Institute of Health and Well-being, University of Glasgow, Glasgow, UK.
Quality and Accreditation Directorate, Ministry of health, Kuwait City, Kuwait.
BMJ Open. 2019 May 30;9(5):e028666. doi: 10.1136/bmjopen-2018-028666.
As healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted in Kuwait public hospitals, nor are valid or reliable survey instruments available for this context. This study aims to investigate the psychometric properties of the HSOPSC (Hospital Survey on Patient Safety Culture) tool in Kuwaiti public hospitals in addition to constructing an optimal model to assess the level of safety climate in this setting.
Cross-sectional study.
Three public hospitals in Kuwait.
About 1317 healthcare professionals.
An adapted and contextualised version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis, confirmatory factor analysis reliability and correlation analysis.
1317 questionnaires (87%) were returned. Psychometric evaluation, showed an optimal model of eight factors and 22 safety climate items. All items have strong factor loadings (0.42-0.86) and are theoretically related. Reliability analysis showed satisfactory results (α >0.60).
This is the first validation study of a standardised safety climate measure in a Kuwaiti healthcare setting. An optimal model for assessing patient safety climate was produced that mirrors other international studies and which can be used for measuring the prevailing safety climate. More importance should be attached to the psychometric fidelity of safety climate questionnaires before extending their use in other healthcare culture and contexts internationally.
随着医疗机构努力提高服务质量和安全性，越来越认识到建立安全文化的重要性，以促进患者安全并改善患者护理结果。科威特公立医院尚未对安全文化/氛围进行调查，也没有针对这种情况的有效和可靠的调查工具。本研究旨在调查 HSOPSC（医院患者安全文化调查）工具在科威特公立医院的心理测量特性，并构建一个最佳模型来评估这种情况下的安全氛围水平。
横断面研究。
科威特的三家公立医院。
约 1317 名医疗保健专业人员。
使用经过改编和本土化的 HSOPSC 版本进行心理测量评估，包括探索性因素分析、验证性因素分析、可靠性和相关分析。
共收回 1317 份问卷（87%）。心理测量评估显示，有 8 个因素和 22 个安全氛围项目的最佳模型。所有项目都具有很强的因子负荷（0.42-0.86），并且在理论上是相关的。可靠性分析显示出令人满意的结果（α>0.60）。
这是在科威特医疗保健环境中对标准化安全氛围测量进行验证的第一项研究。产生了一个用于评估患者安全氛围的最佳模型，该模型反映了其他国际研究，可用于衡量当前的安全氛围。在国际上将安全氛围调查问卷的心理测量保真度扩展到其他医疗保健文化和环境之前，应更加重视其心理测量特性。
