Evidence map›Paper›PMID 28207909›Full record

Observational studyPloS one2017

The psychometric properties of the 'safety attitudes questionnaire' in out-of-hours primary care services in the Netherlands.

Marleen Smits, Ellen Keizer, Paul Giesen, Ellen Catharina Tveter Deilkås, Dag Hofoss, Gunnar Tschudi Bondevik

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
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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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Marleen SmitsRadboud Scientific Center for Quality of Healthcare (IQ healthcare), Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-9073-5382
Ellen KeizerRadboud Scientific Center for Quality of Healthcare (IQ healthcare), Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, The Netherlands.
Paul GiesenRadboud Scientific Center for Quality of Healthcare (IQ healthcare), Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, The Netherlands.
Ellen Catharina Tveter DeilkåsHealth Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
Dag HofossInstitute of Health and Society, University of Oslo, Oslo, Norway.
Gunnar Tschudi BondevikDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Safety Attitudes Questionnaire (SAQ) is one of the most widely used instruments to assess safety culture among healthcare providers. The ambulatory version of the SAQ (SAQ-AV) can be used in the primary care setting. Our study objective was to examine the underlying factors and psychometric properties of the Dutch translation of the SAQ-AV in out-of-hours primary care services.

designCross-sectional observational study using a web-survey.

settingSixteen out-of-hours general practitioner cooperatives and two call centers in the Netherlands.

participantsPrimary healthcare providers in out-of-hours services.

main outcome measuresItem-descriptive statistics, factor loadings, Cronbach's alpha scores, corrected item-total correlations, scale correlations.

resultsThe questionnaire was answered by 853 (43.2%) healthcare professionals. In the factor analyses, 784 respondents were included; mainly general practitioners (N = 470) and triage nurses (N = 189). Items were included in the analyses based on question type and results from previous studies. Five factors were drawn with reliability scores between .49 and .86 and a good construct validity. The five factors covered 27 of the 62 questionnaire items, with three to five items per factor.

conclusionsThe Dutch translation of the SAQ-AV, with five factors, seems to be a reliable tool for measuring patient safety culture and guide quality improvement interventions in out-of-hours primary care services. The Dutch factor structure differed from the original SAQ-AV and other translated versions. In future studies, the questionnaire should be validated further by examining if there is a relationship between the responses on the SAQ-AV, patient experiences, and the occurrence of adverse events.

Indexed as

Attitude of Health PersonnelPatient Care TeamPatient SafetyAdultCross-Sectional StudiesFemaleHumansMaleMedical Staff, HospitalMiddle AgedNetherlandsPrimary Health CarePsychometricsSafety ManagementSurveys and Questionnaires

Identifiers

PMID28207909
PMCPMC5313186

What OpenQuestion holds

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Registered trials

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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.