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. 2018 Mar;13(1):34-43.

Psychometric Properties of the Romanian Version of the Hospital Survey on Patient Safety Culture (HSOPS)

Carmen Tereanu  1 , Scott Alan Smith  2 , Mugurel Stefan Ghelase  3 , Giuseppe Sampietro  4 , Adrian Molnar  5 , Antoaneta Dragoescu  6 , Florentina Ligia Furtunescu  6 , Camelia Stanescu  7 , Olguta Alice Gavrila  8 , Anca Patrascu  9 , Andreea Loredana Golli  3 , Manuela Dragomir  3
Affiliations

Psychometric Properties of the Romanian Version of the Hospital Survey on Patient Safety Culture (HSOPS)

Carmen Tereanu et al. Maedica (Bucur). 2018 Mar.

Abstract

Objective: To explore psychometrics of the Romanian version of the Hospital Survey on Patient Safety Culture (HSOPS) released by the US Agency for Healthcare Research and Quality in 2004.

Material and methods: The original US survey with 12 composites and 42 items was translated (back translation method), pre-tested on a few staff and then minimally adjusted. A qualitative cross-sectional study was carried out in units from six hospitals in four Romanian regions, based on the census of medical and non-medical staff (n. 969). Participants completed a paper-based self-administered questionnaire. The main outcome measures were: descriptive statistics, confirmatory factor analysis (CFA), internal reliability and intercorrelations among survey composites.

Results: Nurses accounted for 67% of respondents, and doctors for 23%. Most work units were surgery (24%) and medical specialties (22%). After individual-level CFA on half of the sample, Staffing and Overall perceptions of patient safety composites were dropped and Feedback & communication about error and Communication openness composite items were aggregated to a single Communication composite. Subsequent CFA on the second half of the sample indicated that the novel composite structure adequately fitted the data: comparative fit index=0.90; root mean square error of approximation=0.06; standardized root mean square residual=0.06. Internal consistency was .0.70 for most composites. Spearman intercorrelations among the patient safety composites at the individual level averaged 0.28.

Conclusion: Psychometrics of the Romanian version of the HSOPS tested in Romania was acceptable for nine composites with 31 items. Integration of this survey with items more pertinent for Romania is suggested.

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Figures

TABLE 1.
TABLE 1.
Respondent distribution by professional position and work area
TABLE 2.
TABLE 2.
Romanian hospital survey on patient safety: factor loadings obtained with final individual confirmatory factor analysis
TABLE 2.
TABLE 2.
Romanian hospital survey on patient safety: factor loadings obtained with final individual confirmatory factor analysis
TABLE 3.
TABLE 3.
Romanian hospital survey on patient safety: final individual confirmatory factor analysis model fit indices
TABLE 4.
TABLE 4.
Romanian hospital survey on patient safety: Cronbach’s alpha reliability and percentage of positive response
TABLE 5.
TABLE 5.
Romanian hospital survey on patient safety: intercorrelations among patient safety composites at the individual level
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