Assessing Patients' Perceptions of Safety Culture in the Hospital Setting: Development and Initial Evaluation of the Patients' Perceptions of Safety Culture Scale

Bestmann, Beate; Kattein, Martina; Langner, Daria; Müller, Hardy; Manser, Tanja

doi:10.1097/pts.0000000000000436

Cited by 14 publications

(25 citation statements)

References 27 publications

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“…43 Distinct from other self-report surveys, the Patients' Perceptions of Safety Culture scale was designed to assess patient, rather than staff, perceptions of hospital safety culture. 44 Qualitative and mixed methods studies assessing safety culture The review identified 31 studies (4.5%) that used qualitative or mixed methods to assess safety culture. Interviews were the most common approach (n=23; 74.2%), followed by frameworks and theories (n=11, 35.5%), and focus groups (n=9, 29%) (see table 3).…”

Section: Resultsmentioning

confidence: 99%

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals

et al. 2021

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BackgroundThe study of safety culture and its relationship to patient care have been challenged by variation in definition, dimensionality and methods of assessment. This systematic review aimed to map methods to assess safety culture in hospitals, analyse the prevalence of these methods in the published research literature and examine the dimensions of safety culture captured through these processes.MethodsWe included studies reporting on quantitative, qualitative and mixed methods to assess safety culture in hospitals. The review was conducted using four academic databases (PubMed, CINAHL, Scopus and Web of Science) with studies from January 2008 to May 2020. A formal quality appraisal was not conducted. Study purpose, type of method and safety culture dimensions were extracted from all studies, coded thematically, and summarised narratively and using descriptive statistics where appropriate.ResultsA total of 694 studies were included. A third (n=244, 35.2%) had a descriptive or exploratory purpose, 225 (32.4%) tested relationships among variables, 129 (18.6%) evaluated an intervention, while 13.8% (n=96) had a methodological focus. Most studies exclusively used surveys (n=663; 95.5%), with 88 different surveys identified. Only 31 studies (4.5%) used qualitative or mixed methods. Thematic analysis identified 11 themes related to safety culture dimensions across the methods, with ‘Leadership’ being the most common. Qualitative and mixed methods approaches were more likely to identify additional dimensions of safety culture not covered by the 11 themes, including improvisation and contextual pressures.DiscussionWe assessed the extent to which safety culture dimensions mapped to specific quantitative and qualitative tools and methods of assessing safety culture. No single method or tool appeared to measure all 11 themes of safety culture. Risk of publication bias was high in this review. Future attempts to assess safety culture in hospitals should consider incorporating qualitative methods into survey studies to evaluate this multi-faceted construct.

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Section: Resultsmentioning

confidence: 99%

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals

et al. 2021

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“…Future research may wish to verify and evaluate the theoretical PSC construct using the HSOPS-NS in samples from other hospitals and other cultures, or among patients (Monaca et al, 2017). Future studies may also wish to use the instrument to analyze the construct's relationship with incident rates or results in the field of patient safety.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

Elguea

Gómara

Miguél

et al. 2019

Nurse Education Today

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Background: Patient Safety Culture and Patient Safety Climate (PSC) are different factors. PSC is the shared perception that is held within a hospital's area or unit at a specific moment in time. This measure is necessary for designing activities for promoting and improving safety. It must include the perception of all the agents involved, including future nurses throughout their patient safety education. Objectives: The aim was to adapt and validate a new version of the Hospital Survey on Patient Safety Culture (HSOPS), targeted specifically at nursing students. It provides a new comprehensive and more complete measure of PSC that contributes to improving patient safety. Methods: Data were obtained from 654 undergraduate and postgraduate nursing students. PSC was tested using factor analyses and structural equation modeling. In order to facilitate the improvement of PSC, we examined differences in climate strength across different academic groups using the Rwg(j) and ICC measures of interrater agreement. Results: Factor Analyses confirmed a five-factor solution that explained between 52.45% and 54.75% of the variance. The model was found to have adequate fit χ 2 (5) = 14.333, p = 0.014 ; CFI = 0.99 ; RMSEA = 0.05. Cronbach's alphas for PSC were between 0.74 and 0.77. "Teamwork within units" was the highest rated dimension, and "Staffing" the lowest rated. Medium-to-high scores were obtained for PSC. The median of Rwg (j) was high in the five dimensions of the PSC survey, supporting the idea of shared climate perceptions (0.81-0.96) among undergraduate and postgraduate nursing students. Conclusions: HSOPS-NS is a useful and versatile tool for measuring the level and strength of PSC. It screens knowledge regarding patient safety in clinical practice placements and compares nursing students' perceptions of the strength of PSC. Weaknesses perceived in relation to PSC help implement changes in patient safety learning.

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“…Only with the new century has a safety culture permeated into the values and norms of health care organization members [ 12 , 13 , 14 ]. Now, patient safety has become an important element of care quality, first evaluated by experts and health professionals and ultimately including patients’ feedback about their care [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Patients’ Perception of Safety in an Italian Hospital Using the PMOS-30 Questionnaire

Schiavone

Annecchiarico

Lisi

et al. 2021

IJERPH

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Background: In our study, an Italian version of the PMOS-30 questionnaire was used to evaluate its feasibility and to improve health care quality in an Italian hospital. Methods: A cross-sectional study was conducted with 435 inpatients at a hospital in the Campania Region of Southern Italy using the PMOS-30 questionnaire and two other questions to assess patient feedback about the overall perception of safety. Results: The item “I was always treated with dignity and respect” showed the greatest percentage of agreement (agree/strongly agree = 89.2%; mean = 4.24). The least agreement was associated with the four “Staff Roles and Responsibilities” items (agree/strongly agree ranged from 31.5 to 40.0%; weighted mean = 2.84). All other 25 items had over 55.0% agreement, with 19 items over 70%. Moreover, 94.5% of the patients considered the safety of the ward sufficient/good/very good, and 92.8% did not notice situations that could cause harm to patients. Conclusion: Patient perception of safety was found to be satisfactory. The results were presented to the hospital decision makers for suggesting appropriate interventions. Our experience showed that the use of the PMOS-30 questionnaire may improve safety and health care quality in hospital settings through patient feedback.

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Assessing Patients' Perceptions of Safety Culture in the Hospital Setting: Development and Initial Evaluation of the Patients' Perceptions of Safety Culture Scale

Cited by 14 publications

References 27 publications

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals

Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

Evaluation of Patients’ Perception of Safety in an Italian Hospital Using the PMOS-30 Questionnaire

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