Validação brasileira de instrumento eletrônico para avaliação da cultura de segurança do paciente

Abstract

Although periodically assessing Patient Safety Culture (PSC) is important for its promotion in health services, assessment instruments are still in the development stage in Brazil. This study aimed at validating the Hospital Survey on Patient Safety Culture and an electronic data collection and analysis instrument for applications in Brazilian hospital settings. The software developed used free technologies and an open-source code with Java programming language, Java, PostgreSQL, Linux and Play! Framework, allowing collection via email, cloud storage and automatic reporting of processed data.The instrument was applied at six hospitals in Natal-RN to assess psychometric properties. After mixed collection (email and in person) and a response from 863 professionals, the adapted Portuguese version exhibited total and median Cronbach’s alpha of 0.92 and 0.69, respectively in the 12 dimensions (range: 0.53–0.87). The data from the confirmatory factor analysis, there was adaptation to the multidimensional model of 12 dimensions as proposed by the original instrument, X2 / df = 2.82; p-value <0.001; Probability RMSEA ≤ 0.05 = 0.998; CFI = 0.944 and TLI = 0.936. The results confirmed the validity and reliability of the adapted instrument, in addition to the feasibility of the software in making PSC monitoring more dynamic.