Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study

Abstract

Background The culture of safety and patient safety management in dental practice lags compared with medical practice. Hospitals strive to pursue quality and safety of healthcare services, with evidence of patient safety incidents in medical practice demonstrating the importance of promoting a safety culture. Measuring patient safety culture is a necessary first step to improving safety culture in clinical settings. As a hospital, dental hospital should improve the quality and culture of patient safety. Thus, our objective was to conduct a cross-cultural adaptation of a US measure of dental office patient safety culture for use in Indonesian dental hospitals. Method A cross-sectional study was conducted on 200 respondents at a dental hospital in Java, Indonesia. The first stage includes cultural adaptation and translation, followed by developing a questionnaire that was tested through expert agreement and analysis of validity and reliability using Spearman, Cronbach correlation coefficients, and correlation coefficients between classes. The Dental Office Survey on Patient Safety Culture consists of 58 items and 10 dimensions (overall perceptions of patient safety and quality, organizational learning, teamwork, staff training, work pressure and pace, management support for patient safety, office processes and standardization, communication about errors, communication openness, and patient care tracking/follow-up). Results A total of 200 respondents with a response rate of 61.5% and 77 invalid responses due to incomplete filling, so 123 respondents were analyzed. The validity test results on 38 question items from 10 dimensions, with a sign of 0.05%, 35 items are declared valid. Conclusions The Indonesian version of the Dental Office Survey on Patient Safety Culture shows good validity and good reliability and has the potential to be used to evaluate patient safety culture in dental hospitals in Indonesia.

A cultura de segurança do paciente na Odontologia: Revisão integrativa da literatura

“…Muitos deles desenvolvidos para aplicação na Medicina e adaptados para avaliação na Odontologia. Destacam-se: Hospital Survey on Patient Safety Culture (Al Sweleh et al, 2018;Choi et al, 2019;Leong et al, 2008), World Dental Federation (FDI) e National Dental Associations (NDAs) (Yamalik & Van Dijk, 2013), Medical Office Survey on Patient Safety Culture (MOSOPS) (Ramoni et al, 2014;Yansane et al, 2020), Safety Attitude Questionnaire (SAQ) (AlOlayan et al, 2021;Al-Surimi et al, 2018;Cheng et al, 2019;Juliawati et al, 2022), Patient Safety Culture Hospital (Ahsan et al, 2019) e Dental Office Survey on Patient Safety Culture (Arbianti et al, 2023).…”

“…A versão chinesa (Safety Attitude Questionnaire SAQ-C), empregada por Cheng et al (2019) O Dental Office Survey on Patient Safety Culture é um instrumento que consiste em 58 itens e que avalia dez dimensões da CSP: percepções gerais de segurança e qualidade do paciente, aprendizagem organizacional, trabalho em equipe, treinamento da equipe, pressão e ritmo de trabalho, apoio da gestão para segurança do paciente, processos e padronização do consultório, comunicação sobre erros, abertura de comunicação e rastreamento/acompanhamento do atendimento ao paciente (Arbianti et al, 2023). Arbianti et al (2023) realizou uma adaptação transcultural do Dental Office Survey on Patient Safety Culture para avaliação da CSP em consultórios odontológicos na Indonésia. Foram entrevistados 200 indivíduos em um hospital odontológico em Java.…”