Table_1_Measuring Patient Safety Climate in Acute Stroke Therapy.pdf

Background: Treatment of acute stroke is highly time-dependent and performed by a multiprofessional, interdisciplinary team. Interface problems are expectable and issues relevant to patient safety are omnipresent. The Safety Attitudes Questionnaire (SAQ) is a validated and widely used instrument to measure patient safety climate. The objective of this study was to evaluate the SAQ for the first time in the context of acute stroke care.Methods: A survey was carried out during the STREAM trial (NCT 032282) at seven university hospitals in Germany from October 2017 to October 2018. The anonymous survey included 33 questions (5-point Likert scale, 1 = disagree to 5 = agree) and addressed the entire multiprofessional stroke team. Statistical analyses were used to examine psychometric properties as well as descriptive findings.Results: 164 questionnaires were completed yielding a response rate of 66.4%. 67.7% of respondents were physicians and 25.0% were nurses. Confirmatory Factor Analysis revealed that the original 6-factor structure fits the data adequately. The SAQ for acute stroke care showed strong internal consistency (α = 0.88). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing physicians to nurses and when comparing physicians according to their duration of professional experience.Conclusion: The SAQ is a helpful and well-applicable tool to measure patient safety in acute stroke care. In comparison to other high-risk fields in medicine, patient safety climate in acute stroke care seems to be on a similar level with the potential for further improvements.Trial registration:www.ClinicalTrials.gov Identifier: NCT032282.

背景：急性脑卒中的治疗具有高度的时间依赖性，并由多学科、跨专业团队执行。界面问题在所难免，与患者安全相关的问题无处不在。安全态度问卷（SAQ）是一种经过验证且广泛使用的工具，用于评估患者安全氛围。本研究的目的是首次在急性脑卒中护理的背景下评估SAQ。方法：在2017年10月至2018年10月期间，在德国七所大学医院进行的STREAM试验（NCT 032282）期间进行了一项调查。匿名调查包括33个问题（五点李克特量表，1=不同意至5=同意），涵盖了整个跨专业脑卒中团队。通过统计分析方法对心理测量特性和描述性发现进行了考察。结果：共完成164份问卷，响应率为66.4%。其中，67.7%的受访者是医师，25.0%是护士。验证性因素分析表明，原始的6因素结构适合数据。急性卒中护理的SAQ显示出强烈的内部一致性（α=0.88）。探索性分析揭示了在将医师与护士进行比较以及根据医师的专业经验年限进行比较时，SAQ维度分数存在差异。结论：SAQ是一种有助于测量急性卒中护理中患者安全的有效且适用性强的工具。与其他医学高风险领域相比，急性卒中护理的患者安全氛围似乎处于相似水平，并具有进一步改进的潜力。临床试验注册：www.ClinicalTrials.gov 标识符：NCT032282。