Validación de un cuestionario para evaluar la cultura de seguridad del paciente en directivos de la salud: propiedades psicométricas y usabilidad

Abstract

Aim

To validate a reduced and applicable to distinct location version of the only validated questionnaire of patient safety culture in managers in Spanish language.

Method

Questionnaire validation study. Community of Madrid 2022. Reduction/adaptation of the original questionnaire: Giménez-Aibar-Gutiérrez, 2013 Questionnaire was reduced from 85 items to 25; those local or not applicable were removed. Pre-test: Semi-structured survey on comprehension and response scale. There was no need to modify the questionnaire. Validation: It was tested in 39 primary care managers without care activity. Internal consistency (α Cronbach), content validity (experts) and construct validity (factor analysis) were analysed. Usability analysis: Survey on time spent and non-response rate.

Results

α Cronbach = 0.894. Content validity: Experts deemed questionnaire was complete. Factor analysis: five factors explain 68% of variance. The factors corresponded to the dimensions of the theoretical construct. Factors, internal consistency of each and correlation with global score were: commitment with patient safety: α Cronbach = 0.793, r = 0.778; P < .001; procedures/reporting: α Cronbach = 0.83, r = 0.806; P < .001; attitudes with patient safety: α Cronbach = 0.766, r = 0.596; P < .001; clinicians involving: α Cronbach = 0.773, r = 0.798; P < .001; patient safety communication: α Cronbach = 0.615, r = 0.518; P = .001; usability survey: 95% thought spent time was adequate. Non-response rate was 0%, except one item.

Conclusion

In this work, a reduced and adapted version of questionnaire of Giménez-Aibar-Gutiérrez was validated at distinct location (Madrid region). Psychometric properties and usability, which were found, suggest that the reduced questionnaire is a reliable, valid and usable instrument to assess patient safety culture in managers of any place.