japanese HSOPS' 12-factor model was selected as the most pertinent, and showed a sufficiently high standard partial regression coefficient. The internal reliability of the subscale scores was 0.46-0.88. The construct validity of each safety culture sub-dimension was confirmed by polychoric correlation, and by an ordered probit analysis.
CONCLUSIONS
The results of the present study indicate that the factor structures of the Japanese and the American HSOPS are almost identical, and that the Japanese HSOPS has acceptable levels of internal reliability and construct validity. This shows that the HSOPS can be introduced in Japan.
背景
医疗机构的患者安全文化在保障、改善和促进整体患者安全方面发挥着重要作用。尽管过去已经提出了几个概念框架，但尚未为日本开发出标准的测量工具。
方法
为了研究在日本引入患者安全文化医院调查（HSOPS）的可能性，本研究的作者将 HSOPS 翻译成日语，并评估了其因子结构、内部一致性和构念效度。来自日本 13 家急性护理综合医院的 6395 名医护人员参与了这项调查。
结果
验证性因子分析表明，日本 HSOPS 的 12 因子模型被选为最合适的模型，且具有足够高的标准偏回归系数。各分量表得分的内部一致性为 0.46-0.88。通过多项式相关和有序概率分析，确认了每个安全文化子维度的构念效度。
结论
本研究结果表明，日本和美国 HSOPS 的因子结构几乎相同，日本 HSOPS 具有可接受的内部一致性和构念效度水平。这表明 HSOPS 可以在日本引入。
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