Department of Quality and Safety, United Family Healthcare, Beijing, China.
School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Public Health. 2024 Jun 5;12:1323716. doi: 10.3389/fpubh.2024.1323716. eCollection 2024.
This study aimed to translate the revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0) to Mandarin, evaluate its psychometric properties, and apply it to a group of private hospitals in China to identify the determinants associated with patient safety culture.
A two-phase study was conducted to translate and evaluate the HSOPSC 2.0. A cross-cultural adaptation of the HSOPSC 2.0 was performed in Mandarin and applied in a cross-sectional study in China. This study was conducted among 3,062 respondents from nine private hospitals and 11 clinics across six cities in China. The HSOPSC 2.0 was used to assess patient safety culture. Primary outcomes were measured by the overall patient safety grade and patient safety events reported.
Confirmatory factor analysis results and internal consistency reliability were acceptable for the translated HOSPSC 2.0. The dimension with the highest positive response was "Organizational learning - Continuous improvement" (89%), and the lowest was "Reporting patient safety event" (51%). Nurses and long working time in the hospital were associated with lower assessments of overall patient safety grades. Respondents who had direct contact with patients, had long working times in the hospital, and had long working hours per week reported more patient safety events. A higher level of patient safety culture implies an increased probability of a high overall patient safety grade and the number of patient safety events reported.
The Chinese version of HSOPSC 2.0 is a reliable instrument for measuring patient safety culture in private hospitals in China. Organizational culture is the foundation of patient safety and can promote the development of a positive safety culture in private hospitals in China.
本研究旨在将修订后的医院患者安全文化调查（HSOPSC 2.0）译为中文，并评估其心理测量学特性，然后将其应用于中国一组私立医院，以确定与患者安全文化相关的决定因素。
本研究采用两阶段法进行 HSOPSC 2.0 的翻译和评估。对 HSOPSC 2.0 进行了跨文化调适，并在中国进行了横断面研究。本研究在中国六个城市的九家私立医院和 11 家诊所共调查了 3062 名受访者。采用 HSOPSC 2.0 评估患者安全文化。主要结局指标为患者安全整体等级和报告的患者安全事件。
经证实，翻译后的 HOSPSC 2.0 的因子分析结果和内部一致性信度均可以接受。回答最积极的维度是“组织学习-持续改进”（89%），回答最消极的维度是“报告患者安全事件”（51%）。护士和在医院工作时间较长与整体患者安全等级评估较低有关。与患者有直接接触、在医院工作时间较长且每周工作时间较长的受访者报告的患者安全事件较多。患者安全文化水平越高，整体患者安全等级和报告的患者安全事件数量越高的可能性越大。
中文版 HSOPSC 2.0 是测量中国私立医院患者安全文化的可靠工具。组织文化是患者安全的基础，可以促进中国私立医院积极安全文化的发展。
