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The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability

dc.contributor.authorEiras, Margarida
dc.contributor.authorEscoval, Ana
dc.contributor.authorGrillo, Isabel Monteiro
dc.contributor.authorSilva, Carina
dc.date.accessioned2014-04-22T15:10:40Z
dc.date.available2014-04-22T15:10:40Z
dc.date.issued2014
dc.description.abstractPurpose – Quantitative instruments to assess patient safety culture have been developed recently and a few review articles have been published. Measuring safety culture enables healthcare managers and staff to improve safety behaviours and outcomes for patients and staff. The study aims to determine the AHRQ Hospital Survey on Patient Safety Culture (HSPSC) Portuguese version's validity and reliability. Design/methodology/approach – A missing-value analysis and item analysis was performed to identify problematic items. Reliability analysis, inter-item correlations and inter-scale correlations were done to check internal consistency, composite scores. Inter-correlations were examined to assess construct validity. A confirmatory factor analysis was performed to investigate the observed data's fit to the dimensional structure proposed in the AHRQ HSPSC Portuguese version. To analyse differences between hospitals concerning composites scores, an ANOVA analysis and multiple comparisons were done. Findings – Eight of 12 dimensions had Cronbach's alphas higher than 0.7. The instrument as a whole achieved a high Cronbach's alpha (0.91). Inter-correlations showed that there is no dimension with redundant items, however dimension 10 increased its internal consistency when one item is removed. Originality/value – This study is the first to evaluate an American patient safety culture survey using Portuguese data. The survey has satisfactory reliability and construct validity.por
dc.identifier.citationEiras M, Escoval A, Grillo IM, Silva C. The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability. Int J Health Care Qual Assur. 2014;27(2):111-22.por
dc.identifier.otherDOI: 10.1108/IJHCQA-07-2012-0072
dc.identifier.urihttp://hdl.handle.net/10400.21/3516
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherEmerald Insightpor
dc.relation.publisherversionhttp://www.emeraldinsight.com/journals.htm?issn=0952-6862&volume=27&issue=2&articleid=17104835&show=abstractpor
dc.subjectAssessmentpor
dc.subjectDecision makingpor
dc.subjectPatient safetypor
dc.subjectAHRQ Hospital Survey on Patient Safety Culturepor
dc.subjectPortugalpor
dc.titleThe hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliabilitypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage122por
oaire.citation.startPage111por
oaire.citation.titleInternational Journal of Health Care Quality Assurancepor
oaire.citation.volume27por
rcaap.rightsclosedAccesspor
rcaap.typearticlepor

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