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.
Highlights
MethodsThe provision of safe, reliable health care requires that professionals participate in a robust culture of safety, in hospitals
Sorra & Nieva 3 explain that a safety culture assessment can have multiple goals: (i) auditing the safety culture and raising employee awareness on the subject; (ii) assessing patient safety interventions implemented in the institution and tracking changes over time; (iii) making comparisons with reference data that is both internal and external to the organization; and (iv) checking compliance with regulatory requirements
Values estimated for the “staffing” dimension of the HSOPSC were 0.19 in the Turkish version, with 309 participants 11; 0.12 in the Spanish version, Table 5 Correlations between ten factors from the Hospital Survey on Patient Safety Culture and 38 items
Summary
The provision of safe, reliable health care requires that professionals participate in a robust culture of safety, in hospitals. In order to establish an effective safety culture in a health care organization, it is crucial to assess its current culture 2. Each with different features, are available to assess patient safety culture in health care services 4. The HSOPSC was developed to assess the perception of hospital personnel with respect to different characteristics of the safety culture, and is one of the most commonly used instruments worldwide to measure patient safety culture [5,6,7]. After an instrument has been processed to assure semantic and conceptual equivalence for use in a culture different from that of its origin, it is essential to assess its content and measurement validity 9
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