J Korean Acad Oral Health.  2013 Dec;37(4):216-223.

Application of the hospital survey on patient safety culture (HSOPSC) to dentistry

• An ES
• Shin HS

Abstract

OBJECTIVES
The topic of patient safety has recently gained attention across healthcare institutes. Building a broad awareness of patient safety issues among dental care personnel, thus establishing a sound patient safety culture, has beneficial prophylactic effects on the quality assurance of dental care services. This study examines the adequacy and validity of the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ) for application to Korean dental care institutes.
METHODS
The HSOPSC, which is a self-administered questionnaire survey, was administered to dental care workers who participated in the 2011 Dental Care Quality Assurance Symposium. The reliability and construct validity of the questionnaire were tested using STATA 11.0; factor, reliability, and correlation analyses were performed.
RESULTS
Awareness of patient safety was dealt with in 10 subareas comprising 38 items. The 10 subareas were included patient safety policy at the institute level, open communication, patient safety-related expectations and behaviors of managers, frequency of reporting on patient safety-related incidents, and teamwork within the department. Both the construct validity and internal consistency of each factor were confirmed to be adequate.
CONCLUSIONS
The results of the adequacy test for the application of this questionnaire to dental care institutes revealed that most items had a certain level of validity and reliability. However, it is necessary to reflect upon the specificity of dental care services to assess patient safety culture within dental care institutes more accurately.

Keyword

Dental care institutes; HSOPS; Patient safety culture; Reliability; Validity

MeSH Terms

Academies and Institutes
Delivery of Health Care
Dental Care
Dentistry*
Health Services Research
Humans
Patient Safety*
Surveys and Questionnaires
Reproducibility of Results
Sensitivity and Specificity

Reference

References

1. Ito S, Seto K, Kigawa M, Fujita S, Hasegawa T, Hasegawa T. Development and applicability of Hospital Survey on Patient Safety Culture (HSOPS) in Japan. BMC Family Practice. 2011; 11:1–7.

2. Pérez BP, Sáez AS, Marín FG, González EL, Vigil AV. Patient safety in dentistry: dental care risk management plan. Med Oral Patol Oral Cir Bucal. 2011; 16:e805–809.

3. Zwart LM, Langelaan M, Vooren RC, Kuyvenhoven MM, Kalk-man CJ, Verheij TJM, et al. Patient safety culture measurement in general practice. Clinimetric properties of ‘SCOPE’. BMC Family Practice. 2011; 12:1–7.

4. Kim SH, Kim MH, Jung MH. The level of elderly fall prevention activities & perception of patient safety culture among university hospital nurses. J Korean Soc Living Environ Sys. 2013; 20:81–87.

5. Park MJ, Kim IS, Ham YL. Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. JKCA. 2013; 13:322–341.

6. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse event and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991; 324:370–376.

7. Maslow K, Ouslander JG. Measurement of potentially preventable hospitalizations. Florida Atlanta: Long Term Quality Alliance;2012. p. 7–10.

8. Ministry of Health and Welfare. 2007 Guidelines for hospital evaluation programme. Seoul: Ministry of Health and Welfare;2007. p. 515.

9. Ministry of Health and Welfare. 2010. Guidelines for hospital Accreditation. Seoul: Ministry of Health and Welfare;2010. p. 130.

10. Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Int Dent J. 2012; 62:186–196.

11. Korea Consumer Agency. 2011 Consumer damages compensation year book. Seoul: Korea Consumer Agency;2012. p. 285.

12. Kang MA, Kim JE, An KE, Kim Y, Kim SH. Physician’s perception of and attitudes towards patient safety culture and medical error reporting. Korean J Health Policy Adm. 2005; 15:110–135.

13. Lee JH. Patient safety and healthcare standard. J Korean Med As- soc. 2011; 54:444–446.

14. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011; 41:1–8.

15. Smits M, Dingelhoff IC, Wagner C, Wal GV, Groenewegen PP. The psychometric properties of the ‘Hospital Survey on Patient Safety Culture’ in Dutch hospitals. BMC Family Practice. 2008; 8:1–9.

16. Kim JE, Kang MA, An KE, Sung YH. A Survey of nurses’ perception of patient safety related to hospital culture and reports of medical errors. Clin Nurs Res. 2007; 13:169–179.

17. Shin HS. Dental culture for patient safety. J Korean Acad Oral Health. 2013; 1:17–29.