RESUMEN
INTRODUCTION: Patient safety is an essential dimension of quality of care and a priority in health policies. The diffusion of the security culture is a key strategy and the questionnaire MOSPSC (Medical Office Survey on Patient Safety Culture), in its English and Spanish versions, has proved to be a good instrument to 'measure it'. The aim of this work is to translate, adapt and validate the questionnaire in Catalan. MATERIAL AND METHODS: Translation, retrotranslation and adaptation of MOSPSC questionnaire of the AHRQ (Agency for Healthcare Research and Quality). Reliability and validity analysis of the adapted questionnaire. RESULTS: It is a simple, well accepted and valued questionnaire, although extensive. Catalan version facilitates more precise comprehension and improves completion. We found small response percentages 'do not apply or do not know' in questions from Section F (At the Center) but notable in some questions referred to specific professional staff. For most items show suitable discrimination rates and both the complete questionnaire and subscales extracted after factor analysis obtain good reliability indexes. CONCLUSIONS: Final version, very similar to original and Spanish adapted, will allow comparisons as well as monitoring/follow-up after implementation of improvement strategies. Due to its length, it could be assessed using only related dimensions.
Asunto(s)
Lenguaje , Seguridad del Paciente , Administración de la Seguridad , Encuestas y Cuestionarios , Traducciones , Humanos , Personal de Hospital/estadística & datos numéricos , Proyectos Piloto , Psicometría , Calidad de la Atención de Salud , Reproducibilidad de los Resultados , Estados Unidos , United States Agency for Healthcare Research and QualityRESUMEN
La imagen «en suelta de globos» en la radiografía simple de tórax no es muy común en atención primaria. Presentamos el caso de un paciente que consulta por lumbalgia no complicada. La radiografía de columna es indicativa de artrosis. Dentro del Programa de Actividades Preventivas PAPPS se le solicita análisis de sangre que muestra una anemia moderada. Durante el estudio posterior se descubre una imagen de nódulos pulmonares múltiples («en suelta de globos») en la radiografía simple de tórax. El paciente es remitido al hospital donde se detecta un probable carcinoma de células renales en la tomografía computarizada (TC) toracoabdominal. Finalmente, el síntoma inicial (lumbalgia) era debido a metástasis óseas pero se necesitó la posterior información para continuar con el proceso diagnóstico. La anemia y la imagen «en suelta de globos» fueron claves para el diagnóstico final (AU)
The "detachable balloons" image in simple chest-X-ray is not very common in Priamry Care. We present the case of patient who consulted for uncomplicated low back pain. The spine X-ray was suggestive of arthrosis. A blood analysis was requested within the Preventive Activities Programme, which showed moderate anaemia. The patient was referred to the Hospital where a probable renal cell carcinoma was detected in the thoraco-abdominal Computed Axial Tomography. Finally, the initial symptom (low back pain) was due to bone metastasis, but further information was required to continue with the diagnostic process. The anaemia and the "detachable balloons" image were key factors in the final diagnosis (AU)
Asunto(s)
Humanos , Masculino , Anciano , Dolor de la Región Lumbar/complicaciones , Dolor de la Región Lumbar/diagnóstico , Radiografía Torácica/instrumentación , Radiografía Torácica/métodos , Nódulos Pulmonares Múltiples/complicaciones , Nódulos Pulmonares Múltiples/diagnóstico , Carcinoma de Células Renales/complicaciones , Carcinoma de Células Renales/diagnóstico , Dolor de la Región Lumbar/fisiopatología , Dolor de la Región Lumbar , Nódulos Pulmonares Múltiples/fisiopatología , Nódulos Pulmonares Múltiples , Carcinoma de Células Renales/fisiopatología , Carcinoma de Células Renales/cirugía , Carcinoma de Células Renales , /métodos , Neoplasias RetroperitonealesRESUMEN
The "detachable balloons" image in simple chest-X-ray is not very common in Primary Care. We present the case of patient who consulted for uncomplicated low back pain. The spine X-ray was suggestive of arthrosis. A blood analysis was requested within the Preventive Activities Programme, which showed moderate anaemia. The patient was referred to the Hospital where a probable renal cell carcinoma was detected in the thoraco-abdominal Computed Axial Tomography. Finally, the initial symptom (low back pain) was due to bone metastasis, but further information was required to continue with the diagnostic process. The anaemia and the "detachable balloons" image were key factors in the final diagnosis.