AHRQ's Hospital Survey on Patient Safety Culture

Blegen, Mary A.; Gearhart, Susan; O'Brien, Roxanne; Sehgal, Niraj L.; Alldredge, Brian K.

doi:10.1097/pts.0b013e3181b53f6e

Cited by 136 publications

(141 citation statements)

References 11 publications

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“…The dimension "Staffing" showed a Cronbach's alpha value of 0.58, a finding also close to results presented earlier [33] where this dimension showed a value of 0.63. This dimension was also reported to exhibit similar alpha values in other studies [28,[45][46][47][48]. This means that this dimension might consist of vaguely formulated items whose importance for patient safety culture varies due to country and organization.…”

Section: Methodsological Considerationssupporting

confidence: 50%

Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this

Nordin¹,

Theander²,

Wilde‐Larsson³

et al. 2013

OJN

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Section: Methodsological Considerationssupporting

confidence: 50%

Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this

Nordin¹,

Theander²,

Wilde‐Larsson³

et al. 2013

OJN

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“…Reliability testing evaluated the extent to which results obtained by the Brazilian version of HSOPSC could be replicated. In order to allow for comparison with other validation studies 11,12,13,14,15,16,17,18,19,20,21,22 , the reliability of HSOP-SC was assessed through its internal consistency as estimated using Cronbach's alpha 23,24 for each dimension or factor, in line with the dimensions proposed by the original model. Since some questionnaire items were worded positively and others negatively, negatively worded items were reverse coded so that in all cases a higher score would indicate a positive response 3 .…”

Section: Resultsmentioning

confidence: 99%

“…Smits et al 16 obtained a model with 11 dimensions, which together explained 57.1% of the variance. After excluding the items under "Staffing", Blegen et al 21 also obtained an 11-dimension model. Bodur & Filiz 11 identified 10 dimensions of safety culture when validating the Turkish version HSOPSC, while maintaining all 42 items of the original model proposed by AHRQ.…”

Section: Discussionmentioning

confidence: 99%

Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study

et al. 2016

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The evaluation of the culture of patient safety in hospitals is nowadays considered as a management too, since it helps to identify problem areas and provide valuable information for planning improvements. This study explored the reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture, an instrument that evaluates characteristics of patient safety culture among hospital staff. The reliability of the instrument was evaluated by analyzing the internal consistency of each dimension. The validity of the tool was carried out by means of exploratory and confirmatory factor analysis. The sample was made up of 322 questionnaires that were collected in two Brazilian hospitals in 2012. Cronbach's alpha ranged from 0.52 to 0.91 for the different dimensions, with the exception of two, for which it was much lower. After excluding four items, the exploratory factor analysis presented adjusted indices that were appropriate for a 10 factor model.

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“…These subscale reliabilities are somewhat lower than those of Huang et al, 19 who reported results of 0.67 to 0.73 for the same 3 subscales. Of interest, Blegen et al 44 also found low reliability scores for another validated safety culture survey. Perhaps, the measurement of safety culture requires refinement in particular settings.…”

Section: Limitationsmentioning

confidence: 99%

CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement

Chaboyer

Chamberlain

Hewson-Conroy

et al. 2013

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Identify the importance of and interest in safety culture in the health care system. 2. Describe how workplace safety culture contributes to patient outcomes. 3. Define strategies that may improve safety and patient outcomes. Background Workplace safety culture is a crucial ingredient in patients' outcomes and is increasingly being explored as a guide for quality improvement efforts. Objectives To establish a baseline understanding of the safety culture in Australian intensive care units. Methods In a nationwide study of physicians and nurses in 10 Australian intensive care units, the Safety Attitudes Questionnaire intensive care unit version was used to measure safety culture. Descriptive statistics were used to summarize the mean scores for the 6 subscales of the questionnaire, and generalized-estimation-equations models were used to test the hypotheses that safety culture differed between physicians and nurses and between nurse leaders and bedside nurses.Results A total of 672 responses (50.6% response rate) were received: 513 (76.3%) from nurses, 89 (13.2%) from physicians, and 70 (10.4%) from respondents who did not specify their professional group. Ratings were highest for teamwork climate and lowest for perceptions of hospital management and working conditions. Four subscales, job satisfaction, teamwork climate, safety climate, and working conditions, were rated significantly higher by physicians than by nurses. Two subscales, working conditions and perceptions of hospital management, were rated significantly lower by nurse leaders than by bedside nurses. Conclusions Measuring the baseline safety culture of an intensive care unit allows leaders to implement targeted strategies to improve specific dimensions of safety culture. These strategies ultimately may improve the working conditions of staff and the care that patients receive. (American Journal of Critical Care. 2013;22:93-103)

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AHRQ's Hospital Survey on Patient Safety Culture

Cited by 136 publications

References 11 publications

Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this

Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this

Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study

CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement

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