The hospital survey on patient safety culture in Mexican hospitals: Assessment of psychometric properties

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

“…staffing, overall perceptions of patient safety, and organizational learning-continuous improvement. 19 In the study by Smits in Netherlands, 20 Ito in Japan 16 and Stoyanova in Bulgaria, 31 Cronbach's alpha for "staffing" was less estimated to be than .5. In a systematic review on the psychometric properties of 62 studies conducted by Waterson et al,…”

“…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. 19 moreover, the type of studies performed, the occupation of the healthcare employees participating in such studies (physician, nurse, radiologist, anesthesiologist, etc.) due to the direct impact of their opinions, 46 statistical methods used, different interpretations of words in translating the original language of the questionnaire into the native language of that region or country, adding new items and dimensions or deleting some items 47 can affect the psychometric properties and patient safety culture model.…”

“…Notably, the alpha in 4 dimensions was less than .5, which included: staffing, feedback & communication about error, overall perceptions of patient safety, and organizational learning‐continuous improvement. Also, in Antino's survey performed in Mexico, Cronbach's alpha was found to be "unacceptable" in the following dimensions: staffing, overall perceptions of patient safety, and organizational learning‐continuous improvement 19 . In the study by Smits in Netherlands, 20 Ito in Japan 16 and Stoyanova in Bulgaria, 31 Cronbach's alpha for “staffing” was less estimated to be than .5.…”

“…The necessity of analyzing the psychometric properties of measuring instruments for the patient safety culture in the health care sector has been investigated by various researchers. 11,13,14,[17][18][19] To examine the dimensional structure of the translated questionnaire and the combination of the items, exploratory factor analysis (EFA) was used. 20 Then, the structure obtained from EFA was verified by applying a confirmatory factor analysis (CFA) and structural equation modeling (SEM) by giving a sufficient sample size.…”

“…The necessity of analyzing the psychometric properties of measuring instruments for the patient safety culture in the health care sector has been investigated by various researchers 11,13,14,17‐19 . To examine the dimensional structure of the translated questionnaire and the combination of the items, exploratory factor analysis (EFA) was used 20 .…”