The psychometric properties of the Slovenian version of the Medical Office Survey on Patient Safety Culture
Psihometrične lastnosti slovenske različice lestvice MOSOPCS za ocenjevanje kulture varnosti
Abstract
Purpose: Considerable differences are found between the safety of patients at the primary level of healthcare and the safety of patients at the secondary or tertiary levels. This study aimed to test the validity and reliability of the Slovenian version of the Medical Office Survey on Patient Safety Culture (MOSOPSC) in primary healthcare settings.
Methods: A cross-sectional study was carried out in the largest community health centre in Slovenia, the Ljubljana Community Health Centre. We invited all employees who had a leadership function (N = 221) to participate in the electronic study, and used the Slovenian version of the MOSOPSC. We conducted confirmatory factor analysis (CFA) to examine the MOSOPSC. To determine its reliability and internal consistency, the intraclass correlation coefficient (ICC) was used. We also applied split-half methodology (the Spearman–Brown formula) and calculated the Pearson’s coefficient to assess the test-retest reliability.
Results: The final sample consisted of 154 participants (69.7% response rate), of which 136 (88.3%) were female. The mean age of the sample was 46.2 ± 10.0 years. The CFA model showed good fit indices. The internal consistency of the MOSOPSC was good or very good, and Cronbach’s alpha ranged from 0.55 to 0.90. Pearson’s coefficient of temporal stability ranged from 0.540 to 0.712. The reliability, based on the Spearman–Brown formula, was good.
Conclusion: The results of our study suggest that the Slovenian version of the MOSOPSC, with its original factors, could be a reliable and valid tool for measuring safety culture among primary health care workers who have a leadership role.
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References
Vincent C, Burnett S, Carthey J. The measurement and monitoring of safety. London: Imperial College London; 2013.
Richter JP, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage Rev. 2016;41(1):32-41.
Deilkas ET. Patient safety culture - opportunities and viewpoints of family medicine physicians on approaches to identify and treat medically unexplained symptoms. Acta Medico-Biotechnica. 2016;9(2):47-57.
Parker D, Wensing M, Esmail A, Valderas JM. Measurement tools and process indicators of patient safety culture in primary care. A mixed methods study by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21 Suppl:26-30.
Sorra JS, Franklin M, Streagle S. Medical Office Survey on Patient Safety Culture. Rockville: Agency for Healthcare Research and Quality; 2008.
Hickner J, Smith SA, Yount N, Sorra J. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. BMJ quality & safety. 2015;25(8):588-94.
Klemenc-Ketis Z, Svab I, Poplas Susic A. Implementing Quality Indicators for Diabetes and Hypertension in Family Medicine in Slovenia. Zdr Varst. 2017;56(4):211-9.
Petek D, Mlakar M. Quality of care for patients with diabetes mellitus type 2 in ‘model practices’ in slovenia – first results. Zdr Varst. 2016;55(3):179-84.
Zelko E, Svab I. Overcoming cultural cleavages: results from a health promotion intervention among Roma. Acta Medico-Biotechnica. 2016;9(1):33-41.
Pavlic DR, Sever M, Klemenc-Ketis Z, Svab I. Process quality indicators in family medicine: results of an international comparison. BMC Fam Pract. 2015;16(1):172.
Klemenc-Ketis Z, Deilkas ET, Hofoss D, Bondevik GT. Patient Safety Culture in Slovenian out-of-hours Primary Care Clinics. Zdr Varst. 2017;56(4):203-10.
Klemenc-Ketis Z, Maletic M, Stropnik V, Deilkăs ET, Hoffos D, Bondevik GT. The safety attitudes questionnaire – ambulatory version: psychometric properties of the Slovenian version for the out-ofhours primary care setting. BMC Health Serv Res. 2017;17:36.
Klemenc-Ketis Z, Deilkas ET, Hofoss D, Bondevik GT. Variations in patient safety climate and perceived quality of collaboration between professions in out-of-hours care. J Multidiscip Healthc. 2017;10:417-23.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25(24):3186-91.
Jackson DL, Gillaspy JA, Purc-Stephenson R. Reporting practices in confirmatory factor analysis: an overview and some recommendations. Psychol Methods. 2009;14(1):6-23.
Timothy BA. Confirmatory factor analysis. Boston University; 2013.
Ornelas MD, Pais D, Sousa P. Patient Safety Culture in Portuguese Primary Healthcare. Qual Prim Care. 2016;24(5):214-8.
Timm M, Soares Rodrigues MC. Cross-cultural adaptation of safety culture tool for Primary Health Care. Acta Paul Enfem. 2016;29(1):26-37.
Silvestre-Busto C, Torijano-Casalengua ML, Olivera-Canadas G, Astier-Pena MP, Maderuelo-Fernandez JA, Rubio-Aguado EA. Adaptation of the Medical Office Survey on Patient Safety Culture (MOSPSC) tool. Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial. 2015;30(1):24-30.
Arafat S. Cross cultural adaptation & psychometric validation of instruments: Step-wise description. Int J Psychiatry. 2016;1(1):1-4.
Petek D, Pušnik A, Selič P, Cedilnik Gorup E, Trontelj Ž, Riou M et al. Semantic and cultural equivalence of the Working Alliance Inventory Short-Revised scale for therapeutic alliance in family medicine: lessons learned in Slovenia. Zdr Varst. 2019.
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