The validity of the Nordic patient safety culture questionnaire (TUKU)

Teemu Reiman (Corresponding Author), I. Silla, Elina Pietikäinen

    Research output: Contribution to journalArticleScientificpeer-review

    3 Citations (Scopus)

    Abstract

    BACKGROUND: Patient safety culture (PSC) has been postulated to have a significant influence on the quality of health care. OBJECTIVE: This study aims to evaluate the psychometric properties of the TUKU PSC questionnaire. METHODS: The questionnaire development was based on the view that patient safety constitutes not only the absence of adverse events, but also the presence of certain organizational attributes that enable safety. The TUKU questionnaire has two parts: a measure of psychological dimensions, and a measure of employees' perceptions of organizational functions. The TUKU questionnaire was validated using a sample of 1162 health care professionals from seven Finnish health care organizations. Two studies were carried out, one focusing on construct validity and the other on criterion validity. RESULTS: Regarding construct validity, the empirical model matched the theory quite well. The results of Study 2 concerning criterion validity were more ambiguous. Four of the organizational dimensions and two of the psychological dimensions were related to patient safety incidents occurring 16 months after administering the questionnaire. CONCLUSIONS: The study provided evidence on the key organizational dimensions that comprise patient safety culture and affect patient safety. The study further contributed towards validation of an instrument for measuring these dimensions.
    Original languageEnglish
    Pages (from-to)169-184
    Number of pages15
    JournalInternational Journal of Risk and Safety in Medicine
    Volume25
    Issue number3
    DOIs
    Publication statusPublished - 2013
    MoE publication typeA1 Journal article-refereed

    Fingerprint

    Safety Management
    Patient Safety
    Psychology
    Delivery of Health Care
    Quality of Health Care
    Psychometrics
    Surveys and Questionnaires
    Organizations
    Safety

    Keywords

    • adverse events
    • health care management
    • patient safety culture
    • questionnaire studies
    • safety management

    Cite this

    Reiman, Teemu ; Silla, I. ; Pietikäinen, Elina. / The validity of the Nordic patient safety culture questionnaire (TUKU). In: International Journal of Risk and Safety in Medicine. 2013 ; Vol. 25, No. 3. pp. 169-184.
    @article{677fd1a14e69411caf4cb85244b1e652,
    title = "The validity of the Nordic patient safety culture questionnaire (TUKU)",
    abstract = "BACKGROUND: Patient safety culture (PSC) has been postulated to have a significant influence on the quality of health care. OBJECTIVE: This study aims to evaluate the psychometric properties of the TUKU PSC questionnaire. METHODS: The questionnaire development was based on the view that patient safety constitutes not only the absence of adverse events, but also the presence of certain organizational attributes that enable safety. The TUKU questionnaire has two parts: a measure of psychological dimensions, and a measure of employees' perceptions of organizational functions. The TUKU questionnaire was validated using a sample of 1162 health care professionals from seven Finnish health care organizations. Two studies were carried out, one focusing on construct validity and the other on criterion validity. RESULTS: Regarding construct validity, the empirical model matched the theory quite well. The results of Study 2 concerning criterion validity were more ambiguous. Four of the organizational dimensions and two of the psychological dimensions were related to patient safety incidents occurring 16 months after administering the questionnaire. CONCLUSIONS: The study provided evidence on the key organizational dimensions that comprise patient safety culture and affect patient safety. The study further contributed towards validation of an instrument for measuring these dimensions.",
    keywords = "adverse events, health care management, patient safety culture, questionnaire studies, safety management",
    author = "Teemu Reiman and I. Silla and Elina Pietik{\"a}inen",
    year = "2013",
    doi = "10.3233/JRS-130595",
    language = "English",
    volume = "25",
    pages = "169--184",
    journal = "International Journal of Risk and Safety in Medicine",
    issn = "0924-6479",
    publisher = "IOS Press",
    number = "3",

    }

    The validity of the Nordic patient safety culture questionnaire (TUKU). / Reiman, Teemu (Corresponding Author); Silla, I.; Pietikäinen, Elina.

    In: International Journal of Risk and Safety in Medicine, Vol. 25, No. 3, 2013, p. 169-184.

    Research output: Contribution to journalArticleScientificpeer-review

    TY - JOUR

    T1 - The validity of the Nordic patient safety culture questionnaire (TUKU)

    AU - Reiman, Teemu

    AU - Silla, I.

    AU - Pietikäinen, Elina

    PY - 2013

    Y1 - 2013

    N2 - BACKGROUND: Patient safety culture (PSC) has been postulated to have a significant influence on the quality of health care. OBJECTIVE: This study aims to evaluate the psychometric properties of the TUKU PSC questionnaire. METHODS: The questionnaire development was based on the view that patient safety constitutes not only the absence of adverse events, but also the presence of certain organizational attributes that enable safety. The TUKU questionnaire has two parts: a measure of psychological dimensions, and a measure of employees' perceptions of organizational functions. The TUKU questionnaire was validated using a sample of 1162 health care professionals from seven Finnish health care organizations. Two studies were carried out, one focusing on construct validity and the other on criterion validity. RESULTS: Regarding construct validity, the empirical model matched the theory quite well. The results of Study 2 concerning criterion validity were more ambiguous. Four of the organizational dimensions and two of the psychological dimensions were related to patient safety incidents occurring 16 months after administering the questionnaire. CONCLUSIONS: The study provided evidence on the key organizational dimensions that comprise patient safety culture and affect patient safety. The study further contributed towards validation of an instrument for measuring these dimensions.

    AB - BACKGROUND: Patient safety culture (PSC) has been postulated to have a significant influence on the quality of health care. OBJECTIVE: This study aims to evaluate the psychometric properties of the TUKU PSC questionnaire. METHODS: The questionnaire development was based on the view that patient safety constitutes not only the absence of adverse events, but also the presence of certain organizational attributes that enable safety. The TUKU questionnaire has two parts: a measure of psychological dimensions, and a measure of employees' perceptions of organizational functions. The TUKU questionnaire was validated using a sample of 1162 health care professionals from seven Finnish health care organizations. Two studies were carried out, one focusing on construct validity and the other on criterion validity. RESULTS: Regarding construct validity, the empirical model matched the theory quite well. The results of Study 2 concerning criterion validity were more ambiguous. Four of the organizational dimensions and two of the psychological dimensions were related to patient safety incidents occurring 16 months after administering the questionnaire. CONCLUSIONS: The study provided evidence on the key organizational dimensions that comprise patient safety culture and affect patient safety. The study further contributed towards validation of an instrument for measuring these dimensions.

    KW - adverse events

    KW - health care management

    KW - patient safety culture

    KW - questionnaire studies

    KW - safety management

    U2 - 10.3233/JRS-130595

    DO - 10.3233/JRS-130595

    M3 - Article

    VL - 25

    SP - 169

    EP - 184

    JO - International Journal of Risk and Safety in Medicine

    JF - International Journal of Risk and Safety in Medicine

    SN - 0924-6479

    IS - 3

    ER -