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

Abstract

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.

Patient safety management from the perspective of nurses

“…The results showed that the notifications are resultant from AE that could affect patients, but did not affect. Similarly, another study (22) has demonstrated reports of AE in When asked if there is support from the administration for the implementation of safety management in the institutions, there was unanimous agreement among the NM (Figure 1). the occurrence of errors, mistakes or failures when there was no harm to patients.…”

Adaptação transcultural de instrumento de cultura de segurança para a Atenção Primária

“…Similarly, another instrument translation and validation study for use in hospitals developed this adaptation. (6) None of the items was excluded from the assessment tool; on the opposite, item 8 was added in section A, suggested by the target population group. The item refers to the access to medical exams as, in the Brazilian reality, the necessary exams are not always offered to the patients freely and in due time.…”

“…Nevertheless, subsequent steps need to be pursued, aimed at the operational and measuring equivalence, in order to prove its psychometric properties. (6) The application of a validated questionnaire in studies compared among different contexts in the country and among other countries from different continents will permit understanding the multifaceted phenomenon of safety culture at several Primary Health Care services.…”

“…(5) It permits the identification and prospective management of relevant safety issues in the work routines, aiming to guarantee safe health care in general practice. (6) It is important for the organizational culture to support learning and development since, if it is based on punishment and guilt, it can cause the omission of adverse events, hampering the construction of an institutional culture aimed at patient safety. (3) The careful analysis of error triggers evidences a series of incidents that, even in a safe practice, when influenced by the work environment and organizational culture, can produce bad results.…”

Comunicação e cultura de segurança do paciente no ambiente hospitalar: visão da equipe multiprofissional

“…7,9 Acrescentou-se ao referido instrumento, variáveis que contemplavam a caracterização sociodemográfica e laboral dos participantes O instrumento utilizado contém 42 questões relacionadas à cultura de segurança do paciente, as quais são agrupadas em 12 dimensões. 7 Na busca pelo atendimento integral do objetivo desta investigação, optou-se por analisar as dimensões "Trabalho em equipe no âmbito das unidades hospitalares"; "Abertura para as comunicações"; e "Transferências internas e passagem de plantão", por considerar que estas dimensões melhor retratam a cultura de segurança do paciente na sua interface com o processo de comunicação -objetos de estudo, totalizando 13 itens (questões) de avaliação.…”