Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity
Health Care Management SciencePublished 29 March 2007
Amanda L. Schutz, Michael A. Counte, Steven J. Meurer
Citations73
SJR quartileQ1
SJR score0.65
SNIP1.02
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The content validity analysis served as a useful tool for assessing the relevance and comprehensiveness of this survey of patient safety culture in ambulatory care organizations.
Abstract
The development of patient safety culture in health care organizations is a necessary precursor to patient safety improvement. However, existing tools to measure patient safety culture are intended for implementation in hospitals. A new, abbreviated patient safety culture survey was developed for use in ambulatory health care settings. This survey was tested for content validity utilizing a panel of six experts. It had a clarity interrater agreement (IR) of 0.75, a clarity content validity index (CVI) of 0.95, a representativeness IR of 0.75 and a representativeness CVI of 0.95. The content validity analysis served as a useful tool for assessing the relevance and comprehensiveness of this survey of patient safety culture in ambulatory care organizations.
Keywords
Health Professions
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
BMJCrossing the Quality Chasm: A New Health System for the 21st Century
10,744 Citations2001Alexi Baker
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Health Measurement Scales: A Practical Guide to Their Development and Use
9,651 Citations1989David L. Streiner, Geoffrey R. Norman +1 more
This chapter discusses the design of items, their properties, and methods of administration, and some of the considerations that went into designing the items.
Academy of Management JournalCONDUCTING INTERORGANIZATIONAL RESEARCH USING KEY INFORMANTS.
2,276 Citations1993Nanda Kumar, Louis W. Stern +1 more
Psychological AssessmentContent validity in psychological assessment: A functional approach to concepts and methods.
2,146 Citations1995Stephen N. Haynes, David C. S. Richard +1 more
Health Measurement Scales
1,455 Citations2003David L. Streiner, Geoffrey R. Norman
Research in Nursing & HealthSelection and use of content experts for instrument development
1,067 Citations1997Joan S. Grant, Linda Lindsey Davis
The systematic process of choosing, orienting, and using content experts in the judgment-qualification stage of instrument development is addressed, with particular attention to the often neglected, important step of familiarizing these experts with the conceptual underpinnings and measurement model of the instrument.
BMJThe role of patient care teams in chronic disease management
1,045 Citations2000Edward H. Wagner
A Medline search for randomised controlled trials of team care using the MeSH heading “patient care team” considered the implications of these observations for the structure and functioning of patient care teams in primary care.
BMJ Quality & SafetySafety culture assessment: a tool for improving patient safety in healthcare organizations
995 Citations2003Veronica F. Nieva
The characteristics of culture assessment tools presently available are described and their current and potential uses are discussed, including brief examples from healthcare organizations that have undertaken such assessments.
Academy of Management JournalRESEARCH NOTES. THE PAST IS THE PAST--OR IS IT? THE USE OF RETROSPECTIVE ACCOUNTS AS INDICATORS OF PAST STRATEGY.
746 Citations1992Brian Golden
PubMedThe past is the past--or is it? The use of retrospective accounts as indicators of past strategy.
697 Citations1992Golden Br
BMJEpidemiology of medical error
644 Citations2000Saul N. Weingart
The epidemiology of medical error is reviewed, concentrating primarily on the prevalence and consequences of error, which types are most common, which physicians make errors, and the risk factors that increase the likelihood of injury from error.
BMJ Quality & SafetyMeasuring patient safety climate: a review of surveys
641 Citations2005J B Colla
The general characteristics, dimensions covered, psychometrics performed, and uses in studies of patient safety climate surveys are compared to compare to improve patient safety by addressing organizational cultural issues.
JAMAWhat Practices Will Most Improve Safety?
567 Citations2002Lucian L. Leape, Donald M. Berwick +1 more
The IOM report recommended that the AHRQ determine which safety practices are effective and disseminate a list of “best practices” to all clinicians and the evidence supporting a long list of pro-posed safety practices was evaluated.
BMJ Quality & SafetyMeasuring safety climate in health care
466 Citations2006Rhona Flin
More consideration should be given to psychometric factors in the design of healthcare safety climate instruments, especially as these are beginning to be used in large scale surveys across healthcare organisations.
Organization ScienceStudying Changes in Organizational Design and Effectiveness: Retrospective Event Histories and Periodic Assessments
381 Citations1990William H. Glick, George P. Huber +3 more
BMJ Quality & SafetyAssessing safety culture: guidelines and recommendations
355 Citations2005Peter J. Pronovost
The science of measuring safety culture is evolving, even as the demand for rigorous cultural assessment intensifies, and the enthusiasm for measuring culture may be outpacing the science.
