Hospital survey on patient safety culture (HSOPS): variability of scoring strategies
Hospital survey on patient safety culture (HSOPS): variability of scoring strategies
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DOI：
10.1093/intqhc/mzx086
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发表时间：
2017-10-01
影响因子：
2.6
通讯作者：
Francois, Patrice
中科院分区：
文献类型：
--
作者：
Giai, Joris;Boussat, Bastien;Francois, Patrice
目的：使用医院患者安全文化调查 (HSOPS) 评估安全文化维度得分及其相关排名的变异性，具体取决于三种不同的评分策略。使用自填式问卷进行横断面研究。该研究在 2013 年 4 月至 2014 年 11 月期间在一家拥有 1836 个床位、每年住院人数为 135 999 人次的法国大学医院进行。所有护理人员和技术行政人员至少具有工作 6 个月、至少一半工作时间在医院度过的人被要求参加。无。使用三种不同评分方法的 HSOPS 结果的变异性：医疗保健研究和质量机构推荐的阳性反应百分比、平均个人平均值和平均个人总和。反应率为 78.6% (n = 3978)。与六个最不发达的维度中的平均个人平均值和平均个人总和相比，积极响应的百分比导致得分较低，并且在六个最发达的维度中给出了更广泛的分数和更大的 95CI。根据评分方法的不同，院系排名也有很大差异。HSOPS分数的值及其相应的排名在很大程度上取决于计算方法。这一发现表明，在广泛比较组织内部和组织之间的结果之前，就使用相同的评分策略达成一致是多么重要。
Objective: To assess the variability of safety culture dimension scores and their associated rankings depending on three different scoring strategies using the Hospital Survey On Patient Safety Culture (HSOPS).Cross-sectional study using a self-administered questionnaire.The study was conducted in an 1836-bed acute-care French university hospital with an annual volume of 135 999 stays, between April 2013 and November 2014.All caregivers and technical-administrative staff with at least 6 months of employment, spending at least half of their working time in the hospital, were asked to participate.None.The variability of the HSOPS results using three different scoring methods: the percentage of positive responses recommended by the Agency for Healthcare Research and Quality, the averaged individual means and the averaged individual sums.The response rate was 78.6% (n = 3978). The percentage of positive responses resulted in lower scores compared to averaged individual means and averaged individual sums in the six least developed dimensions, and gave more widely spread scores and greater 95CIs in the six most developed dimensions. Department rankings also varied greatly depending on the scoring methods.The values of the HSOPS scores and their corresponding rankings greatly depended on the computation method. This finding shows how important it is to agree on the use of the same scoring strategies, before broadly comparing results within and across organizations.