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Development, Pilot Study, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS ® ) Workplace Safety Supplemental Items for Hospitals

Author

Listed:
  • Katarzyna Zebrak

    (Westat, Rockville, MD 20850, USA)

  • Naomi Yount

    (Westat, Rockville, MD 20850, USA)

  • Joann Sorra

    (Westat, Rockville, MD 20850, USA)

  • Theresa Famolaro

    (Westat, Rockville, MD 20850, USA)

  • Laura Gray

    (Westat, Rockville, MD 20850, USA)

  • Deborah Carpenter

    (Westat, Rockville, MD 20850, USA
    Retired.)

  • Andrew Caporaso

    (Westat, Rockville, MD 20850, USA)

Abstract

Workplace safety is critical for advancing patient safety and eliminating harm to both the healthcare workforce and patients. The purpose of this study was to develop and test survey items that can be used in conjunction with the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS ® ) Hospital Survey to assess how the organizational culture in hospitals supports workplace safety for providers and staff. After conducting a literature review and background interviews with workplace safety experts, we identified key areas of workplace safety culture (workplace hazards, moving/transferring/lifting patients, workplace aggression, supervisor/management support for workplace safety, workplace safety reporting, and work stress/burnout) and drafted survey items to assess these areas. Survey items were cognitively tested and pilot tested with the SOPS Hospital Survey 2.0 among providers and staff in 28 U.S. hospitals. We conducted psychometric analysis on data from 6684 respondents. Confirmatory factor analysis results (item factor loadings and model fit indices), internal consistency reliability, and site-level reliability were acceptable for the 16 survey items grouped into 6 composite measures. Most composite measures were significantly correlated with each other and with the overall rating on workplace safety, demonstrating conceptual convergence among survey measures. Hospitals and researchers can use the Workplace Safety Supplemental items to assess the dimensions of organizational culture that support provider and staff safety and to identify both strengths and areas for improvement.

Suggested Citation

  • Katarzyna Zebrak & Naomi Yount & Joann Sorra & Theresa Famolaro & Laura Gray & Deborah Carpenter & Andrew Caporaso, 2022. "Development, Pilot Study, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS ® ) Workplace Safety Supplemental Items for Hospitals," IJERPH, MDPI, vol. 19(11), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6815-:d:830658
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    References listed on IDEAS

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    1. Vincenza Capone & Roberta Borrelli & Leda Marino & Giovanni Schettino, 2022. "Mental Well-Being and Job Satisfaction of Hospital Physicians during COVID-19: Relationships with Efficacy Beliefs, Organizational Support, and Organizational Non-Technical Skills," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    2. Pavani Rangachari & Jacquelynn L. Woods, 2020. "Preserving Organizational Resilience, Patient Safety, and Staff Retention during COVID-19 Requires a Holistic Consideration of the Psychological Safety of Healthcare Workers," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
    3. Anke Wagner & Antje Hammer & Tanja Manser & Peter Martus & Heidrun Sturm & Monika A. Rieger, 2018. "Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals," IJERPH, MDPI, vol. 15(10), pages 1-18, September.
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