Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity

Health Care Manag Sci. 2007 Jun;10(2):139-49. doi: 10.1007/s10729-007-9014-y.


The development of patient safety culture in health care organizations is a necessary precursor to patient safety improvement. However, existing tools to measure patient safety culture are intended for implementation in hospitals. A new, abbreviated patient safety culture survey was developed for use in ambulatory health care settings. This survey was tested for content validity utilizing a panel of six experts. It had a clarity interrater agreement (IR) of 0.75, a clarity content validity index (CVI) of 0.95, a representativeness IR of 0.75 and a representativeness CVI of 0.95. The content validity analysis served as a useful tool for assessing the relevance and comprehensiveness of this survey of patient safety culture in ambulatory care organizations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ambulatory Care / organization & administration
  • Ambulatory Care / standards*
  • Communication
  • Data Collection / methods
  • Humans
  • Risk Management
  • Safety*