Mella Laborde M, Gea Velázquez M T, Ramos Forner G M, Compañ Rosique A F, Morales Calderón M, Aranaz Andrés J M
Servicio de Cirugía General y Aparato digestivo, Hospital Universitario San Juan de Alicante, Alicante, España.
Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario San Juan de Alicante, Alicante, España.
J Healthc Qual Res. 2019 Jan-Feb;34(1):12-19. doi: 10.1016/j.jhqr.2018.12.001. Epub 2019 Feb 4.
Creation and validation of a new in-house synthetic scale to measure patient safety culture.
Cross-sectional and descriptive study in which the results of the assessment of the level of safety culture in health and non-health professionals of a university hospital are collected using a new in-house synthetic scale as a measurement tool. It is called 'Questionnaire on patient safety culture in a Spanish speaking environment'. The construction process was carried out in six phases: Bibliographic search; Validation of the structure and content of the questionnaire by a group of experts in patient safety using a nominal group technique; Assumptions verification and exploratory factor analysis; Pilot test to ensure its compression by a convenience sample of expert professionals; Modification of version 1.1 after the relevant analyses and analysis of the reliability of the questionnaire.
The final version of the questionnaire had nine items, grouped into three factors a priori: Hospital Management support in patient safety, Perception of Safety, and Expectations and actions of the Managers/Supervisors that favour safety. The items were structured using a 5-point Likert scale. A general assessment item on patient safety at the Centre was also included, as well as five open questions to identify actions on patient safety undertaken by the Centre. Finally, the possibility of making observations in a section of free text was included. The comprehension analysis did not recommend, in any case, the revision of the wording or modification of the items. The Spearman and Pearson indices were similar, which allowed us to assume the linearity in the relationships proposed. The Kolmogorov-Smirnov test was satisfactory in all cases, which guaranteed the normal distribution of the variables. The sample was adequate to perform the factorial analysis. Both the Bartlett' sphericity test and the Kaiser-Meyer-Olkin (KMO) index showed sample quality to perform the analysis. The recommendation of the exploratory factor analysis that advised eliminating 1 item was followed. Specifically, item 9 was eliminated: 'It is only a matter of luck that in my Centre no more errors occur that affect patients'. The analysis of our scale has shown that all the factorial loads were greater than 0.5, which indicates good explanatory capacity of the item for the Dimension. In total, the scale manages to explain more than 60% of the perception by professionals in patient safety, considering an acceptable loss of information.
A new and validated in-house scale has been created to measure patient safety culture in the Spanish speaking healthcare environment.
创建并验证一种新的内部综合量表，用于衡量患者安全文化。
采用横断面描述性研究，使用一种新的内部综合量表作为测量工具，收集某大学医院卫生专业人员和非卫生专业人员的安全文化水平评估结果。该量表名为“西班牙语环境下的患者安全文化问卷”。构建过程分六个阶段进行：文献检索；由一组患者安全专家使用名义小组技术对问卷的结构和内容进行验证；假设验证和探索性因素分析；通过方便抽样的专家专业人员进行预测试，以确保其简洁性；在进行相关分析和问卷信度分析后对1.1版本进行修改。
问卷的最终版本有九个项目，预先分为三个因素：医院管理对患者安全的支持、安全感知以及有利于安全的管理者/监督者的期望和行动。项目采用5点李克特量表构建。还包括一个关于该中心患者安全的总体评估项目，以及五个开放式问题，以确定该中心采取的患者安全行动。最后，在自由文本部分增加了发表意见的可能性。理解性分析在任何情况下都不建议修改措辞或项目。斯皮尔曼指数和皮尔逊指数相似，这使我们能够假设所提出关系的线性。所有情况下的柯尔莫哥洛夫-斯米尔诺夫检验结果均令人满意，保证了变量的正态分布。样本量足以进行因子分析。巴特利特球形检验和凯泽-迈耶-奥尔金（KMO）指数均表明样本质量足以进行分析。遵循了探索性因素分析建议删除1个项目的建议。具体而言，删除了项目9：“在我的中心不再发生影响患者的错误只是运气问题”。对我们量表的分析表明，所有因子载荷均大于0.5，这表明该项目对维度具有良好的解释能力。总体而言，考虑到可接受的信息损失，该量表成功解释了专业人员对患者安全感知的60%以上。
已创建一种新的经过验证的内部量表，用于衡量西班牙语医疗环境中的患者安全文化。
