Adaptação e validação do Hospital Survey on Patient Safety Culture em versão brasileira eletrônica

Andrade, Luiz Eduardo Lima de; Melo, Laiza Oliveira Mendes de; Silva, Ivanise Gomes da; Souza, Roselma Marinho de; Lima, André Luiz Barbosa de; Freitas, Marise Reis de; Batista, Almária Mariz; Gama, Zenewton André da Silva

doi:10.5123/s1679-49742017000300004

Cited by 31 publications

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“…CFA showed the fit of the original 12-dimension model to range from acceptable (CFI = 0.92 and TLI = 0.91) to satisfactory (RMSEA = 0.04) (90%CI: 0.042-0.046) ( Table 2). That result is similar to those of international studies 10,12,13,18,19,20,21,22,23,24 , but differs from the findings of a previous Brazilian study 18 concerning the RMSEA value ( Table 2).…”

Section: Confirmatory Factor Analysissupporting

confidence: 80%

“…The Cronbach's alpha coefficients estimated for the original 12-factor model ranged from 0.41 ("overall perceptions of patient safety") to 0.91 ("frequency of events reported") ( Table 1). Table 1 shows the results obtained in this study and in other international studies 8,10,12,13,18,19,20,21,22,23,24,25 . In four dimensions, the alpha value was below 0.60 ("overall perceptions of patient safety" = 0.41; "staffing" = 0.46; "teamwork across units" = 0.45; "non-punitive response to error" = 0.54) ( Table 1).…”

Section: Internal Consistencymentioning

confidence: 58%

“…Reliability is the degree to which the results obtained from the HSOPSC in the study sample could be replicated. To compare the results with previous psychometric assessments 8,10,12,13,18,19,20,21,22,23,24,25 , the reliability of the HSOPSC was assessed through its internal consistency using the Cronbach's alpha estimated for each dimension, with values above 0.6 considered acceptable 20 .…”

Section: Discussionmentioning

confidence: 99%

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Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study

et al. 2019

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This study aimed to reassess the psychometric properties of the Hospital Survey on Patient Safety Culture (HSOPSC) adapted to Portuguese for use in the Brazilian context. An observational, cross-sectional study was performed in a large, private, non-profit, acute care hospital, reference in patient safety, in a major Brazilian metropolis. Participants were selected from a non-probability sample of all eligible personnel in the various hospital departments invited to participate in the study. Reliability of the HSOPSC was assessed by estimating Cronbach's alpha for each dimension. confirmatory factor analysis (CFA), a matrix of correlations between the dimensions, and exploratory structural equation modelling (ESEM) were used in exploratory and confirmatory analyses of the structural validity of the construct. The overall response rate was 18.7% (n = 1,439). Four dimensions ("overall perceptions of patient safety"; "staffing"; "teamwork across units"; and "non-punitive response to error") returned problems of internal consistency. CFA returned acceptable fit with the original 12-dimension model. Correlations between the dimensions of the original 12-dimension model indicated discriminant validity problems, while residual variance was greater than 0.70 in 13 items. The ESEM of the original 12-dimension model returned good fit, with the following indices: CFI = 0.985; TLI = 0.968,). Although better than those of the first evaluation, the results obtained in this validity and reliability reassessment of the Brazilian version of the HSOPSC require further research. Patient Safety; Organizational Culture; Health Care Surveys; Reproducibility of Results Correspondence J. Laguardia BackgroundSafety culture comprises values, beliefs, and standards regarding what is important in an organization and what safety-related attitudes and behavior are valued, supported, and expected 1 . It is a multidimensional concept, defined in the health service context as the product of individual and group values, attitudes, perceptions, competences, and behavior patterns that determine the commitment to, and the style and proficiency of, an organization's patient safety management 2 .In health care organizations, safety culture assessment is a key strategy in the world movement to improve health care quality and patient safety. There is evidence of the association between high safety culture scores and positive clinical outcomes, especially in hospitals, as a result of interventions to improve the quality of patient care 3,4,5 .Among the instruments developed to assess safety culture in hospitals, the Hospital Survey on Patient Safety Culture (HSOPSC) is one of the most widely used 1,6 . Developed in American English by the Agency for Healthcare Research and Quality (AHRQ), this instrument contains 42 items and 12 dimensions and was conceived as a questionnaire to be self-administered, to ensure respondents' anonymity. The theoretical model underpinning its development is fully documented by the AHRQ 1 . Since its introduction in 2004, the...

