Abstract
This study examined the psychometric properties of the Swedish and the original version of the Hospital Survey on Patient Safety Culture within a Swedish hospital setting and described health care staff’s perceptions of patient safety culture. A web-survey was used to obtain data from registered nurses, enrolled nurses and physicians (N = 1023). Psychometric properties were tested using Confirmatory Factor Analysis and internal consistency using Cronbach’s alpha coefficient. Root mean square error of approximation and other fit indices indicated psychoFmetric properties for both versions to be acceptable. Internal consistency for the dimensions varied between 0.60 and 0.87. Staff scored the dimension “Teamwork Within Units” highest and the dimension “Hospital Management Support” the lowest. The safety was graded as very good or excellent by 58.9% of the respondents and one third had reported more than one event in the past 12 months. The questionnaire is considered to be useful for measuring patient safety culture in Swedish hospital settings. Managers have a great responsibility to work with improving patient safety culture.
Highlights
Reports have shown that between three and 17% of all patients experience one or more adverse events during hospital stay [1,2,3]
This study examined the psychometric properties of the Swedish and the original version of the Hospital Survey on Patient Safety Culture within a Swedish hospital setting and described health care staff’s perceptions of patient safety culture
The findings from this study indicate the psychometric properties of the S-Hospital Survey on Patient Safety Culture (HSOPSC) as acceptable and the questionnaire is considered to be useful for measuring patient safety culture in Swedish hospital settings
Summary
Reports have shown that between three and 17% of all patients experience one or more adverse events during hospital stay [1,2,3]. Ever since the report “To err is Human” [4] was published, creating a culture that strives towards and supports patient safety has become a matter of growing interest and increasing priority for health care managers [5]. The increased interest in patient safety among researchers, health care managers and health care staff has generated development of questionnaires able to measure aspects of safety culture that influence patient safety in clinical areas [10]. One questionnaire is the Hospital Survey on Patient Safety Culture (HSOPSC), developed in the US [12]. The HSOPSC consists of 44 patient safety culture items forming 12 dimensions. Unit-level patient safety culture is measured with 24 items forming seven dimensions. Hospital level patient safety culture is measured using eleven items forming three dimensions. Seven items form two dimensions, one regarding overall perception of safety, and one regarding frequency of event reporting.
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