BORA - UiB

Bergen Open Research Archive

Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient Safety

Bergen Open Research Archive

Show simple item record

dc.contributor.author Haugen, Arvid Steinar eng
dc.contributor.author Søfteland, Eirik eng
dc.contributor.author Eide, Geir Egil eng
dc.contributor.author Nortvedt, Monica Wammen eng
dc.contributor.author Aase, Karina eng
dc.contributor.author Harthug, Stig eng
dc.date.accessioned 2011-04-11T09:16:52Z
dc.date.available 2011-04-11T09:16:52Z
dc.date.issued 2010-09-22 eng
dc.identifier.issn 1472-6963 eng
dc.identifier.uri http://hdl.handle.net/1956/4650
dc.description.abstract <p>Background: How hospital health care personnel perceive safety climate has been assessed in several countries by using the Hospital Survey on Patient Safety (HSOPS). Few studies have examined safety climate factors in surgical departments per se. This study examined the psychometric properties of a Norwegian translation of the HSOPS and also compared safety climate factors from a surgical setting to hospitals in the United States, the Netherlands and Norway.</p> <p>Methods: This survey included 575 surgical personnel in Haukeland University Hospital in Bergen, an 1100-bed tertiary hospital in western Norway: surgeons, operating theatre nurses, anaesthesiologists, nurse anaesthetists and ancillary personnel. Of these, 358 returned the HSOPS, resulting in a 62% response rate. We used factor analysis to examine the applicability of the HSOPS factor structure in operating theatre settings. We also performed psychometric analysis for internal consistency and construct validity. In addition, we compared the percent of average positive responds of the patient safety climate factors with results of the US HSOPS 2010 comparative data base report.</p> <p>Results: The professions differed in their perception of patient safety climate, with anaesthesia personnel having the highest mean scores. Factor analysis using the original 12-factor model of the HSOPS resulted in low reliability scores (r = 0.6) for two factors: "adequate staffing" and "organizational learning and continuous improvement". For the remaining factors, reliability was ≥ 0.7. Reliability scores improved to r = 0.8 by combining the factors "organizational learning and continuous improvement" and "feedback and communication about error" into one six-item factor, supporting an 11-factor model. The inter-item correlations were found satisfactory.</p> <p>Conclusions: The psychometric properties of the questionnaire need further investigations to be regarded as reliable in surgical environments. The operating theatre personnel perceived their hospital's patient safety climate far more negatively than the health care personnel in hospitals in the United States and with perceptions more comparable to those of health care personnel in hospitals in the Netherlands. In fact, the surgical personnel in our hospital may perceive that patient safety climate is less focused in our hospital, at least compared with the results from hospitals in the United States.</p> en_US
dc.language.iso eng eng
dc.publisher BioMed Central eng
dc.relation.ispartof <a href="http://hdl.handle.net/1956/8502" target="blank">Impact of a surgical safety checklist on safety culture, morbidity, and mortality. A stepped-wedge cluster randomised controlled trial</a>
dc.rights Attribution CC BY eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0 eng
dc.title Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient Safety eng
dc.type Journal article eng
dc.rights.holder Copyright 2010 Haugen et al; licensee BioMed Central Ltd.
dc.rights.holder Haugen et al. eng
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.journalTitle BMC Health Services Research eng
bibo.volume 10 eng
bora.cristinID 519021 eng
bibo.number 279 eng
bibo.doi http://dx.doi.org/10.1186/1472-6963-10-279 eng
dc.identifier.cristinID 519021 eng
dc.identifier.doi http://dx.doi.org/10.1186/1472-6963-10-279


Files in this item

 
 
 
 

This item appears in the following Collection(s)

Show simple item record

Attribution CC BY Except where otherwise noted, this item's license is described as Attribution CC BY

Search BORA


Browse

My Account