Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting

There is limited evidence on the associations between patient safety culture and measures of health care quality in nursing homes. This study examines the relationship between scores on the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey (NH SOPS) and Centers for Medicare and Medicaid Services Nursing Home Five-Star Quality Ratings. Using data from 186 nursing homes, we conducted multiple regression analyses predicting the Five-Star Quality Ratings from the NH SOPS survey measures. Five NH SOPS measures were related to the Overall, Health Inspections, and Quality Five-Star Ratings. Four NH SOPS measures were related to at least two of the four Five-Star Quality Ratings and three SOPS measures were related to one Five-Star Rating. None of the NH SOPS measures were significantly associated with the Staffing Five-Star Rating. Findings generally indicated that stronger patient safety culture is associated with higher quality ratings.

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Perceived Patient Safety Culture in Nursing Homes Associated With “Nursing Home Compare” Performance Indicators

Medical Care ◽

10.1097/mlr.0000000000001142 ◽

2019 ◽

Vol 57 (8) ◽

pp. 641-647 ◽

Cited By ~ 6

Author(s):

Yue Li ◽

Xi Cen ◽

Xueya Cai ◽

Helena Temkin-Greener

Keyword(s):

Patient Safety ◽

Nursing Home ◽

Nursing Homes ◽

Safety Culture ◽

Performance Indicators ◽

Patient Safety Culture ◽

Nursing Home Compare

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Psychometric properties of the Nursing Home Survey on Patient Safety Culture in Norwegian nursing homes

BMC Health Services Research ◽

10.1186/s12913-016-1706-x ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 11

Author(s):

Kathrine Cappelen ◽

Karina Aase ◽

Marianne Storm ◽

Jørn Hetland ◽

Anette Harris

Keyword(s):

Patient Safety ◽

Nursing Home ◽

Nursing Homes ◽

Psychometric Properties ◽

Safety Culture ◽

Patient Safety Culture

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Evaluation de la culture de sécurité en Etablissement d’Hébergement pour Personnes Agées Dépendantes (EHPAD): adaptation française du questionnaire Nursing Home Survey on Patient Safety Culture

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1017/s071498081700037x ◽

2017 ◽

Vol 36 (4) ◽

pp. 453-462 ◽

Cited By ~ 1

Author(s):

Marie Herr ◽

Séhéno Raharimanana ◽

Emmanuel Bagaragaza ◽

Philippe Aegerter ◽

Irène Sipos ◽

...

Keyword(s):

Patient Safety ◽

Nursing Home ◽

Nursing Homes ◽

Safety Culture ◽

International Comparisons ◽

Patient Safety Culture ◽

Ceiling Effect ◽

Feasible Method ◽

French Version ◽

Multidisciplinary Group

ABSTRACTThe objective was to translate into French the American questionnaire “Nursing Home Survey on Patient Safety Culture” and to test the feasibility of its use in a sample of nursing homes. The questionnaire was translated by a multidisciplinary group of six experts and tested on a sample of people working in nursing homes. The questionnaire was then administered in five nursing homes. A first version of the French NHSPSC is proposed in this article. Despite similarities between items and ceiling effect for one item, the choices made were conservative to allow international comparisons. The administration of the questionnaire in five nursing homes confirmed the feasibility of the approach, with a participation of more than 50 per cent. This work made a French version of the NHSPSC available and confirmed that it is a feasible method for evaluating safety culture in nursing homes.

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Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative

BMJ Quality & Safety ◽

10.1136/bmjqs-2017-006610 ◽

2017 ◽

Vol 27 (6) ◽

pp. 464-473 ◽

Cited By ~ 7

Author(s):

Shawna N Smith ◽

M Todd Greene ◽

Lona Mody ◽

Jane Banaszak-Holl ◽

Laura D Petersen ◽

...

Keyword(s):

