Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study

Abstract

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Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing

“…These included the domains and items from the PMOS questionnaire for hospital use,14 15 a brief description of the themes and subthemes from previous enquiry of the research team investigating patients’ views of safety in general practice9 11 and a brief description of the themes from the literature about threats to patient safety in primary care 3 30–38…”

“…During the round table, panel members examined the results and reached consensus about which domains to include in the questionnaire. The facilitator used these results to generate example items for each domain where there was not already an existing PMOS questionnaire item 14 15. During the second round-table discussion, panel members considered the example questionnaire items and refined these until consensus was reached.…”

“…A tool to collect patient feedback on the factors contributing to safety incidents has been developed in secondary care 14 15. This tool is one element of an intervention currently being assessed in a large trial investigating patient involvement in patient safety in hospitals 16.…”

“…This tool is one element of an intervention currently being assessed in a large trial investigating patient involvement in patient safety in hospitals 16. The patient measure of safety (PMOS) is a theory and evidence-based tool14 15 derived from James Reason's Swiss Cheese model of accident causation,17 and also from a systematic review of the literature, which resulted in the Yorkshire Contributing Factors Framework (YCFF) 18. The YCFF outlines 20 factors contributing to safety incidents, which range from active failures to latent external factors in hospital settings.…”

What is Good Quality of Health Care?

“…The more technical components of quality can be measured by a range of methods and indicators (Smith, 2009) but also by the patient perspective through patient-reported outcome measures (Fitzpatrick, Davey, Buxton, & Jones, 1998) and patient-reported safety measures (Bjertnaes, Skudal, Iversen, & Lindahl, 2013;McEachan et al, 2013). However, as Donabedian has stressed, the collected information about structures, processes and outcomes are not attributes of quality, but can be used to infer whether quality is good or not (Donabedian & Bashshur, 2003).…”