Hospital Survey on Patient Safety Culture: Psychometric Evaluation in Kuwaiti Public Healthcare Settings

Overview

Journal BMJ Open

Specialty General Medicine

Date 2019 Jun 2

PMID 31152040

Citations 13

Authors

Gheed Al Salem

Paul Bowie

Jill Morrison

Affiliations

Soon will be listed here.

Abstract

Objective: As healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted in Kuwait public hospitals, nor are valid or reliable survey instruments available for this context. This study aims to investigate the psychometric properties of the HSOPSC (Hospital Survey on Patient Safety Culture) tool in Kuwaiti public hospitals in addition to constructing an optimal model to assess the level of safety climate in this setting.

Design: Cross-sectional study.

Setting: Three public hospitals in Kuwait.

Participants: About 1317 healthcare professionals.

Main Outcome Measure: An adapted and contextualised version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis, confirmatory factor analysis reliability and correlation analysis.

Results: 1317 questionnaires (87%) were returned. Psychometric evaluation, showed an optimal model of eight factors and 22 safety climate items. All items have strong factor loadings (0.42-0.86) and are theoretically related. Reliability analysis showed satisfactory results (α >0.60).

Conclusions: This is the first validation study of a standardised safety climate measure in a Kuwaiti healthcare setting. An optimal model for assessing patient safety climate was produced that mirrors other international studies and which can be used for measuring the prevailing safety climate. More importance should be attached to the psychometric fidelity of safety climate questionnaires before extending their use in other healthcare culture and contexts internationally.

Citing Articles

Instruments for Patient Safety Assessment: A Scoping Review.

Nunes E, Sirtoli F, Lima E, Minarini G, Gaspar F, Lucas P Healthcare (Basel). 2024; 12(20).

PMID: 39451490 PMC: 11508098. DOI: 10.3390/healthcare12202075.

Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital.

Lopes A, Pereira R, Pereira L, Castilho F, Gimenes F Rev Bras Enferm. 2024; 77Suppl 1(Suppl 1):e20230187.

PMID: 39230122 PMC: 11368380. DOI: 10.1590/0034-7167-2023-0187.

Psychometric evaluation of the Persian version of the Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC) in neonatal intensive care units: a methodological study.

Babaie M, Nourian M, Atashzadeh-Shoorideh F, Manoochehri H, Nasiri M BMC Nurs. 2023; 22(1):279.

PMID: 37612742 PMC: 10463421. DOI: 10.1186/s12912-023-01435-1.

Measuring the patient safety culture at a tertiary care hospital in Pakistan using the Hospital Survey on Patient Safety Culture (HSOPSC).

Ahmed F, Asif F, Munir T, Halim M, Feroze Ali Z, Belgaumi A BMJ Open Qual. 2023; 12(1).

PMID: 36931633 PMC: 10030877. DOI: 10.1136/bmjoq-2022-002029.

A Brief Assessment of Patient Safety Culture in Anesthesia and Intensive Care Departments.

Kazamer A, Ilinca R, Nitu A, Iuonut A, Bubenek-Turconi S, Sendlhofer G Healthcare (Basel). 2023; 11(3).

PMID: 36767004 PMC: 9914654. DOI: 10.3390/healthcare11030429.

References

Brborovic H, Sklebar I, Brborovic O, Brumen V, Mustajbegovic J . Development of a Croatian version of the US Hospital Survey on Patient Safety Culture questionnaire: dimensionality and psychometric properties. Postgrad Med J. 2013; 90(1061):125-32. DOI: 10.1136/postgradmedj-2013-131814. View

Eiras M, Escoval A, Grillo I, Silva-Fortes C . The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability. Int J Health Care Qual Assur. 2014; 27(2):111-22. DOI: 10.1108/IJHCQA-07-2012-0072. View

Fleming M . Patient safety culture measurement and improvement: a "how to" guide. Healthc Q. 2005; 8 Spec No:14-9. DOI: 10.12927/hcq.2005.17656. View

