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Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE'
BACKGROUND: A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a safet...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228702/ https://www.ncbi.nlm.nih.gov/pubmed/22040087 http://dx.doi.org/10.1186/1471-2296-12-117 |
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author | Zwart, Dorien LM Langelaan, Maaike van de Vooren, Rosalinde C Kuyvenhoven, Marijke M Kalkman, Cor J Verheij, Theo JM Wagner, Cordula |
author_facet | Zwart, Dorien LM Langelaan, Maaike van de Vooren, Rosalinde C Kuyvenhoven, Marijke M Kalkman, Cor J Verheij, Theo JM Wagner, Cordula |
author_sort | Zwart, Dorien LM |
collection | PubMed |
description | BACKGROUND: A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a safety culture questionnaire for general practice (SCOPE) which was derived from a comparable questionnaire for hospitals (Dutch-HSOPS). METHODS: The survey was conducted among caregivers of Dutch general practice as part of an ongoing quality accreditation process using a 46 item questionnaire. We conducted factor analyses and studied validity by calculating correlations between the subscales and testing the hypothesis that respondents' patient safety grade of their practices correlated with their scores on the questionnaire. RESULTS: Of 72 practices 294 respondents completed the questionnaire. Eight factors were identified concerning handover and teamwork, support and fellowship, communication openness, feedback and learning from error, intention to report events, adequate procedures and staffing, overall perceptions of patient safety and expectations and actions of managers. Cronbach's alpha of the factors rated between 0.64 and 0.85. The subscales intercorrelated moderately, except for the factor about intention to report events. Respondents who graded patient safety highly scored significantly higher on the questionnaire than those who did not. CONCLUSIONS: The SCOPE questionnaire seems an appropriate instrument to assess patient safety culture in general practice. The clinimetric properties of the SCOPE are promising, but future research should confirm the factor structure and construct of the SCOPE and delineate its responsiveness to changes in safety culture over time. |
format | Online Article Text |
id | pubmed-3228702 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32287022011-12-02 Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' Zwart, Dorien LM Langelaan, Maaike van de Vooren, Rosalinde C Kuyvenhoven, Marijke M Kalkman, Cor J Verheij, Theo JM Wagner, Cordula BMC Fam Pract Research Article BACKGROUND: A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a safety culture questionnaire for general practice (SCOPE) which was derived from a comparable questionnaire for hospitals (Dutch-HSOPS). METHODS: The survey was conducted among caregivers of Dutch general practice as part of an ongoing quality accreditation process using a 46 item questionnaire. We conducted factor analyses and studied validity by calculating correlations between the subscales and testing the hypothesis that respondents' patient safety grade of their practices correlated with their scores on the questionnaire. RESULTS: Of 72 practices 294 respondents completed the questionnaire. Eight factors were identified concerning handover and teamwork, support and fellowship, communication openness, feedback and learning from error, intention to report events, adequate procedures and staffing, overall perceptions of patient safety and expectations and actions of managers. Cronbach's alpha of the factors rated between 0.64 and 0.85. The subscales intercorrelated moderately, except for the factor about intention to report events. Respondents who graded patient safety highly scored significantly higher on the questionnaire than those who did not. CONCLUSIONS: The SCOPE questionnaire seems an appropriate instrument to assess patient safety culture in general practice. The clinimetric properties of the SCOPE are promising, but future research should confirm the factor structure and construct of the SCOPE and delineate its responsiveness to changes in safety culture over time. BioMed Central 2011-11-01 /pmc/articles/PMC3228702/ /pubmed/22040087 http://dx.doi.org/10.1186/1471-2296-12-117 Text en Copyright ©2011 Zwart et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Zwart, Dorien LM Langelaan, Maaike van de Vooren, Rosalinde C Kuyvenhoven, Marijke M Kalkman, Cor J Verheij, Theo JM Wagner, Cordula Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title | Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title_full | Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title_fullStr | Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title_full_unstemmed | Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title_short | Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE' |
title_sort | patient safety culture measurement in general practice. clinimetric properties of 'scope' |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228702/ https://www.ncbi.nlm.nih.gov/pubmed/22040087 http://dx.doi.org/10.1186/1471-2296-12-117 |
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