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The hospital survey on patient safety culture: Use of the questionnaire in European hospitals

Radka Pokojová, Sylva Bártlová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care


POKOJOVÁ, R. – BÁRTLOVÁ, S. The hospital survey on patient safety culture: Use of the questionnaire in European hospitals. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2018, vol. 8, no. 1, pp. 19-25. Available on:

Background: An increasing interest in improving patient safety leads to the use of various evaluation tools. The tool chosen for this study is used in many counties including Europe. It was developed under the support of the Agency for Healthcare Research and Quality, tested in pilot studies at 21 American hospitals and has strong psychometric qualities. It can be used by all members of hospital staff including those who are not in close contact with patients.

Aim: The main goal is to assess whether the psychometric properties of The Hospital Survey on Patient Safety Culture evaluation tool have been retained in different healthcare settings.

Methodology: Searching literature for the review was performed in electronic databases PubMed, Science Direct and Bibliographica medica Čechoslovaca. The attention was paid to papers in English written in the period between 2010 and 2017. The papers had to be focused on the use of The Hospital Survey on Patient Safety Culture in EU countries.

Results: The internal consistence given by the Cronbach`s alpha coefficient reached satisfactory results in most cases. The highest values (0.66 - 0.87) are mentioned in the Swedish version. The Croatian, Slovenian and Kosovo adaptations were not satisfactory, the values of some dimensions were below 0.60. The tool was adapted in 5 cases.

Conclusion: The conclusions of the published surveys recommend adapting this tool for EU countries e.g. by using in-depth dialogues. The information can be regarded as the starting point for other more specified studies.

Keywords: patient, safety culture, standardized questionnaire, survey.

Úplný text (Anglický jazyk)


PhDr. Radka Pokojová
Ústav ošetřovatelství, porodní asistence a neodkladné péče, ZSF JU
Branišovská 1645/31a
370 05 České Budějovice
Czech Republic

Received: 5th October 2017
7th February 2018