Psychometric Properties of the Hospital Survey on Patient Safety Culture (HSOPSC): Findings from Greece

Abstract

Background: Safety culture has been considered to be as one of the most crucial premises for the further development of patient safety in healthcare.Objective: To study the psychometric properties of a translated Greek version of Hospital Survey on Patient Safety Culture (G-HSOPSC) of the Agency for Healthcare Research and Quality (AHRQ) in the Greek healthcare settings.Methods: Factor analysis (FA) was performed to examine the applicability of the factor structure of the original questionnaire to the Greek data. In addition to the previously mentioned, internal consistency with Cronbach's coefficient alpha and construct validity was evaluated.Results: Ten factors with 37 items were extracted by FA, with acceptable Cronbach's coefficients alpha and good construct validity. The factors jointly explained 62% of the variance in the responses. Five items were removed from the original version of the questionnaire. The composition of the factors was similar to that of the original questionnaire and five items moved to other factors. All the composites consisted of two to eight items. Conclusions:The G-HSOPSC depicted sound psychometric properties for the evaluation of patient safety culture and therefore it is a reliable tool for use in research.

Dimensions analysis of the Hospital Survey on Patient Safety Culture questionnaire in Iran: Psychometric properties

“…39 Except the two dimensions (management support for patient safety and frequency of events reported), in the rest of the dimensions, the distribution of the items was different from the original questionnaire developed by Sorra and Nieva. 15 "Handoffs & transitions" merged with "teamwork across units", and "communication openness" merged with "feedback & communication about error" except two questions (C6 and C1), which show the same conflations as Kapaki, 40 Bartoníčková, 39 The results of this study are in line with the exploratory study by Arabloo in Qazvin province in Iran. 29 Although in the Arabloo study, the probable cause of the structural difference was assumed to be the inadequate sample size (KMO = 0.59); however, in the present study, despite the sufficient sample size (KMO = 0.79), the similarity of the factor structure in the data of Iranians in Ardabil to the original HSOPSC was very little.…”

“…Except the two dimensions (management support for patient safety and frequency of events reported), in the rest of the dimensions, the distribution of the items was different from the original questionnaire developed by Sorra and Nieva 15 . “Handoffs & transitions” merged with “teamwork across units”, and “communication openness” merged with “feedback & communication about error” except two questions (C6 and C1), which show the same conflations as Kapaki, 40 Bartoníčková, 39 Gambashidze, 41 Tereanu 42 studies.…”

“…29 Although in the Arabloo study, the probable cause of the structural difference was assumed to be the inadequate sample size (KMO = 0.59); however, in the present study, despite the sufficient sample size (KMO = 0.79), the similarity of the factor structure in the data of Iranians in Ardabil to the original HSOPSC was very little. The results of the studies conducted in some countries also showed a different factor structure including 8 factors in Germany, 24 11 factors in Turkey, 33 11 factors in Netherland, 20 9 factors in UK based on 27 items, 25 9 factors in Norway based on 21 items, 26 10 factors in Brazil and Greece, 37,40 8 factors in Kosovo, 36 11 factors in Bolghare, 43 9 factors in Mexico and Latin America 19,44 and 5 factors in Goergia. 45 It seems that, differences in the distribution of items and the number of dimensions in studies conducted in most of the countries mostly depend on factors such as cultural diversity between countries, organizational structure, management, and policy of health care systems.…”

A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana

“…is the last section of the questionnaire. The HSOPSC questionnaire has a Cronbach alpha ranging from 0.63 to 0.84 [33]. To the best of the authors’ knowledge, the questionnaire has not been used in Ghana but has been used in similar contexts such as Nigeria and Ethiopia [34, 35].…”

Determinants of patient safety culture among healthcare providers in the Upper East Region of Ghana

“…The English version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire, developed by the Agency of Health Research and Quality (AHRQ) was adapted for data collection. 17 The questionnaire has a Cronbach alpha ranging from 0.63 to 0.84 18 and has been either adopted or adapted worldwide to assess patient safety culture. 17,19 The HSOPSC tool is a 42-item structured questionnaire, excluding socio-demographic variables.…”