CES University, Medellin, Colombia.
Miguel Hernandez University of Elche Department of Clinical Medicine, Sant Joan d'Alacant, Spain.
Health Serv Manage Res. 2022 May;35(2):58-65. doi: 10.1177/0951484820943598. Epub 2020 Sep 9.
The measurement of patient safety climate within hospitals, and specifically in operating rooms is a basic tool for the development of the patient's safety policy. There are no validated Spanish versions of instruments to measure safety climate. The objective of this research was to validate the Spanish version of the Hospital Survey on Patient Safety (HSOPS®), with the addition of a module for surgical units, to evaluate the patient safety climate in operating rooms.
Survey validation study. The Hospital Survey on Patient Safety (HSOPS®) was applied to health workers from 6 acute general hospitals, from Medellín (Colombia), with surgical procedures greater than 300 per month, 18 items were added considered specific for Operating Rooms. For construct validation, an exploratory factor analysis (EFA) was used, utilizing principal components as the extraction method. Reliability was evaluated with Cronbach's α.
A 10 dimensions model was obtained with EFA, most of the dimensions of the original questionnaire were conserved, although the factorial structure was not reproduced. Two new dimensions emerged from the added items. The Cronbach's α ranged between 0.66 and 0.87. Conclusions: We found the HSOPS questionnaire is valid and reliable for measuring patient safety climate in Spanish speaking Latin American countries. Two additional dimensions are proposed for Operating Rooms.
测量医院内（尤其是手术室）的患者安全氛围是制定患者安全政策的基本工具。目前尚无经过验证的西班牙语版工具可用于测量安全氛围。本研究旨在验证包含外科单元模块的《医院患者安全调查》（HSOPS®）的西班牙语版本，以评估手术室的患者安全氛围。
调查验证研究。将《医院患者安全调查》（HSOPS®）应用于来自哥伦比亚麦德林 6 家急症综合医院的卫生工作者，这些医院每月进行超过 300 例外科手术，增加了 18 项被认为是手术室特有的项目。为了进行结构验证，采用探索性因素分析（EFA），使用主成分作为提取方法。采用 Cronbach's α 评估可靠性。
通过 EFA 得出了 10 个维度的模型，保留了原始问卷的大部分维度，尽管未能再现其因子结构。从新增项目中出现了两个新维度。Cronbach's α 值在 0.66 到 0.87 之间。结论：我们发现 HSOPS 问卷在西班牙语拉丁美洲国家是有效且可靠的，可用于测量患者安全氛围。针对手术室提出了两个额外的维度。
