Development and validation of a Self-assessment Instrument for Perioperative Patient Safety (SIPPS)

Journal Article (2018)
Authors

A.J. Heideveld-Chevalking (Radboud Universiteit Nijmegen)

H. Calsbeek (Radboud Universiteit Nijmegen)

I.P.M. Griffioen (OLD Management and Organisation)

J. Damen (Radboud Universiteit Nijmegen)

W. J H Jeroen Meijerink (Radboud Universiteit Nijmegen)

A.P. Wolff (University Medical Center Groningen)

Research Group
OLD Management and Organisation
Copyright
© 2018 A.J. Heideveld-Chevalking, H. Calsbeek, I.P.M. Griffioen, J. Damen, W.J.H.J. Meijerink, A.P. Wolff
To reference this document use:
https://doi.org/10.1002/bjs5.82
More Info
expand_more
Publication Year
2018
Language
English
Copyright
© 2018 A.J. Heideveld-Chevalking, H. Calsbeek, I.P.M. Griffioen, J. Damen, W.J.H.J. Meijerink, A.P. Wolff
Research Group
OLD Management and Organisation
Issue number
6
Volume number
2
Pages (from-to)
1-11
DOI:
https://doi.org/10.1002/bjs5.82
Reuse Rights

Other than for strictly personal use, it is not permitted to download, forward or distribute the text or part of it, without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license such as Creative Commons.

Abstract

Background

Patient safety is a fundamental value of healthcare to avoid patient harm. Non‐compliance with patient safety standards may result in patient harm and is therefore a global concern. A Self‐assessment Instrument for Perioperative Patient Safety (SIPPS) monitoring and benchmarking compliance to safety standards was validated in a multicentre pilot study.

Methods

A preliminary questionnaire, based on the Dutch perioperative patient safety guidelines and covering international patient safety goals, was evaluated in a first digital RAND Delphi round. The results were used to optimize the questionnaire and design the SIPPS. For measurement and benchmarking purposes, SIPPS was categorized into seven main patient safety domains concerning all care episode phases of the perioperative trajectory. After consensus was reached in a face‐to‐face Delphi round, SIPPS was pilot‐tested in five hospitals for five characteristics: measurability, applicability, improvement potential, discriminatory capacity and feasibility.

Results

The results of the first Delphi round showed moderate feasibility for the preliminary questionnaire (81·6 per cent). The pilot test showed good measurability for SIPPS: 99·8 per cent of requested information was assessable. Some 99·9 per cent of SIPPS questions were applicable to the selected respondents. With SIPPS, room for improvement in perioperative patient safety compliance was demonstrated for all hospitals, concerning all safety domains and all care episode phases of the perioperative trajectory (compliance 76·1 per cent). SIPPS showed mixed results for discriminatory capacity. SIPPS showed good feasibility for all items (range 91·9–95·7 per cent).

Conclusion

A self‐assessment instrument for measuring perioperative patient safety (SIPPS) compliance meeting international standards was validated. With SIPPS, improvement areas for perioperative patient safety and best practices across hospitals could be identified.