Patient Safety Culture

A study to determine the patient safety culture levels of those working in the operating room environment. The Turkish version of the Hospital Survey on Patient Safety Culture (HSOPSC) was administered to nurses, anesthesia technicians, assistant physicians, and specialist physicians working in the Operating Rooms (n=258) of two university hospitals in Konya, a large city in Anatolian region of Turkey. HSOPSC includes 42 items (12 dimensions). Eighteen of the 42 items belonging to 12 dimensions were worded negatively. Survey item was measured on a 5-point Likert scale (strongly disagree to strongly agree and never to always). The options "disagree" and "strongly disagree" were coded as 0, and the options "agree" and "strongly agree" were coded as 1. In addition, participants were asked to rate the area in which they worked in terms of patient safety and to indicate how many events they had reported in the last 12 months. In the last part of the survey, 5 questions were asked to the participants to provide background information about themselves. Average percent positive response to the 42 items was low (41%, n=258). While there was no change in one dimension of the questionnaire compared to 2008; there was a positive change in 8 dimensions and a negative change in 3 dimensions. All 12 dimensions were lower than the Agency for Healthcare Research and Quality score.一项旨在评估手术室环境从业人员患者安全文化水平的研究。本研究采用患者安全文化医院调查问卷（Hospital Survey on Patient Safety Culture, HSOPSC）土耳其语版，对土耳其安纳托利亚地区大城市科尼亚的两所大学医院手术室的护士、麻醉技师、助理医师及专科医师（n=258）开展调查。HSOPSC共包含42个条目，分属12个维度，其中18个条目采用反向措辞。调查采用5点李克特（Likert）量表进行测量，应答选项涵盖“完全不同意”至“完全同意”以及“从不”至“总是”两类。其中“不同意”与“完全不同意”被编码为0，“同意”与“完全同意”被编码为1。此外，参与者需对自身所在工作区域的患者安全情况进行评分，并报告过去12个月内上报的不良事件数量。调查问卷的最后部分设有5个问题，用于收集参与者的个人背景信息。本研究中，42个条目的平均正向应答率较低（41%，n=258）。与2008年版本相比，该问卷有1个维度未发生变化，8个维度呈现正向变化，3个维度呈现负向变化。所有12个维度的得分均低于美国医疗保健研究与质量局（Agency for Healthcare Research and Quality, AHRQ）的基准得分。