Adaptation of the Agency for Healthcare Research and Quality’s ‘Hospital Survey on Patient Safety Culture’ to the Bosnia and Herzegovina context

Abstract

ObjectivesMeasuring 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.SettingNine hospitals.ParticipantsHealthcare 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).Primary and secondary outcome measuresA 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.ResultsCompared 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.ConclusionsThe 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.

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

“…Although HSOPSC 1.0 and 2.0 measure the same areas of patient safety culture, the 2.0 version resulted in substantial changes, including 21 items dropped, 25 items reworded or response options changed, and 10 items added. Early findings suggest that translated versions of the HSOPSC 2.0 will perform better in international hospital environments than original version translations [ 54 ]. The HSOPSC 1.0 and 2.0 are available at the Agency for Healthcare Research and Quality resource center for the HSOPSC [ 49 ].…”

Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study

“…Based on these responses, Patient Safety analyzed “failing or poor” vs. “excellent, very good, or acceptable” as binaries. This measure has been used previously in the Agency for Healthcare Research and Quality's Hospital Survey on patient safety culture [ 29 ]. Feedback is essential for understanding the needs, expectations, and satisfaction of VVS, as well as identifying areas for improvement and opportunities for the next scaling-up training, which was guided by a question, “What would you provide the feedback on using VVS?".…”

Overview of Patient Safety Culture in Bosnia and Herzegovina With Improvement Recommendations for Hospitals

“…This correlational research is based on cross-sectional data, using the Bosnian adaption of the “Hospital Survey on Patient Safety Culture for Bosnia and Herzegovina” (HSOPSC-BiH). 49 Between September 2016 and February 2017, the survey was conducted in 9 hospitals in as many cities in BiH. The questionnaires were paper based as the insufficient technological infrastructure proved to be insufficient.…”

“…The survey was conducted using the HSOPSC-BiH, adapted from the HSOPSC and psychometrically tested based on empirical data from BiH. 49 The HSOPSC-BiH has 29 items across 9 factors: 4 unit factors (Supervisors and managers' expectations and actions promoting safety; Teamwork within units; Communication openness and feedback on errors; and Nonpunitive response to errors), three hospital factors (Hospital management support for patient safety; Teamwork across hospital units; and Hospital handoffs and transitions) and 2 outcome factors (Overall perceptions of safety and continuous improvement; and Frequency of event reporting). All items are based on 5-point Likert scale ratings ("strongly disagree" [1] to "strongly agree" [5]) or frequency ("never" [1] to "always" [5]).…”