Reliability and validity of patient safety culture measurement with a new domain of burnout

Objective: Institute of Medicine (IOM) mentioned in “Crossing the quality chasm” that healthcare provider organizations should contribute to improve patient safety in 2001. Healthcare provider attitudes about organization safety are patient safety condition predictor. The Safety Attitude Questionnaire (SAQ) has been widely used in several contries to measure healthcare worker’s attitudes toward safety. Both the original SAQ and the Chinese version of the SAQ are indicated that one of the domains of safety culture, Stress Recognition, is weak correlated with other five domains. The possible reason is “Stress Recognition” domain aims to measure worker’s acknowledgement of how performance is influenced by stressors, not what level does worker perceived stressors influenced the ability to work safety. The objective of this study was to examine reliability and validity of patient safety culture measurement with a new domain of burnout. Methods: The cross-sectional surveys of three hospitals workers (including one medical center, one district hospital, and one regional hospital, n=3,484) in north Taiwan were conducted. The online anonymous survey is committed to assuring the complete confidentiality of all responses. The reliability reliability and validity of patient safety culture measurement with a new domain of burnout were examined by multilevel confirmatory factor analysis. Result: The overall response rate was 27.7%. The internal consistency of each domain was high (composite reliability: 0.84-0.94). The explanatory abilities of thirty one over thirty nine (31/39) of the core items are considered important for the corresponding domains (squared multiple correlation, SMC