[Validity and reliability of the Culture of Quality Health Services questionnaire in Mexico]

Abstract

Introduction: Patient Safety is a major public health problem worldwide and is responsibility of all those involved in health care. Establishing a Safety Culture has proved to be a factor that favors the integration of work teams, communication and construction of clear procedures in various organizations. Promote a culture of safety depends on several factors, such as organization, work unit and staff. Objective assessment of these factors will help to identify areas for improvement and establish strategic lines of action.

Objective: [corrected] To adapt, validate and calibrate the questionnaire Culture of Quality in Health Services (CQHS) in Mexican population.

Material and methods: A cross with a stratified representative sample of 522 health workers. The questionnaire was translated and adapted from Singer's. Content was validated by experts, internal consistency, confirmatory factorial validity and item calibration with Samejima's Graded Response Model.

Results: Convergent and divergent construct validity was confirmed from the CQHS, item calibration showed that the questionnaire is able to discriminate between patients and represent different levels of the hypothesized dimensions with greater accuracy and lower standard error.

Conclusions: The CQHS is a valid and reliable instrument to assess patient safety culture in hospitals in Mexico.

Keywords: Clima de seguridad; Construct validity; Cultura de seguridad; Patient safety; Safety climate; Safety culture; Seguridad del paciente; Validez de constructo.