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The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability

Existing patient safety culture assessment tools are mostly developed in western countries and may not be suitable for Chinese primary health care institutions. Primary care plays an important role in China’s medical system, and a targeted tool for its patient safety culture is urgently needed. OBJE...

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Autores principales: Cheng, Siyu, Hu, Yinhuan, Pfaff, Holger, Lu, Chuntao, Fu, Qiang, Wang, Liuming, Li, Dehe, Xia, Shixiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908859/
https://www.ncbi.nlm.nih.gov/pubmed/32404850
http://dx.doi.org/10.1097/PTS.0000000000000733
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author Cheng, Siyu
Hu, Yinhuan
Pfaff, Holger
Lu, Chuntao
Fu, Qiang
Wang, Liuming
Li, Dehe
Xia, Shixiao
author_facet Cheng, Siyu
Hu, Yinhuan
Pfaff, Holger
Lu, Chuntao
Fu, Qiang
Wang, Liuming
Li, Dehe
Xia, Shixiao
author_sort Cheng, Siyu
collection PubMed
description Existing patient safety culture assessment tools are mostly developed in western countries and may not be suitable for Chinese primary health care institutions. Primary care plays an important role in China’s medical system, and a targeted tool for its patient safety culture is urgently needed. OBJECTIVE: The aim of the study was to develop a dependable instrument to assess the patient safety culture in Chinese primary health care institutions. METHODS: Three phases were undertaken to develop the scale. The first phase developed a pilot scale by literature review, focus groups, and 2-round Delphi expert consultation. The second phase conducted a pilot survey. The third phase carried out a formal survey to test reliability and validity, involving 369 participants from 9 primary health care institutions. RESULTS: The final scale included 32 items under 7 dimensions. For reliability, the Cronbach α coefficients among dimensions varied from 0.754 to 0.926, and the Cronbach α for the scale was 0.940. For content validity, the corrected item-level content validity varied between 0.64 and 1, the scale-level content validity index/universal agreement was 0.625, and the scale-level content validity index/average was 0.93. For construct validity, the Spearman correlations of dimension-total score varied between 0.129 and 0.851, all Spearman correlations of the dimension-total score were greater than that of interdimensions and the Spearman correlations of item-total score ranged from 0.042 to 0.775. The results of the confirmatory factor analysis indicated that the model fitted well. CONCLUSIONS: The Patient Safety Culture Scale for Chinese primary health care institutions demonstrated good reliability and acceptable validity; thus, it can be used as an assessment instrument for patient safety culture in Chinese primary health care institutions.
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spelling pubmed-79088592021-03-01 The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability Cheng, Siyu Hu, Yinhuan Pfaff, Holger Lu, Chuntao Fu, Qiang Wang, Liuming Li, Dehe Xia, Shixiao J Patient Saf Original Studies Existing patient safety culture assessment tools are mostly developed in western countries and may not be suitable for Chinese primary health care institutions. Primary care plays an important role in China’s medical system, and a targeted tool for its patient safety culture is urgently needed. OBJECTIVE: The aim of the study was to develop a dependable instrument to assess the patient safety culture in Chinese primary health care institutions. METHODS: Three phases were undertaken to develop the scale. The first phase developed a pilot scale by literature review, focus groups, and 2-round Delphi expert consultation. The second phase conducted a pilot survey. The third phase carried out a formal survey to test reliability and validity, involving 369 participants from 9 primary health care institutions. RESULTS: The final scale included 32 items under 7 dimensions. For reliability, the Cronbach α coefficients among dimensions varied from 0.754 to 0.926, and the Cronbach α for the scale was 0.940. For content validity, the corrected item-level content validity varied between 0.64 and 1, the scale-level content validity index/universal agreement was 0.625, and the scale-level content validity index/average was 0.93. For construct validity, the Spearman correlations of dimension-total score varied between 0.129 and 0.851, all Spearman correlations of the dimension-total score were greater than that of interdimensions and the Spearman correlations of item-total score ranged from 0.042 to 0.775. The results of the confirmatory factor analysis indicated that the model fitted well. CONCLUSIONS: The Patient Safety Culture Scale for Chinese primary health care institutions demonstrated good reliability and acceptable validity; thus, it can be used as an assessment instrument for patient safety culture in Chinese primary health care institutions. Lippincott Williams & Wilkins 2021-03 2020-05-13 /pmc/articles/PMC7908859/ /pubmed/32404850 http://dx.doi.org/10.1097/PTS.0000000000000733 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Studies
Cheng, Siyu
Hu, Yinhuan
Pfaff, Holger
Lu, Chuntao
Fu, Qiang
Wang, Liuming
Li, Dehe
Xia, Shixiao
The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title_full The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title_fullStr The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title_full_unstemmed The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title_short The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability
title_sort patient safety culture scale for chinese primary health care institutions: development, validity and reliability
topic Original Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908859/
https://www.ncbi.nlm.nih.gov/pubmed/32404850
http://dx.doi.org/10.1097/PTS.0000000000000733
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