The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Attitude of Health Personnel*; Health Care Surveys/*instrumentation ; Hospitals, General/*organization & administration ; Hospitals, Teaching/*organization & administration ; Patient Care Team/*standards ; Personnel, Hospital/*psychology ; Psychometrics/*instrumentation ; Safety Management/*standards ; Surveys and Questionnaires/*standards; Communication ; Factor Analysis, Statistical ; Hospital Bed Capacity, 500 and over ; Hospitals, General/standards ; Hospitals, Teaching/standards ; Hospitals, University/organization & administration ; Hospitals, University/standards ; Humans ; Medical Errors/prevention & control ; Netherlands ; Organizational Culture ; Personnel, Hospital/classification ; Safety Management/methods ; Total Quality Management ; Translations ; United States

Background: In many different countries the Hospital Survey on Patient Safety Culture (HSOPS) is used to assess the safety culture in hospitals. Accordingly, the questionnaire has been translated into Dutch for application in the Netherlands. The aim of this study was to examine the underlying dimensions and psychometric properties of the questionnaire in Dutch hospital settings, and to compare these results with the original questionnaire used in USA hospital settings.
Methods: The HSOPS was completed by 583 staff members of four general hospitals, three teaching hospitals, and one university hospital in the Netherlands. Confirmatory factor analyses were performed to examine the applicability of the factor structure of the American questionnaire to the Dutch data. Explorative factor analyses were performed to examine whether another composition of items and factors would fit the data better. Supplementary psychometric analyses were performed, including internal consistency and construct validity.
Results: The confirmatory factor analyses were based on the 12-factor model of the original questionnaire and resulted in a few low reliability scores. 11 Factors were drawn with explorative factor analyses, with acceptable reliability scores and a good construct validity. Two items were removed from the questionnaire. The composition of the factors was very similar to that of the original questionnaire. A few items moved to another factor and two factors turned out to combine into a six-item dimension. All other dimensions consisted of two to five items.
Conclusion: The Dutch translation of the HSOPS consists of 11 factors with acceptable reliability and good construct validity. and is similar to the original HSOPS factor structure.

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Date Created: 20081108 Date Completed: 20081231 Latest Revision: 20240316

20240316

PMC2588576

10.1186/1472-6963-8-230

18990256