Background: An essential condition to improve patient safety is considered to ensure a supportive\npatient safety culture. Measuring the culture of patient safety in all health care institutions may be\na first step to target improvements. Creating a culture of safety requires eliminating the culture of\nblame. In order to formulate actions for improvement, it is important for hospitals to assess their\nbaseline scores for the existing safety culture and to determine the areas of priority. Aim: The aim\nof this study was first to measure the use, translation in Albanian and adaptation of the Hospital\nSurvey on Patient Safety Culture (HSOPSC) assessment as a tool for improving patient safety in\nKosovo Hospitals. The second aim was to measure the level of patient safety culture in Kosovo, in\nseven hospitals and one University Clinical Center (hospitals with over 50 beds, including psychiatric\nhospitals). Method: The questionnaire (HSOPSC) was translated into Albanian for use in\nthe Kosovo. It was used forward-backward translation: the questions were translated into Albanian\nby one translator and then translated back into English by an independent translator who\nwas blinded to the original questionnaire. Results: In the eight-factor model, the internal consistency\nof the factors and the construct validity of the HSOPSC questionnaire were mostly satisfactory.\nThe construct validity was sufficient for all subscales, except for the 4 other subscale regarding\nintention to report incidents which correlated poorly with other subscales. In total, HSOPSC\nhas 12 dimensions. Cronbach�s showed that in Kosovarian society, we could use only 8 dimensions\nmodel. Conclusion: The hypothesis that HSOPSC would be a suitable instrument to provide\nimportant indicators for the improvement of patient safety culture was tested and it was confirmed,\nthat HSOPSC could be used as 8 dimension model. HSOPSC is suitable to improve patient\nsafety culture and provide each hospital with a basic profile on patient safety culture and recommendations\nfor an oriented intervention plan.
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