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dc.contributor.authorSørskår, Leif Inge Kjærvollen_US
dc.contributor.authorOlsen, Espenen_US
dc.contributor.authorAbrahamsen, Eirik Bjorheimen_US
dc.contributor.authorBondevik, Gunnar Tschudien_US
dc.contributor.authorAbrahamsen, Håkon Bjorheimen_US
dc.PublishedSørskår LIK, Olsen E, Abrahamsen EB, Bondevik GT, Abrahamsen HB. Assessing safety climate in prehospital settings: Testing psychometric properties of a common structural model in a cross-sectional and prospective study. BMC Health Services Research. 2019;19:674eng
dc.description.abstractBackground: Little research exists on patient safety climate in the prehospital context. The purpose of this article is to test and validate a safety climate measurement model for the prehospital environment, and to explore and develop a theoretical model measuring associations between safety climate factors and the outcome variable transitions and handoffs. Methods: A web-based survey design was utilized. An adjusted short version of the instrument Hospital Survey on Patient Safety Culture (HSOPSC) was developed into a hypothetical structural model. Three samples were obtained. Two from air ambulance workers in 2012 and 2016, with respectively 83 and 55% response rate, and the third from the ground ambulance workers in 2016, with 26% response rate. Confirmatory factor analysis (CFA) was applied to test validity and psychometric properties. Internal consistency was estimated and descriptive data analysis was performed. Structural equation modelling (SEM) was applied to assess the theoretical model developed for the prehospital setting. Results: A post-hoc modified instrument consisting of six dimensions and 17 items provided overall acceptable psychometric properties for all samples, i.e. acceptable Chronbach’s alphas (.68–.86) and construct validity (model fit values: SRMR; .026–.056, TLI; .95–.98, RMSEA; .031–.052, CFI; .96–.98). A common structural model could also be established. Conclusions: The results provided a validated instrument, the Prehospital Survey on Patient Safety Culture short version (PreHSOPSC-S), for measuring patient safety climate in a prehospital context. We also demonstrated a positive relation between safety climate dimensions from leadership to unit level, from unit to individual level, and from individual level on the outcome dimension related to transitions and handoffs. Safe patient transitions and handoffs are considered an important outcome of prehospital deliveries; hence, new theory and a validated model will constitute an important contribution to the prehospital safety climate research.en_US
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.titleAssessing safety climate in prehospital settings: Testing psychometric properties of a common structural model in a cross-sectional and prospective studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2019 The Authors
dc.source.journalBMC Health Services Research

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