HSPSC questionnaires

Overall we identified 44 different European studies that have used the HSPSC questionnaire by Sorra and Nieva (Nieva and Sorra 2003 Sorra and Nieva 2004) as a basis for their survey. These studies were conducted in 20 different Emopean countries. Table 11.1 provides an overview of all reviewed studies using the HSPSC questionnaire in a Enropean country. 

The procedure of psychometric testing varies between the different studies included in this chapter. While many conducted no psychometric tests at all, two studies conducted a confirmatoiy factor analysis (CFA), two performed an exploratory factor analysis (EFA), and 10 studies did both. Despite this difficulty, we found only one study (Piyseley 2008) out of 10 which performed a CFA in order to test the original factor stracture of the HSPSC questionnaire, with several unacceptable thresholds for both absolute and incremental fit indices. With regards to the EFAs, the dimensions Staffing , Communication openness , Organisational learning and Teamwork across hospital units , appeared to be less stable. 

Around 2004 the first safety culture tools designed for healthcare began to appear. Maity of these tools are in the form of survey instruments or questioimaires, the two most well-known being the Hospital Survey on Patient Safety Culture (HSPSC) developed by the US Agency for Healthcare Research and Quality (AHRQ) and the Safety Attitudes Questionnaire (SAQ - Sexton et al. 2006). Both instruments are described in detail within the book and illustrated with... 

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