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Section: Confirmatory Factor Analysissupporting

confidence: 80%

Section: Internal Consistencymentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

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Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study

et al. 2019

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“…Another strategy would be the exclusion of low-performance questions 14 , however the instrument would have less items than the HSOPS originally developed. A new version of the HSOPS was validated for the Brazilian context and developed in an interface of electronic application 17 . The reliability of the instrument was high (α=0.92), possibly avoiding the interpretation limitations of the version applied in this investigation 14 .…”

Section: Discussionmentioning

confidence: 97%

Patient safety culture in a university hospital

Galvão

Lopes

Oliva

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to assess patient safety culture in a university hospital. Method:cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results:most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year. Conclusion:the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.

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“…O instrumento utilizado neste projeto foi objeto de validações para culturas em diversos países, avaliações e os seus resultados foram mencionados em publicações científicas para aprimorar a segurança do paciente. Dentre eles, estudos realizados em São Paulo (Clinco, 2007), Taiwan (Chen & Li, 2010), Irã (Moghri, et al, 2012), Goiás (Tobias, Bezerra, Moreira, Paranguá & Silva, 2016), Rio Grande do Norte (Andrade, et al, 2017) e Paraná (Cruz, et al, 2018) demonstram a necessidade de traçar abordagens favoráveis à adesão da população à pesquisa e ainda fortalecer principalmente a comunicação, a resposta não punitiva ao erro, a interface com os gestores, o trabalho em equipe e a inserção destes profissionais nos processos norteadores de ações e novos Research, Society and Development, v. 9, n. 4, e184942650, 2020(CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i4.2650 4 programas. A vulnerabilidade destes aspectos foi identificada como limitante para a promoção da segurança do paciente.…”

Section: Introductionunclassified

A cultura de segurança do paciente em um hospital público de urgência e emergência

Oliveira

Lima

Provin

2020

RSD

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A cultura de segurança do paciente em um hospital público de urgência e emergência The culture of patient safety in an emergency and emergency public hospital La cultura de seguridad del paciente en un hospital público de urgencia y emergencia Resumo A cultura de segurança é o produto de atitudes, competências e padrões comportamentais, que são determinantes na forma com que os profissionais vão aderir aos serviços de saúde, para a redução máxima de danos e riscos evitáveis. O objetivo desta pesquisa foi de conhecer a percepção dos profissionais em relação à cultura de segurança do paciente. Realizou-se um estudo transversal analítico com profissionais da assistência ao paciente. Foi aplicado o questionário "Pesquisa sobre Segurança do Paciente em Hospitais". As dimensões com os porcentuais de respostas positivas mais elevadas foram "Expectativas e ações do seu supervisor na promoção da segurança do paciente", "Promoção e aprendizado contínuo" e "Trabalho em equipe na unidade". Apesar das fragilidades, nota-se o empenho da gestão em ações ativas para o fortalecimento da segurança do paciente.Palavras-chave: Cuidados de saúde; hospital de emergência; segurança do paciente; cultura organizacional. AbstractResearch, Society and Development, v. 9, n. 4, e184942650, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i4.2650 2 Safety culture is the product of attitudes, skills and behavioral patterns, which are determinants in how professionals will adhere to health services, for maximum harm reduction and preventable risks. The objective of this research was to know the professionals' perception regarding the safety culture of the patient. An analytical cross-sectional study was conducted with patient care professionals. The questionnaire "Patient Safety Research in Hospitals" was applied. The dimensions with the highest positive response percentages were "Supervisor Expectations and Actions in Promoting Patient Safety," "Promotion and Continuous Learning," and "Teamwork in the Unit." Despite weaknesses, management's commitment to active actions to strengthen patient safety is noteworthy. ResumenLa cultura de seguridad es el producto de actitudes, habilidades y patrones de comportamiento, que son decisivos en la forma en que los profesionales se adherirán a los servicios de salud, para la máxima reducción de daños y riesgos evitables. El objetivo de esta

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Adaptação e validação do Hospital Survey on Patient Safety Culture em versão brasileira eletrônica

Abstract: the results confirmed the validity and reliability of the instrument with adequate psychometric properties for the assessment of patient's safety culture in Brazilian hospitals.

Cited by 31 publications

References 0 publications

Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study

Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study

Patient safety culture in a university hospital

A cultura de segurança do paciente em um hospital público de urgência e emergência

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