■本研究旨在将修订后的医院患者安全文化调查(HSOPSC2.0)翻译成普通话,评估其心理测量特性,并将其应用于中国的一组私立医院,以确定与患者安全文化相关的决定因素。
■进行了两阶段研究以翻译和评估HSOPSC2.0。HSOPSC2.0的跨文化适应以普通话进行,并在中国的横断面研究中应用。这项研究是在来自中国六个城市的9家私立医院和11家诊所的3,062名受访者中进行的。HSOPSC2.0用于评估患者安全性培养。通过报告的患者总体安全等级和患者安全事件来衡量主要结局。
■验证性因子分析结果和内部一致性可靠性对于翻译的HOSPSC2.0是可以接受的。积极响应最高的维度是“组织学习-持续改进”(89%),最低的是“报告患者安全事件”(51%)。护士和在医院工作时间长与对患者总体安全等级的较低评估相关。与患者有直接接触的受访者,在医院工作时间很长,且每周工作时间长报告了更多的患者安全事件.更高水平的患者安全文化意味着高总体患者安全等级和报告的患者安全事件数量的概率增加。
■HSOPSC2.0中文版是衡量中国私立医院患者安全文化的可靠工具。组织文化是患者安全的基础,可以促进我国民营医院积极安全文化的发展。
UNASSIGNED: This
study aimed to translate the revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0) to Mandarin, evaluate its psychometric properties, and apply it to a group of private hospitals in China to identify the determinants associated with patient safety culture.
UNASSIGNED: A two-phase
study was conducted to translate and evaluate the HSOPSC 2.0. A cross-cultural adaptation of the HSOPSC 2.0 was performed in Mandarin and applied in a cross-sectional
study in China. This
study was conducted among 3,062 respondents from nine private hospitals and 11 clinics across six cities in China. The HSOPSC 2.0 was used to assess patient safety culture. Primary outcomes were measured by the overall patient safety grade and patient safety events reported.
UNASSIGNED: Confirmatory factor analysis results and internal consistency reliability were acceptable for the translated HOSPSC 2.0. The dimension with the highest positive response was \"Organizational learning - Continuous improvement\" (89%), and the lowest was \"Reporting patient safety event\" (51%). Nurses and long working time in the hospital were associated with lower assessments of overall patient safety grades. Respondents who had direct contact with patients, had long working times in the hospital, and had long working hours per week reported more patient safety events. A higher level of patient safety culture implies an increased probability of a high overall patient safety grade and the number of patient safety events reported.
UNASSIGNED: The Chinese version of HSOPSC 2.0 is a reliable instrument for measuring patient safety culture in private hospitals in China. Organizational culture is the foundation of patient safety and can promote the development of a positive safety culture in private hospitals in China.