Centre for Quality and Safety in Healthcare, Bled, Slovenia.
Int J Qual Health Care. 2013 Sep;25(4):469-75. doi: 10.1093/intqhc/mzt040. Epub 2013 Jun 4.
To study the psychometric properties of a translated version of the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture (HSOPSC) in the Slovenian setting.
A cross-sectional psychometric study including principal component and confirmatory factor analysis. The percentage of positive responses for the 12 dimensions (42 items) of patient safety culture and differences at unit and hospital-level were calculated.
Three acute general hospitals.
Census of clinical and non-clinical staff (n = 976).
Model fit, internal consistency and scale score correlations.
Principal component analysis showed a 9-factor model with 39 items would be appropriate for a Slovene sample, but a Satorra-Bentler scaled χ(2) difference test demonstrated that the 12-factor model fitted Slovene data significantly better. Internal consistency was found to be at an acceptable level. Most of the relationships between patient safety culture dimensions were strong to moderate. The relationship between all 12 dimensions and the patient safety grade was negative. The unit-level dimensions of patient safety were perceived better than the dimensions at the hospital-level.
The original 12-factor model for the HSOPSC was a good fit for a translated version of the instrument for use in the Slovene setting.
研究经翻译的医疗保健研究与质量机构医院患者安全文化调查（HSOPSC）在斯洛文尼亚环境下的心理计量学特性。
包括主成分和验证性因子分析的横断面心理计量学研究。计算了患者安全文化的 12 个维度（42 个项目）的阳性反应百分比和单位及医院层面的差异。
三家急性综合医院。
临床和非临床人员普查（n = 976）。
模型拟合、内部一致性和量表得分相关性。
主成分分析显示，9 因子模型（39 个项目）适合斯洛文尼亚样本，但 Satorra-Bentler 缩放 χ(2)差异检验表明，12 因子模型更能拟合斯洛文尼亚数据。内部一致性被认为处于可接受水平。患者安全文化维度之间的大多数关系都是强到中度的。所有 12 个维度与患者安全等级呈负相关。患者安全的单位层面维度比医院层面的维度感知更好。
HSOPSC 的原始 12 因素模型在斯洛文尼亚环境下，是对该工具翻译版本的良好拟合。
