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Patient safety culture in Portuguese primary care: validation of the Portuguese version of the Medical Office Survey

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Detalhes bibliográficos
Resumo:Background: Assessing patient safety culture is a strategic priority worldwide, and Portugal is no exception. Objective: It is the objective of this work to translate, adapt, validate, and analyze the reliability of the Medical Office Survey on Patient Safety Culture in Portuguese Primary Health Care (MOSPSC). Methods: The methodology adopted focused on transcultural translation and adaptation using the Translation Guidelines for the Agency for Healthcare Research and Quality (AHRQ) surveys on Patient Safety Culture, and reliability was conducted using Cronbach’s α and average inter-item correlation. Exploratory factor analysis and confirmatory factor analysis were performed to investigate the observed data that fit the dimensional structure proposed in the AHRQ Portuguese version. Results: The initial sample (n = 7299) was submitted to missing value analysis, obtaining a final sample of 4304 surveys. With exploratory factor analysis, it was obtained a structure with eight composites, one item was removed, and several items moved to other composites. With confirmatory factor analysis, one composite was removed. For both proposed model structures, good results were achieved for the goodness of fit indices. Conclusions: The Portuguese version of the MOSPSC resulted in nine composites with good reliability and construct validity.
Autores principais:Eiras, Margarida
Outros Autores:Escoval, Ana; Silva, Carina
Assunto:Patient safety Primaty care Safety culture Validity Reliability Exploratory factor analysis Confirmatory factor analysis
Ano:2018
País:Portugal
Tipo de documento:capítulo de livro
Tipo de acesso:acesso aberto
Instituição associada:Universidade Politécnica de Lisboa
Idioma:inglês
Origem:Repositório Científico da Universidade Politécnica de Lisboa
Descrição
Resumo:Background: Assessing patient safety culture is a strategic priority worldwide, and Portugal is no exception. Objective: It is the objective of this work to translate, adapt, validate, and analyze the reliability of the Medical Office Survey on Patient Safety Culture in Portuguese Primary Health Care (MOSPSC). Methods: The methodology adopted focused on transcultural translation and adaptation using the Translation Guidelines for the Agency for Healthcare Research and Quality (AHRQ) surveys on Patient Safety Culture, and reliability was conducted using Cronbach’s α and average inter-item correlation. Exploratory factor analysis and confirmatory factor analysis were performed to investigate the observed data that fit the dimensional structure proposed in the AHRQ Portuguese version. Results: The initial sample (n = 7299) was submitted to missing value analysis, obtaining a final sample of 4304 surveys. With exploratory factor analysis, it was obtained a structure with eight composites, one item was removed, and several items moved to other composites. With confirmatory factor analysis, one composite was removed. For both proposed model structures, good results were achieved for the goodness of fit indices. Conclusions: The Portuguese version of the MOSPSC resulted in nine composites with good reliability and construct validity.

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