Tereanu Carmen, Smith Scott A, Sampietro Giuseppe, Sarnataro Francesco, Mazzoleni Giuliana, Pesenti Bruno, Sala Luca C, Cecchetti Roberto, Arvati Massimo, Brioschi Dania, Viscardi Michela, Prati Chiara, Barbaglio Giorgio G
Department of Hygiene and Prevention, Agenzia di Tutela della Salute, Via Borgo Palazzo n. 130, 24125 Bergamo, Italy.
Westat, Rockville, 1600 Research Blvd., RB 1194 Rockville, MD 20850, USA.
Int J Qual Health Care. 2017 Apr 1;29(2):269-275. doi: 10.1093/intqhc/mzx014.
The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture (HSOPS) was designed to assess staff views on patient safety culture in hospital. This study examines psychometrics of the Italian translation of the HSOPS for use in territorial prevention facilities.
After minimal adjustments and pre-test of the Italian version, a qualitative cross-sectional study was carried out.
Departments of Prevention (DPs) of four Local Health Authorities in Northern Italy.
Census of medical and non-medical staff (n. 479).
Web-based self-administered questionnaire.
Descriptive statistics, internal reliability, Confirmatory Factor Analysis (CFA) and intercorrelations among survey composites.
Initial CFA of the 12 patient safety culture composites and 42 items included in the original version of the questionnaire revealed that two dimensions (Staffing and Overall Perception of Patient Safety) and nine individual items did not perform well among Italian territorial Prevention staff. After dropping those composites and items, psychometric properties were acceptable (comparative fit index = 0.94; root mean square error of approximation = 0.04; standardized root mean square residual = 0.04). Internal consistency for each remaining composite met or exceeded the criterion 0.70. Intercorrelations were all statistically significant.
Psychometric analyses provided overall support for 10 of the 12 initial patient safety culture composites and 33 of the 42 initial composite items. Although the original instrument was intended for US Hospitals, the Italian translation of the HSOPS adapted for use in territorial prevention facilities performed adequately in Italian DPs.
医疗保健研究与质量局医院患者安全文化调查（HSOPS）旨在评估医院工作人员对患者安全文化的看法。本研究考察HSOPS意大利语翻译版在地区预防机构中的心理测量学特性。
对意大利语版本进行最小程度调整和预测试后，开展了一项定性横断面研究。
意大利北部四个地方卫生当局的预防部门。
医疗和非医疗工作人员普查（共479人）。
基于网络的自填式问卷。
描述性统计、内部信度、验证性因子分析（CFA）以及调查综合指标之间的相互关系。
对问卷原始版本中包含的12个患者安全文化综合指标和42个条目进行的初始CFA显示，在意大利地区预防工作人员中，两个维度（人员配备和患者安全总体感知）以及九个单个条目表现不佳。剔除这些综合指标和条目后，心理测量学特性可以接受（比较拟合指数 = 0.94；近似均方根误差 = 0.04；标准化均方根残差 = 0.04）。每个剩余综合指标的内部一致性达到或超过了0.70的标准。相互关系均具有统计学意义。
心理测量学分析为12个初始患者安全文化综合指标中的10个以及42个初始综合条目中的33个提供了总体支持。尽管原始工具是针对美国医院设计的，但适用于地区预防机构的HSOPS意大利语翻译版在意大利预防部门中表现良好。
