Safety Culture in Hospitals: A Quantitative Study

Offermanns, Guido; Draganović, Šehad

doi:10.1093/eurpub/ckw172.058

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“…In step 4, we conducted a pretest in three hospitals (n=99). 48 In the pretest we calculated exploratory factor analysis (EFA) to check whether HSOPSC-BiH is a good basis for the health systems in BiH.…”

Section: Methodsmentioning

confidence: 99%

“… 20 While currently, the safety culture in Bosnia and Herzegovina (BiH) is measured through the HSOPSC, the validity of the survey items in the context of the population and healthcare system has not been tested and/or adapted. 48 HSOPSC that was used in BiH was translated into the Bosnian language. This survey was applied to the full extent (42 items and 12 factors) in some hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Adaptation of the Agency for Healthcare Research and Quality’s ‘Hospital Survey on Patient Safety Culture’ to the Bosnia and Herzegovina context

2021

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ObjectivesMeasuring staff perspectives on patient safety culture (PSC) can identify areas of concern that, if addressed, could lead to improvements in healthcare. To date, there is no validated measure to assess PSC that has been tested and adapted for use in Bosnia and Herzegovina (BiH). This research addresses the gap in the evidence through the psychometric assessment of the Agency for Healthcare Research and Quality’s: ‘Hospital Survey on Patient Safety Culture’ (HSOPSC), to determine its suitability for the health system in BiH.SettingNine hospitals.ParticipantsHealthcare professionals (n=1429); nurse (n=823), doctors (n=328), other clinical personnel (n=111), non-clinical personnel (n=60), other (n=64), no response (n=43).Primary and secondary outcome measuresA translated version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis and confirmatory factor analysis (CFA). Comparison between the original HSOPSC and the newly adapted ‘Hospital Survey on Patient Safety Culture for Bosnia and Herzegovina’ (HSOPSC-BiH) was carried out.ResultsCompared with the original survey, which has 12 factors (42 items), the adapted survey consisted of 9 factors (29 items). The following factors from the original survey were not included in their original form: Communication Openness, Feedback and Communications about error, Overall Perceptions of Patient Safety and Organisational learning—Continuous Improvement. The results of the CFA for HSOPSC-BiH showed a better model fit compared with the original HSOPSC. The absolute and relative fit indices showed excellent model adjustment.ConclusionsThe BiH version of Hospital Survey on Patient Safety Culture demonstrated satisfactory psychometric properties, with acceptable to good internal consistency and construct validity. Therefore, we recommend the HSOPSC-BiH as a basis for assessing PSC in BiH. This survey could provide insight into patient safety concerns in BiH so that strategies to overcome these issues could be formulated and implemented.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%