Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Sound psychometric properties of a short new screening tool for patient safety climate: applying a Rasch model analysis.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      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
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Health Facilities*/standards ; Patient Safety*/standards ; Surveys and Questionnaires* ; Organizational Culture* ; Models, Organizational* ; Delivery of Health Care*/organization & administration ; Delivery of Health Care*/standards; Humans ; Psychometrics ; Reproducibility of Results ; Attitude of Health Personnel ; Benchmarking
    • Abstract:
      Background: WHO recommends repeated measurement of patient safety climate in health care and to support monitoring an 11 item questionnaire on sustainable safety engagement (HSE) has been developed by the Swedish Association of Local Authorities and Regions. This study aimed to validate the psychometric properties of the HSE.
      Methods: Survey responses (n = 761) from a specialist care provider organization in Sweden was used to evaluate psychometric properties of the HSE 11-item questionnaire. A Rasch model analysis was applied in a stepwise process to evaluate evidence of validity and precision/reliability in relation to rating scale functioning, internal structure, response processes, and precision in estimates.
      Results: Rating scales met the criteria for monotonical advancement and fit. Local independence was demonstrated for all HSE items. The first latent variable explained 52.2% of the variance. The first ten items demonstrated good fit to the Rasch model and were included in the further analysis and calculation of an index measure based on the raw scores. Less than 5% of the respondents demonstrated low person goodness-of-fit. Person separation index > 2. The flooring effect was negligible and the ceiling effect 5.7%. No differential item functioning was shown regarding gender, time of employment, role within organization or employee net promotor scores. The correlation coefficient between the HSE mean value index and the Rasch-generated unidimensional measures of the HSE 10-item scale was r = .95 (p < .01).
      Conclusions: This study shows that an eleven-item questionnaire can be used to measure a common dimension of staff perceptions on patient safety. The responses can be used to calculate an index that enables benchmarking and identification of at least three different levels of patient safety climate. This study explores a single point in time, but further studies may support the use of the instrument to follow development of the patient safety climate over time by repeated measurement.
      (© 2023. The Author(s).)
    • References:
      Front Surg. 2021 Aug 12;8:690680. (PMID: 34458314)
      J Perinatol. 2021 Oct;41(10):2552-2560. (PMID: 33024255)
      BMC Health Serv Res. 2006 Apr 03;6:44. (PMID: 16584553)
      BMJ Open. 2017 Nov 08;7(11):e017708. (PMID: 29122796)
      Qual Saf Health Care. 2009 Aug;18(4):292-6. (PMID: 19651934)
      Eval Rev. 2019 Oct;43(5):307-330. (PMID: 30580577)
      PeerJ. 2017 Sep 12;5:e3785. (PMID: 28924502)
      Qual Saf Health Care. 2008 Jun;17(3):216-23. (PMID: 18519629)
      BMJ Qual Saf. 2014 Feb;23(2):162-70. (PMID: 24122954)
      Int J Nurs Stud. 2011 Oct;48(10):1258-65. (PMID: 21414620)
      Med Care. 2004 Jan;42(1 Suppl):I17-24. (PMID: 14707752)
      J Appl Meas. 2002;3(2):205-31. (PMID: 12011501)
      J Pain Symptom Manage. 2016 Jun;51(6):1002-12. (PMID: 26975624)
      Int J Nurs Stud. 2016 Sep;61:117-24. (PMID: 27348357)
      BMC Health Serv Res. 2019 Dec 30;19(1):1009. (PMID: 31888622)
      J Appl Meas. 2009;10(2):157-69. (PMID: 19564696)
      Health Expect. 2021 Dec;24(6):1905-1923. (PMID: 34432339)
      Acad Radiol. 2020 Mar;27(3):421-427. (PMID: 31272815)
      Health Qual Life Outcomes. 2017 Sep 19;15(1):181. (PMID: 28927468)
      J Clin Epidemiol. 2007 Jan;60(1):34-42. (PMID: 17161752)
      Health Qual Life Outcomes. 2018 Oct 3;16(1):196. (PMID: 30285767)
      J Rehabil Med. 2006 Sep;38(5):273-9. (PMID: 16931456)
      Ann Intern Med. 2013 Mar 5;158(5 Pt 2):369-74. (PMID: 23460092)
      J Intellect Disabil Res. 2011 Jun;55(6):610-20. (PMID: 21504493)
      BMC Med Res Methodol. 2008 May 29;8:33. (PMID: 18510722)
    • Contributed Indexing:
      Keywords: Organizational culture; Patient safety; Questionnaires and surveys; Safety climate; Validation study
    • Publication Date:
      Date Created: 20230709 Date Completed: 20231020 Latest Revision: 20231020
    • Publication Date:
      20250114
    • Accession Number:
      PMC10331975
    • Accession Number:
      10.1186/s12913-023-09768-y
    • Accession Number:
      37424025