Psychometric properties of the Georgian version of Hospital Survey on Patient Safety Culture: a cross-sectional study

BMJ Open
Nikoloz GambashidzeTanja Manser

Abstract

To study the psychometric properties of the Georgian version of the Hospital Survey on Patient Safety Culture (HSPSC-GE). Cross-sectional study. Three Georgian hospitals. Staff of participating hospitals (n=579 responses, response rate 41.6%). Psychometric properties (Model fit, internal consistency, construct validity) of the instrument, factor structure derived from the data. HSPSC-GE demonstrated acceptable construct validity but highly limited internal consistency (Cronbach's alpha 0.35-0.87). Confirmatory factor analysis with the original 12-factor model resulted in poor model fit (root mean square error of approximation (RMSEA)=0.06; standardised root mean square residuals (SRMR)=0.08; comparative fit index (CFI)=0.74; goodness of fit index (GFI)=0.81; Tucker-Lewis Index (TLI)=0.70). Accounting for reversed item bias resulted in improved fit indices. Exploratory factor analysis resulted in an alternative five-factor model including only 19 items, but with satisfactory model fit (RMSEA=0.07; SRMR=0.07; CFI=0.90; GFI=0.89; TLI=0.88). The HSPSC-GE as a whole demonstrated poor psychometric properties. However, a number of dimensions demonstrated acceptable internal consistency and reliability. Our results indicated presence o...Continue Reading

References

Dec 13, 2006·Journal of Clinical Epidemiology·Caroline B TerweeHenrica C W de Vet
Jan 31, 2009·Health Services Research·Sara SingerLaurence Baker
Nov 19, 2009·Journal of Patient Safety·Mary A BlegenBrian K Alldredge
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Jun 22, 2011·BMJ Quality & Safety·Cakil SaracJeanette Jackson
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Jun 6, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Andrej Robida
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Dec 25, 2015·Ergonomics·Celine McKeown
Oct 11, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Joris GiaiPatrice François
Jan 2, 2018·Joint Commission Journal on Quality and Patient Safety·Joanne Campione, Theresa Famolaro
May 23, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Cláudia Tartaglia ReisPaulo Sousa
Mar 26, 2019·Journal of Patient Safety·Bastien BoussatJosé Labarère

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Citations

Sep 19, 2020·The International Journal of Health Planning and Management·Elnaz RahimiNategh Abbasgholizadeh

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Software Mentioned

GE
HSPSC
SAS

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