Perneger T, Staines A, Kundig F . Internal consistency, factor structure and construct validity of the French version of the Hospital Survey on Patient Safety Culture. BMJ Qual Saf. 2013; 23(5):389-97. DOI: 10.1136/bmjqs-2013-002024. View

Ullman J . Structural equation modeling: reviewing the basics and moving forward. J Pers Assess. 2006; 87(1):35-50. DOI: 10.1207/s15327752jpa8701_03. View

Pumar-Mendez M, Attree M, Wakefield A . Methodological aspects in the assessment of safety culture in the hospital setting: a review of the literature. Nurse Educ Today. 2013; 34(2):162-70. DOI: 10.1016/j.nedt.2013.08.008. View

Colla J, Bracken A, Kinney L, Weeks W . Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005; 14(5):364-6. PMC: 1744072. DOI: 10.1136/qshc.2005.014217. View

Flin R, Burns C, Mearns K, Yule S, Robertson E . Measuring safety climate in health care. Qual Saf Health Care. 2006; 15(2):109-15. PMC: 2464831. DOI: 10.1136/qshc.2005.014761. View

Hedskold M, Pukk-Harenstam K, Berg E, Lindh M, Soop M, Ovretveit J . Psychometric properties of the Hospital Survey on Patient Safety Culture, HSOPSC, applied on a large Swedish health care sample. BMC Health Serv Res. 2013; 13:332. PMC: 3765335. DOI: 10.1186/1472-6963-13-332. View

10.

El-Jardali F, Sheikh F, Garcia N, Jamal D, Abdo A . Patient safety culture in a large teaching hospital in Riyadh: baseline assessment, comparative analysis and opportunities for improvement. BMC Health Serv Res. 2014; 14:122. PMC: 3975247. DOI: 10.1186/1472-6963-14-122. View

11.

Blegen M, Gearhart S, OBrien R, Sehgal N, Alldredge B . AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009; 5(3):139-44. DOI: 10.1097/PTS.0b013e3181b53f6e. View

12.

Al-Mandhari A, Al-Zakwani I, Al-Kindi M, Tawilah J, Dorvlo A, Al-Adawi S . Patient safety culture assessment in oman. Oman Med J. 2014; 29(4):264-70. PMC: 4137582. DOI: 10.5001/omj.2014.70. View

13.

Hellings J, Schrooten W, Klazinga N, Vleugels A . Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007; 20(7):620-32. DOI: 10.1108/09526860710822752. View

14.

Smits M, Groenewegen P, Timmermans D, van der Wal G, Wagner C . The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009; 9:16. PMC: 2753307. DOI: 10.1186/1471-227X-9-16. View

15.

Andrade L, Mendes de Melo L, Silva I, Souza R, Lima A, Freitas M . Adaptation and validation of the Hospital Survey on Patient Safety Culture in an electronic Brazilian version. Epidemiol Serv Saude. 2017; 26(3):455-468. DOI: 10.5123/S1679-49742017000300004. View

16.

Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen P . The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC Health Serv Res. 2008; 8:230. PMC: 2588576. DOI: 10.1186/1472-6963-8-230. View

17.

El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N . Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011; 11:45. PMC: 3053221. DOI: 10.1186/1472-6963-11-45. View

18.

Robida A . Hospital Survey on Patient Safety Culture in Slovenia: a psychometric evaluation. Int J Qual Health Care. 2013; 25(4):469-75. DOI: 10.1093/intqhc/mzt040. View

19.

Sammer C, Lykens K, Singh K, Mains D, Lackan N . What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010; 42(2):156-65. DOI: 10.1111/j.1547-5069.2009.01330.x. View

20.

Ginsburg L, Gilin D, Tregunno D, Norton P, Flemons W, Fleming M . Advancing measurement of patient safety culture. Health Serv Res. 2008; 44(1):205-24. PMC: 2669635. DOI: 10.1111/j.1475-6773.2008.00908.x. View