AGRASS Questionnaire: Assessment of Risk Management in Health Care.

Area of Science:

• Healthcare Management
• Patient Safety Research
• Health Informatics

Background:

• Effective risk management is crucial for patient safety in healthcare.
• Existing tools may not adequately capture the nuances of risk management processes.
• A validated instrument is needed for systematic surveillance and monitoring.

Purpose of the Study:

• To develop and validate the Assessment of Risk Management in Health Care Questionnaire (AGRASS).
• To establish the psychometric properties of the AGRASS for use in healthcare settings.

Main Methods:

• A multi-stage validation process including conceptual model development, expert review, and user feedback (Delphi method).
• Utilized Confirmatory Factor Analysis and Cronbach's alpha for reliability and accuracy assessment.
• Developed accompanying software for data collection and analysis.

Main Results:

• The final AGRASS Questionnaire consists of 40 items across 2 dimensions (structure and process) and 9 subdimensions.
• The instrument demonstrated a robust bi-dimensional model fit and high reliability (Cronbach's alpha = 0.94).
• Software facilitates automatic data analysis, generating indicators, tables, and graphs.

Conclusions:

• The AGRASS Questionnaire is a validated and potentially useful instrument for healthcare.
• It can be employed for the surveillance and monitoring of risk management and patient safety.
• The tool supports data-driven improvements in healthcare service quality.