Background Several initiatives have been implemented to develop, manage, and assess patient safety competencies, which are considered as a serious public health issue across the world. The Health Professional Education in Patient Safety Survey (H-PEPSS) is widely used as a psychometric scale for evaluating perceived patient safety competencies. The purpose of the study was to investigate the psychometric properties of the French version of H-PEPSS.Methods A total of 449 students enrolled in nursing and physiotherapy schools in France and French-speaking Switzerland completed a self-administered questionnaire.Results The 6-factor model demonstrated adequate goodness-of-fit statistics. The total score can be used as an overall measure of patient safety competence. In contrast to previous studies, the use of McDonald's omega was preferred to Cronbach's alpha to measure the composite reliability of the scale. Contrary to the original study, the “Understanding Human and Environmental Factors” Subscale showed inadequate reliability. This subscale has often been reported with the lowest reliability in previous studies. Scalar invariance between countries and partial scalar invariance between majors were observed.Conclusion Perceived patient safety competencies can be assessed and fairly compared across France and Switzerland as well as across nursing and physiotherapy students. Practical and research implications of the H-PEPSS are discussed.

BACKGROUND AND PURPOSESituations of clinical deterioration compromise patient safety, and their management can be a challenge for professionals. In this review, we synthesize the problematic factors for clinicians during the collective management of patient clinical deterioration in hospital units, and we provide a modeling of the action processes involved in patient safety.METHODSElectronic databases MEDLINE, CINAHL, EMBASE, and ERIC were systematically searched, and studies were critically appraised with MMAT. Seventeen articles were identified from 1222 for full-text screening. Data were deductively coded according to the Systems Analysis of Clinical Incidents model developed by Taylor-Adams and Vincent (2004), and results were consolidated using a narrative synthesis.RESULTSFaced with these uncertain and rapidly changing situations, great adaptability is essential, and the quality of social interactions is a central issue for the effectiveness of teamwork. Interprofessional management of patients in clinical deterioration is complex due to multiple factors related to patients, professionals, tasks, environment, and teamwork. Caregivers’ sense of worry about the patient’s evolution is a key factor in early detection and therefore in the implementation of interventions.IMPLICATIONS FOR PRACTICEThe model of four action processes proposed (Evaluation-Solicitation-Articulation-Composition) constitutes the points of attention for patient safety. It aims to guide the activities of the interprofessional collective involved.