Psychometric properties of the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M)

Abstract

BackgroundFrom a management perspective, it is necessary to examine how a hospital's top management assess the patient safety culture in their organisation. This study examines whether the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M) has the same psychometric properties as the HSOPS for hospital employees does.MethodsIn 2008, a questionnaire survey including the HSOPS_M was conducted with 1,224 medical directors from German hospitals. When assessing the psychometric properties, we performed a confirmatory factor analysis (CFA). Additionally, we proved construct validity and internal consistency.ResultsA total of 551 medical directors returned the questionnaire. The results of the CFA suggested a satisfactory global data fit. The indices of local fit indicated a good, but not satisfactory convergent validity. Analyses of construct validity indicated that not all safety culture dimensions were readily distinguishable. However, Cronbach's alpha indicated that the dimensions had an acceptable level of reliability.ConclusionThe analyses of the psychometric properties of the HSOPS_M resulted in reasonably good levels of property values. Although the set of dimensions within the HSOPS_M needs further scale refinement, the questionnaire covers a broad range of sub-dimensions and supplies important information on safety culture. The HSOPS_M, therefore, is eligible to measure safety culture from the hospital management's points of view and could be used in nationwide hospital surveys to make inter-organisational comparisons.

The association between transformational leadership in German hospitals and the frequency of events reported as perceived by medical directors

“…The HSOPS_M is an adaption of the Hospital Survey on Patient Safety Culture (HSOPS) (Sorra and Nieva 2004) and has been validated by a sample of German medical directors (Hammer et al 2011). In the questionnaire, medical directors assessed staff members' actual reporting behaviour using a three-item scale for frequency of events reported (Cronbach's α = .86).…”

“…Respondents were asked to complete the Hospital Survey on Patient Safety Culture for Hospital Management (HSOPS_M) (Hammer et al 2011). The HSOPS_M is an adaption of the Hospital Survey on Patient Safety Culture (HSOPS) (Sorra and Nieva 2004) and has been validated by a sample of German medical directors (Hammer et al 2011).…”

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

“…The HSOPSC measures patient safety culture at unit and hospital level, as well as patient safety culture outcome measures. It has been validated and is reported for use in many European countries [11] and in different contexts [18,19].…”

Improving transitional patient safety: research protocol of the Transitional Incident Prevention Programme

“…Transitional patient safety culture Because no questionnaires existed for this purpose, we developed the TRAnsitional patient safety Culture Evaluation (TRACE) which was adjusted from two current patient safety culture questionnaires used in the hospital setting (Dutch version of the AHRQ Hospital Survey on Patient Safety Culture; HSOPS) [37] and in a general practice (SCOPE questionnaire, which is derived from the Dutch version of the HSOPS, SCOPE is a Dutch acronym for systematic culture inquiry on patient safety) [38]. The development of the TRACE will be described elsewhere.…”

“…Either (i) the provision of services that are coordinated across levels of care -primary care and referral facilities, across settings and providers; (ii) the provision of care throughout the life cycle; (iii) care that continues uninterrupted until the resolution of an episode of disease or risk; or (iv) the degree to which a series of discrete healthcare events are experienced by people as coherent and interconnected over time, and are consistent with their health needs and preferences [37].…”