Evidence map›Paper›PMID 31784438›Full record

ArticleBMJ open2019

Validation of revised patient measures of safety: PMOS-30 and PMOS-10.

Gemma Louch, Caroline Reynolds, Sally Moore, Claire Marsh, Jane Heyhoe, Abigail Albutt, Rebecca Lawton, Yorkshire Quality and Safety Research Group

Abstract readValidation Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  3. What Factors Influence Patient Measures of Safety Among Adults?Risk management and healthcare policy · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Development and Validation of a Questionnaire of the Perioperative Nursing Competencies in Patient Safety.International journal of environmental research and public health · 2022
    Article
  8. Evaluation of Patients' Perception of Safety in an Italian Hospital Using the PMOS-30 Questionnaire.International journal of environmental research and public health · 2021
    Article
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

8 authors.

Gemma LouchYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK Gemma.Louch@bthft.nhs.uk.ORCID 0000-0001-6946-3693
Caroline ReynoldsYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.
Sally MooreYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.
Claire MarshYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.
Jane HeyhoeYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.
Abigail AlbuttYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.
Rebecca LawtonYorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.ORCID 0000-0002-5832-402X
Yorkshire Quality and Safety Research Group

Funding

Department of Health RP-PG-0108-10049
6 · The paper itself

Abstract

objectivesThere is growing evidence that patients can provide feedback on the safety of their care. The 44-item Patient Measure of Safety (PMOS) was developed for this purpose. While valid and reliable, the length of this questionnaire makes it potentially challenging for routine use. Our study aimed to produce revised, shortened versions of PMOS (PMOS-30 and PMOS-10), which retained the psychometric properties of the longer version.

participantsTo produce a shortened diagnostic measure, we analysed data from 2002 patients who completed PMOS-44, and examined the reliability of the revised measure (PMOS-30) in a sample of 751 patients. To produce a brief standalone measure, we again analysed data from 2002 patients who completed PMOS-44, and tested the reliability and validity of the brief standalone measure (PMOS-10) in a sample of 165 patients.

methodsThe process of shortening the questionnaire involved a combination of secondary data analysis (eg, Standard Deviation and inter-item correlations) and a consensus group exercise to produce PMOS-30 and examine face validity. Analysis of PMOS-30 data examined reliability (eg, Cronbach's alpha). Further secondary data analysis (ie, corrected item-total correlations) produced PMOS-10, and primary data collection assessed its reliability and validity (eg, Cronbach's alpha, analysis of variance).

resultsFourteen items were removed to produce PMOS-30 and the percentage of negatively worded items was reduced from 57% to 33%. PMOS-30 demonstrated good internal reliability (α=0.89). The 10 items with the highest corrected item-total correlations across both PMOS-44 and PMOS-30 composed PMOS-10. PMOS-10 had good internal reliability (α=0.79), demonstrated convergent validity; however, discriminant validity was not established.

conclusionsTwo revised, shortened versions of the original PMOS-44 (PMOS-30 and PMOS-10) were produced to capture patient feedback about safety in hospital. The measures demonstrated good reliability and validity, and preserved the psychometric properties of the original measure.

Indexed as

AdultFeedbackFemaleHumansMalePatient SafetyPatient SatisfactionPsychometricsReproducibility of ResultsSurveys and Questionnairesacute carepatient feedbackpatient involvementpatient safetypsychometrics

Identifiers

PMID31784438
PMCPMC6924707

What OpenQuestion holds

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LicenceCC BY
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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.