Development of the modified Safety Attitude Questionnaire for the medical imaging department

Eturajulu, Ravi Chanthriga and Tan, Maw Pin and Zakaria, Mohd Idzwan and Chinna, Karuthan and Ng, Kwan Hoong (2025) Development of the modified Safety Attitude Questionnaire for the medical imaging department. Singapore Medical Journal, 66 (1). pp. 33-40. ISSN 0037-5675, DOI https://doi.org/10.4103/singaporemedj.SMJ-2021-254.

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Official URL: https://doi.org/10.4103/singaporemedj.SMJ-2021-254

Abstract

Introduction:Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments.Methods:Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach's alpha. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut-off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups.Results:A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach's alpha for the original 32-item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five-subscale, 22-item model (SAQ-MI) showed better fit (goodness-to-fit index >= 0.9, comparative fit index >= 0.9, Tucker-Lewis index >= 0.9 and root mean square error of approximation <= 0.08). The Cronbach's alpha for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups.Conclusion:The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Ionising radiation; medical errors; medical imaging; patient safety; safety culture
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Faculty of Medicine > Biomedical Imaging Department
Faculty of Medicine > Medicine Department
Universiti Malaya Medical Centre (UMMC)
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Mar 2025 05:06
Last Modified: 14 Mar 2025 01:08
URI: http://eprints.um.edu.my/id/eprint/47753

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