Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey

Said Bodur,Emel Filiz

doi:10.1186/1472-6963-10-28

Abstract

BackgroundThe Hospital Survey on Patient Safety Culture (HSOPS) is used to assess safety culture in many countries. Accordingly, the questionnaire has been translated into Turkish for the study of patient safety culture in Turkish hospitals. The aim of this study is threefold: to determine the validity and reliability of the translated form of HSOPS, to evaluate physicians' and nurses' perceptions of patient safety in Turkish public hospitals, and to compare finding with U.S. hospital settings.MethodsPhysicians and nurses working in all public hospitals in Konya, a large city in Turkey, were asked to complete a self-administrated patient safety culture survey (n = 309). Data collection was carried out using the Turkish version of HSOPS, developed by Agency for Healthcare Research and Quality (AHRQ). Data were summarized as percentages, means, and SD values. Factor analysis, correlation coefficient, Cronbach's alpha, ANOVA, and t tests were employed in statistical analyses. Items on patient safety were categorized into 10 factors. Factor loadings and internal consistencies of dimension items were high.ResultsMost of the scores related to dimensions, and the overall patient safety score (44%) were lower than the benchmark score. "Teamwork within hospital units" received the highest score (70%), and the lowest score belonged to the "frequency of events reported" (15%). The study revealed that more than three quarters of the physicians and nurses were not reporting errors.ConclusionThe Turkish version of HSOPS was found to be valid and reliable in determining patient safety culture. This tool will be helpful in tracking improvements and in heightening awareness on patient safety culture in Turkey.

Highlights

The Hospital Survey on Patient Safety Culture (HSOPS) is used to assess safety culture in many countries
Factor analysis The AHRQ survey is comprised of 12 dimensions
The Turkish version included 42 items that resulted in 10 factors

Summary

Introduction

The Hospital Survey on Patient Safety Culture (HSOPS) is used to assess safety culture in many countries. The questionnaire has been translated into Turkish for the study of patient safety culture in Turkish hospitals. There are no data, staff notes, or research related to the safety of patients in Turkey except for a committee on infections in public hospitals. After this study has been completed, the Ministry of Health declared a series of suggestions intended to improve patient and staff safety. This topic is still in its infancy in Turkey; the history of national congresses and Medical errors have been identified as one of the five most common causes of death and are at unacceptably high levels [1]. The incidence of medical errors during healthcare procedures is 7.5%, and a majority of the adverse events are identified as preventable [3,4]

Objectives

Methods

Results

Discussion

Conclusion