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Croatian Use of The Hospital Survey on Patient Safety Culture: A Psychometric Validation in A Sample of Croatian Nurses


1,2 Adriano Friganović

1,2 Slađana režić

1 Kristian Civka

2 Biljana Kurtović

2,3,4 Cecilija rotim

5 Sabina Krupa

1 University Hospital Centre Zagreb, Zagreb, Croatia

2 University of Applied Health Sciences, Zagreb, Croatia

3 Rotim Polyclinic, Zagreb, Croatia

4 Faculty of Dental medicine and Health, josip juraj Strossmayer University of Osijek, Osijek, Croatia



5 rzeszow University, rzeszow, Poland

Article received: 27.10.2021

Article accepted: 09.12.2021.


Author for correspondence:

Adriano Friganović

Department of Anesthesiology and intensive Medicine, University Hospital centre Zagreb, Kišpatićeva 12, Zagreb, croatia

University of Applied Health Sciences, Zagreb, croatia e-mail:



Keywords: care, HSopSc, nursing, patient, safety, validation





introduction. patient safety during hospitalisation is one of the biggest concerns for hospitals worldwide and one obligation of all medical professionals is to create a safe environment for patients and prevent accidents. Approximately 50% of adverse events can be prevented with a systematic approach.

Aim. This study aimed to examine the underlying dimensions and psychometric properties of the Hospital Survey on patient Safety culture questionnaire in croatian hospital settings, and to compare the results with the original questionnaire from the United States of America.

methods. The sample consisted of 438 nurses from four croatian university hospitals. All participants signed an informed consent document, and the questionnaires were provided to the nurses in their units by the head nurses of their departments. data analysis was performed using ibM SpSS 25.0. bartlett's test of sphericity and the Kaiser-Meyer-olkin (KMo) indicator were performed with cronbach’s alpha test and sample standard deviation.

results. All factors explain the total of 59% of vari- ance of the measured questionnaire. Additionally, the reliability of the entire questionnaire was determined by using the internal consistency coefficient (cronbach’s alpha) on the Hospital Survey on patient Safety culture with 12 of 0.88 particles, which is high internal consistency reliability. our results show that the particles that make up the questionnaire are very homogeneous according to their object of measurement.

Conclusion. The results of our study found that the survey can be applied to croatian settings and used in hospitals. We also believe that more research on this topic is needed and is crucial for improving patient safety in hospitals. it is necessary to emphasize continuous education of nurses regarding patient safety in hospitals.