Evidence map›Paper›PMID 22040087›Full record

ArticleBMC family practice2011

Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE'.

Dorien L M Zwart, Maaike Langelaan, Rosalinde C van de Vooren, Marijke M Kuyvenhoven, Cor J Kalkman, Theo J M Verheij, Cordula Wagner

Abstract readValidation Study
In one paragraph

Article in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Improving patient safety culture in general practice: an interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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  4. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dorien L M ZwartDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands. d.zwart@umcutrecht.nl
Maaike Langelaan
Rosalinde C van de Vooren
Marijke M Kuyvenhoven
Cor J Kalkman
Theo J M Verheij
Cordula Wagner

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a safety culture questionnaire for general practice (SCOPE) which was derived from a comparable questionnaire for hospitals (Dutch-HSOPS).

methodsThe survey was conducted among caregivers of Dutch general practice as part of an ongoing quality accreditation process using a 46 item questionnaire. We conducted factor analyses and studied validity by calculating correlations between the subscales and testing the hypothesis that respondents' patient safety grade of their practices correlated with their scores on the questionnaire.

resultsOf 72 practices 294 respondents completed the questionnaire. Eight factors were identified concerning handover and teamwork, support and fellowship, communication openness, feedback and learning from error, intention to report events, adequate procedures and staffing, overall perceptions of patient safety and expectations and actions of managers. Cronbach's alpha of the factors rated between 0.64 and 0.85. The subscales intercorrelated moderately, except for the factor about intention to report events. Respondents who graded patient safety highly scored significantly higher on the questionnaire than those who did not.

conclusionsThe SCOPE questionnaire seems an appropriate instrument to assess patient safety culture in general practice. The clinimetric properties of the SCOPE are promising, but future research should confirm the factor structure and construct of the SCOPE and delineate its responsiveness to changes in safety culture over time.

Indexed as

AdultAttitude of Health PersonnelContinuity of Patient CareFactor Analysis, StatisticalFemaleGeneral PracticeGeneral PractitionersHealth Care SurveysHumansMaleMiddle AgedNetherlandsOrganizational CulturePatient Care TeamPatient SafetyReproducibility of Results

Identifiers

PMID22040087
PMCPMC3228702

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.