ArticleJournal of patient safety2021
The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability.
Article in Journal of patient safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Research on establishment decision of medical equipment measurement standard based on GDM-AHP.Scientific reports · 2025Article
- Development and validation of the Pediatrics Functional Living Index-Emesis scale.Frontiers in oncology · 2025Article
- Assessment of patient safety culture in Moroccan primary health care: a multicentric study.BMC nursing · 2024Article
- Concept analysis of patient safety in home care: a hybrid model.BMJ open quality · 2022Article
- Open pollution routing problem of logistics distribution in medical union based on differential search algorithm.Scientific reports · 2022Article
- Attitudes and Response Capacities for Public Health Emergencies of Healthcare Workers in Primary Healthcare Institutions: A Cross-Sectional Investigation Conducted in Wuhan, China, in 2020.International journal of environmental research and public health · 2022Article
- Effectiveness of New Tools to Define an Up-to-Date Patient Safety Risk Map: A Primary Care Study Protocol.International journal of environmental research and public health · 2021Article
- A Scale to Measure the Joy in Work of Doctors: Development, Validity, and Reliability.Frontiers in public health · 2021Article
- Development and validation of the cancer symptoms discrimination scale: a cross-sectional survey of students in Yunnan, China.BMC palliative care · 2020Article
- Psychological distress in the shadow of the COVID-19 pandemic: Preliminary development of an assessment scale.Psychiatry research · 2020Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundExisting patient safety culture assessment tools are mostly developed in western countries and may not be suitable for Chinese primary health care institutions. Primary care plays an important role in China's medical system, and a targeted tool for its patient safety culture is urgently needed.
objectiveThe aim of the study was to develop a dependable instrument to assess the patient safety culture in Chinese primary health care institutions.
methodsThree phases were undertaken to develop the scale. The first phase developed a pilot scale by literature review, focus groups, and 2-round Delphi expert consultation. The second phase conducted a pilot survey. The third phase carried out a formal survey to test reliability and validity, involving 369 participants from 9 primary health care institutions.
resultsThe final scale included 32 items under 7 dimensions. For reliability, the Cronbach α coefficients among dimensions varied from 0.754 to 0.926, and the Cronbach α for the scale was 0.940. For content validity, the corrected item-level content validity varied between 0.64 and 1, the scale-level content validity index/universal agreement was 0.625, and the scale-level content validity index/average was 0.93. For construct validity, the Spearman correlations of dimension-total score varied between 0.129 and 0.851, all Spearman correlations of the dimension-total score were greater than that of interdimensions and the Spearman correlations of item-total score ranged from 0.042 to 0.775. The results of the confirmatory factor analysis indicated that the model fitted well.
conclusionsThe Patient Safety Culture Scale for Chinese primary health care institutions demonstrated good reliability and acceptable validity; thus, it can be used as an assessment instrument for patient safety culture in Chinese primary health care institutions.
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