Patient Safety ◽

Nursing Home ◽

Urinary Tract ◽

Nursing Homes ◽

Safety Culture ◽

Negative Binomial ◽

Patient Safety Culture ◽

Infection Rates ◽

Tract Infections ◽

Over Time

BackgroundRecent efforts to reduce patient infection rates emphasise the importance of safety culture. However, little evidence exists linking measures of safety culture and infection rates, in part because of the difficulty of collecting both safety culture and infection data from a large number of nursing homes.ObjectiveTo examine the association between nursing home safety culture, measured with the Nursing Home Survey on Patient Safety Culture (NHSOPS), and catheter-associated urinary tract infection rates (CAUTI) using data from a recent national collaborative for preventing healthcare-associated infections in nursing homes.MethodsIn this prospective cohort study of nursing homes, facility staff completed the NHSOPS at intervention start and 11 months later. National Healthcare Safety Network-defined CAUTI rates were collected monthly for 1 year. Negative binomial models examined CAUTI rates as a function of both initial and time-varying facility-aggregated NHSOPS components, adjusted for facility characteristics.ResultsStaff from 196 participating nursing homes completed the NHSOPS and reported CAUTI rates monthly. Nursing homes saw a 52% reduction in CAUTI rates over the intervention period. Seven of 13 NHSOPS measures saw improvements, with the largest improvements for ‘Management Support for Resident Safety’ (3.7 percentage point increase in facility-level per cent positive response, on average) and ‘Communication Openness’ (2.5 percentage points). However, these increases were statistically insignificant, and multivariate models did not find significant association between CAUTI rates and initial or over-time NHSOPS domains.ConclusionsThis large national collaborative of nursing homes saw declining CAUTI rates as well as improvements in several NHSOPS domains. However, no association was found between initial or over-time NHSOPS scores and CAUTI rates.

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Patient Safety: A Deep Concern to Caregivers

INNOVATIONS in pharmacy ◽

10.24926/iip.v10i1.1639 ◽

2019 ◽

Vol 10 (1) ◽

pp. 7

Author(s):

AK Mohiuddin

Keyword(s):

Health Care ◽

Patient Safety ◽

Safety Culture ◽

Health Care Professionals ◽

Health Care Quality ◽

Care Delivery ◽

Patient Safety Culture ◽

Care Quality ◽

Care Giving ◽

Essential Components

Patient safety is a global concern and is the most important domains of health-care quality. Medical error is a major patient safety concern, causing increase in health-care cost due to mortality, morbidity, or prolonged hospital stay. A definition for patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. Patient safety was defined by the IOM as “the prevention of harm to patients.” Emphasis is placed on the system of care delivery that prevents errors; learns from the errors that do occur; and is built on a culture of safety that involves health care professionals, organizations, and patients. Patient safety culture is a complex phenomenon. Patient safety culture assessments, required by international accreditation organizations, allow healthcare organizations to obtain a clear view of the patient safety aspects requiring urgent attention, identify the strengths and weaknesses of their safety culture, help care giving units identify their existing patient safety problems, and benchmark their scores with other hospitals. Article Type: Commentary

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Linguistic Validation and Cultural Adaptation of Bulgarian Version of Hospital Survey on Patient Safety Culture (HSOPSC)

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.222 ◽

2018 ◽

Vol 6 (5) ◽

pp. 925-930 ◽

Cited By ~ 4

Author(s):

Rumyana Stoyanova ◽

Rositsa Dimova ◽

Miglena Tarnovska ◽

Tatyana Boeva

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Health Care Quality ◽

High Reliability ◽

Patient Safety Culture ◽

Care Quality ◽

Rank Test ◽

Cronbach’S Alpha ◽

Linguistic Validation ◽

Cronbach's Alpha

BACKGROUND: Patient safety (PS) is one of the essential elements of health care quality and a priority of healthcare systems in most countries. Thus the creation of validated instruments and the implementation of systems that measure patient safety are considered to be of great importance worldwide.AIM: The present paper aims to illustrate the process of linguistic validation, cross-cultural verification and adaptation of the Bulgarian version of the Hospital Survey on Patient Safety Culture (B-HSOPSC) and its test-retest reliability.METHODS: The study design is cross-sectional. The HSOPSC questionnaire consists of 42 questions, grouped in 12 different subscales that measure patient safety culture. Internal consistency was assessed using Cronbach’s alpha. The Wilcoxon signed-rank test and the split-half method were used; the Spearman-Brown coefficient was calculated.RESULTS: The overall Cronbach’s alpha for B-HSOPSC is 0.918. Subscales 7 Staffing and 12 Overall perceptions of safety had the lowest coefficients. The high reliability of the instrument was confirmed by the Split-half method (0.97) and ICC-coefficient (0.95). The lowest values of Spearmen-Broun coefficients were found in items A13 and A14.CONCLUSION: The study offers an analysis of the results of the linguistic validation of the B-HSOPSC and its test-retest reliability. The psychometric characteristics of the questions revealed good validity and reliability, except two questions. In the future, the instrument will be administered to the target population in the main study so that the psychometric properties of the instrument can be verified.

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