A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric Properties, Quality, and Usage
A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric Properties, Quality, and Usage
复制标题
DOI：
10.1097/pts.0000000000000393
复制
发表时间：
2018-06-01
影响因子：
2.2
通讯作者：
O'Connor, Paul
中科院分区：
文献类型：
--
作者：
Curran, Ciara;Lydon, Sinead;O'Connor, Paul
重要性安全气候（SC）测量是一种常见的和可行的方法，在初级保健的主动安全评估。然而，对于哪种工具是最好的，目前还没有达成共识。目的本研究的目的是确定起源，心理测量学特性，质量，和通过调查工具测量的SC领域，用于评估初级保健环境中的SC。数据来源于2016年2月使用Medline，Embase，CINAHL和PsycInfo进行系统检索。同行评议的研究报告的发展和/或使用的SC调查在初级保健设置被纳入。数据提取和合成两个审查独立提取的数据（调查特点、起源、和心理测量特性），并应用不同设计研究的质量评估工具来评估方法的严谨性。安全气候领域内的调查进行了演绎分析，并归类为共同的医疗保健SC themes.Results十七SC调查确定，其中16个已改编自2个主要的美国医院为基础的调查。只有1项调查是针对初级保健环境重新开发的。心理测验的数量和质量在各次调查中有很大差异。管理层对安全的承诺是最常测量的SC主题（87.5%）。不经常测量（25%）。结论和相关性有效和可靠的工具，这是特定于医疗环境的故意使用，是必不可少的准确评估SC。关键的建议包括进一步建立的结构和标准相关的有效性，现有的工具，而不是开发额外的调查。
Importance Safety climate (SC) measurement is a common and feasible method of proactive safety assessment in primary care. However, there is no consensus on which instrument is best to use.Objective The aim of the study was to identify the origins, psychometric properties, quality, and SC domains measured by survey instruments used to assess SC in primary care settings.Data Sources Systematic searches were conducted using Medline, Embase, CINAHL, and PsycInfo in February 2016.Study Selection English-language, peer-reviewed studies that reported the development and/or use of a SC survey in a primary care setting were included.Data Extraction and Synthesis Two reviewers independently extracted data (survey characteristics, origins, and psychometric properties) from studies and applied the Quality Assessment Tool for Studies with Diverse Designs to assess methodological rigour. Safety climate domains within surveys were deductively analyzed and categorized into common healthcare SC themes.Results Seventeen SC surveys were identified, of which 16 had been adapted from 2 main U.S. hospital-based surveys. Only 1 survey was developed de novo for a primary care setting. The quantity and quality of psychometric testing varied considerably across the surveys. Management commitment to safety was the most frequently measured SC theme (87.5%). Workload was infrequently measured (25%).Conclusions and Relevance Valid and reliable instruments, which are context specific to the healthcare environment for intentional use, are essential to accurately assess SC. Key recommendations include further establishing the construct and criterion-related validity of existing instruments as opposed to developing additional surveys.