Academy of Management JournalSafety Climate in Health Care Organizations: A Multidimensional Approach
276 Citations2005Tal Katz‐Navon, Eitan Naveh +1 more
A curvilinear relationship between the levels of the perceived detailing of the safety procedures and the number of treatment errors was demonstrated and the perceived priority of safety moderated this relationship.
Health AffairsThe End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’
274 Citations2004Robert M. Wachter
Five years after the Institute of Medicine's 1999 report on medical errors, the public and health professionals appear to be at "the end of the beginning".
PubMedClassification of medical errors and preventable adverse events in primary care: a synthesis of the literature.
198 Citations2002Nancy Elder, Susan Dovey
Original research on medical errors in the primary care setting consists of a limited number of small studies that offer a rich description of medical errors and preventable adverse events primarily from the physician's viewpoint and provides a starting point for future epidemiologic and interventional research.
Dermatologic SurgeryDoes the Location of the Surgery or the Specialty of the Physician Affect Malpractice Claims in Liposuction?
94 Citations1999William P. Coleman, William C. Hanke +3 more
D dermatologic liposuction education has emphasized small volume cases performed under local anesthesia using the tumescent technique, and the safety of this approach appears to be validated in terms of decreased malpractice settlements.
Journal of General Internal MedicinePatient safety in the ambulatory setting
83 Citations2004Margaret L. Plews-Ogan, Mohan Nadkarni +6 more
This model of clinician-based voluntary reporting, systems analysis, and redesign was effective in increasing error reporting, particularly among physicians, and in promoting system changes to improve care and prevent errors.
Milbank QuarterlyStories from the Sharp End: Case Studies in Safety Improvement
76 Citations2006Douglas McCarthy, David Blumenthal
Six natural experiments in health care safety are described that show where the safety field is heading and opportunities for and barriers to improvement.
PubMedOrganizational structure and the delivery of primary care to older Americans.
71 Citations1998J S Zinn, V Mor
How internal factors, such as organizational size, mission, ownership, and managerial communication and control structures, affect the delivery of primary care to older Americans across a wide variety of practice settings is explored.
Journal of Ambulatory Care ManagementAmbulatory Patient Safety
57 Citations2003Terry Hammons, Neill F. Piland +3 more
Medical Clinics of North AmericaAmbulatory surgery. . . how far can we go?
33 Citations1993James E. Davis
Since its revival in the United States in the 1970s, ambulatory surgery, that intermediate level of care between inpatient and outpatient surgery (with immediate discharge of the patient), has grown phenomenally.
PubMedPatterns of decline among inpatient procedures.
33 Citations1996Sean Duffy, Dean E. Farley
This paper explores how the new financial incentives and organizational structures that prevail in the hospital industry have affected the mix of services provided by hospitals and the shift from inpatient to outpatient settings.
The Journal of Law Medicine & EthicsError Reduction, Patient Safety and Institutional Ethics Committees
23 Citations2004Mark E. Meaney
This paper builds on the Hastings Center's report in arguing that institutional ethics committees ought to play an integral role in the transformation of a " culture of blame" to a "culture of safety" in healthcare delivery.
Medical Care Research and ReviewOmission-Related Malpractice Claims and the Limits of Defensive Medicine
21 Citations1997Richard L. Kravitz, John E. Rolph +1 more
The authors studied omission-related claims from a large physician-owned malpractice insurer covering 70 percent of physicians in a northeastern state and found that malpractice claims alleging diagnostic and monitoring omissions are relatively uncommon but appear difficult to defend relative to other claim types.
Journal of Health and Social BehaviorQuality of Outpatient Pediatric Care: The Influence of Physicians' Background, Socialization, and Work/Information Environment on Performance
17 Citations1978Catherine E. Ross, Raymond S. Duff
It is found that physicians' background and socialization characteristics have no direct effect on performance when controlling for the worklinformation environment, whereas the latter has a large effect.
Infection Control and Hospital Epidemiology4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections
11 Citations2000A Outpatient, Setting Lafferty +5 more
The organizers hope to capture the extraordinary breadth of the science in this area; maintain the ongoing record of advances in infection prevention and control during these past 30 years; and help promote research, demonstration, and evaluation efforts to improve health-care quality and to protect patients andhealth-care personnel from this continuing threat to their safety.
Critical Care MedicineTHE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI) SAVING 100K LIVES CAMPAIGN: ARE THE RECOMMENDATIONS FOR STRESS ULCER PROPHYLAXIS (SUP) COST EFFECTIVE?
2 Citations2005Chiedozie Udeh, J. Steven Hata +2 more