Faculty of Management and Economics, Department of Human Resource Management, Leadership and Organizational Behavior, University of Klagenfurt, Klagenfurt, Austria
Faculty of Management and Economics, Department of Human Resource Management, Leadership and Organizational Behavior, University of Klagenfurt, Klagenfurt, Austria.
BMJ Open. 2021 Aug 12;11(8):e045377. doi: 10.1136/bmjopen-2020-045377.
Measuring staff perspectives on patient safety culture (PSC) can identify areas of concern that, if addressed, could lead to improvements in healthcare. To date, there is no validated measure to assess PSC that has been tested and adapted for use in Bosnia and Herzegovina (BiH). This research addresses the gap in the evidence through the psychometric assessment of the Agency for Healthcare Research and Quality's: 'Hospital Survey on Patient Safety Culture' (HSOPSC), to determine its suitability for the health system in BiH.
Nine hospitals.
Healthcare professionals (n=1429); nurse (n=823), doctors (n=328), other clinical personnel (n=111), non-clinical personnel (n=60), other (n=64), no response (n=43).
A translated version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis and confirmatory factor analysis (CFA). Comparison between the original HSOPSC and the newly adapted 'Hospital Survey on Patient Safety Culture for Bosnia and Herzegovina' (HSOPSC-BiH) was carried out.
Compared with the original survey, which has 12 factors (42 items), the adapted survey consisted of 9 factors (29 items). The following factors from the original survey were not included in their original form: Communication Openness, Feedback and Communications about error, Overall Perceptions of Patient Safety and Organisational learning-Continuous Improvement. The results of the CFA for HSOPSC-BiH showed a better model fit compared with the original HSOPSC. The absolute and relative fit indices showed excellent model adjustment.
The BiH version of Hospital Survey on Patient Safety Culture demonstrated satisfactory psychometric properties, with acceptable to good internal consistency and construct validity. Therefore, we recommend the HSOPSC-BiH as a basis for assessing PSC in BiH. This survey could provide insight into patient safety concerns in BiH so that strategies to overcome these issues could be formulated and implemented.
衡量员工对患者安全文化（PSC）的看法可以确定关注领域，如果加以解决，可能会改善医疗保健。迄今为止，尚无经过验证的衡量标准来评估 PSC，并且尚未在波斯尼亚和黑塞哥维那（BiH）进行测试和调整。通过对医疗保健研究与质量署的“医院患者安全文化调查”（HSOPSC）进行心理计量评估，解决了这方面的证据差距，以确定其在 BiH 卫生系统中的适用性。
九家医院。
医疗保健专业人员（n=1429）；护士（n=823），医生（n=328），其他临床人员（n=111），非临床人员（n=60），其他（n=64），无响应（n=43）。
使用翻译后的 HSOPSC 进行心理计量评估，包括探索性因素分析和验证性因素分析（CFA）。比较了原始 HSOPSC 和新改编的“波斯尼亚和黑塞哥维那医院患者安全文化调查”（HSOPSC-BiH）。
与原始调查（12 个因素[42 个项目]）相比，改编后的调查包括 9 个因素（29 个项目）。原始调查中没有包含以下因素：沟通开放性、反馈和错误沟通、患者安全总体看法以及组织学习-持续改进。与原始 HSOPSC 相比，HSOPSC-BiH 的 CFA 结果显示出更好的模型拟合度。绝对和相对拟合指数显示出极好的模型调整。
波斯尼亚和黑塞哥维那版的医院患者安全文化调查显示出令人满意的心理计量学特性，具有可接受的至良好的内部一致性和结构有效性。因此，我们建议使用 HSOPSC-BiH 来评估波斯尼亚和黑塞哥维那的 PSC。该调查可以深入了解波斯尼亚和黑塞哥维那的患者安全问题，以便制定和实施克服这些问题的策略。
