The Arabic version of the hospital survey on patient safety culture: a psychometric evaluation in a Palestinian sample

Abstract

BackgroundA growing global interest in patient safety culture has increased the development of validated instruments to asses this phenomenon. The aim of this study is to investigate the psychometric properties of the Hospital Survey on Patient Safety Culture (HSOPSC) and its appropriateness for Arab hospitals.MethodsThe 7-step guideline of the Agency for Healthcare Research and Quality was used to translate and validate the HSOPSC. A panel of experts evaluated the face and content validity indexing of the Arabic version. Data were collected from 13 Palestinian hospitals including 2022 healthcare professionals who had direct or indirect interaction with patients, hospital supervisors, managers and administrators. Descriptive statistics and psychometric evaluation (a split-half validation technique) were then used to test and strengthen the validity and reliability of the instrument.ResultsWith respect to face and content validity, the CVI analysis showed excellent results for the Arab context (CVI = 0.96). As to construct validity, the 12 original dimensions could not be applied to the Palestinian data. Furthermore, three of the 12 original dimensions were not reliable (α <0.6). The split-half technique resulted in an optimal 11-factor model.ConclusionsOur study is the first study in the Arab world to provide an evaluation of the HSOPSC using Arabic data from Palestine. The Arabic translation of the HSOPSC comprises an 11-factor structure showing good validity and acceptable reliability. Despite the similarity between the Arab factor structure of the HSOPSC and that of the original one, and taking into account that our version may be applied in Arabic hospitals, there is a need for caution in comparing HSOPSC data between countries.

The relationship between patient safety culture and adverse events: a study in palestinian hospitals

“…It consists of 42 items and is designed to measure ten safety culture dimensions and four outcome measures. The HSOPSC was translated, validated, and then used in our study [20]. The data courses section below explains these in more details.…”

“…These hospitals submitted data to both HSOPSC (2010) and IHI-GTT (patients discharged 2009). The original dataset of safety culture was collected from 13 Palestinian hospitals for a psychometric evaluation study of HSOPSC Arabic version [20]. The adverse events dataset was collected from two general non-governmental hospitals.…”

“…It can be applied at hospital-level, and at unit-level [22,23]. The HSOPSC was translated, validated, and then used in our study [20]. It consists of 42 items that measure 12 patient safety culture composites.…”

“…The model used an aggregate patient safety score that are the summation of patient safety composite scores. Finally, a psychometric evaluation of the Arabic translation of HSOPSC showed that the tool is a valid and reliable instrument to assess patient safety culture in the Arabic speaking hospitals [20]. The Cronbach's coefficient Alpha (α) yielded acceptable reliabilities, ranging between 0.60 and 0.87 [20].…”

“…Finally, a psychometric evaluation of the Arabic translation of HSOPSC showed that the tool is a valid and reliable instrument to assess patient safety culture in the Arabic speaking hospitals [20]. The Cronbach's coefficient Alpha (α) yielded acceptable reliabilities, ranging between 0.60 and 0.87 [20]. Data used for this particular study was obtained from eight departments (N contacted = 428, N responder = 316 healthcare participants).…”