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Table 1 Factor loadings, standard path coefficient CFA and Cronbachs alphas of the HSOPSC/AV

From: The Arabic version of the hospital survey on patient safety culture: a psychometric evaluation in a Palestinian sample

Factor/items and its Cronbach’s alpha 11 Factors Standard path coefficient CFA
  1 2 3 4 5 6 7 8 9 10 11  
Factor 1: Teamwork within departments (α = 0.77)
A1: People support one another in this unit 0.81            0.73
A3: When a lot of work needs to be done quickly, we work together as a team to get the
work done
0.77            0.77
A4: In this unit, people treat each other with respect 0.76            0.71
A11: When one area in this unit gets really busy, others help out 0.60            0.56
Factor 2: Supervisor/manager expectations and actions promoting patient safety (α = 0.75)
B1: My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures   0.53           0.74
B2: My supervisor/manager seriously considers staff suggestions for improving patient safety   0.60           0.81
B3: Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts   0.79           0.50
B4: My supervisor/manager overlooks patient safety problems that happen over and over   0.83           0.68
Factor 3: Hospital hand-offs and transitions (α = 0.73)
F3: Things “fall between the cracks” when transferring patients from one unit to another    0.63          0.58
F5: Important patient care information is often lost during shift changes    0.77          0.71
F7: Problems often occur in the exchange of information across hospital units    0.76          0.63
F11: Shift changes are problematic for patients in this hospital    0.65          0.61
Factor 4: Frequency of event reporting (α = 0.87)
D1: When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?     0.82         0.81
D2: When a mistake is made, but has no potential to harm the patient, how often is this reported?     0.86         0.87
D3: When a mistake is made that could harm the patient, but does not, how often is this reported?     0.82         0.80
Factor 5: Feedback and communication openness about error (α = 0.73)
C2: Staff will freely speak up if they see something that may negatively affect patient care      0.74        0.66
C4: Staff feel free to question the decisions or actions of those with more authority      0.71        0.49
C3: We are informed about errors that happen in this unit      0.62        0.72
C5: In this unit, we discuss ways to prevent errors from happening again      0.50        0.69
Factor 6: Staffing (α = 0.75)
A2: We have enough staff to handle the workload       0.78       0.80
A5: Staff in this unit work longer hours than is best for patient care       0.77       0.73
A14: We work in "crisis mode" trying to do too much, too quickly       0.79       0.65
Factor 7: Organizational learning – continuous improvement (α = 0.80)
A6: We are actively doing things to improve patient safety        0.86      0.88
A9: Mistakes have led to positive changes here        0.87      0.87
A13: After we make changes to improve patient safety, we evaluate their effectiveness        0.63      0.56
Factor 8: Overall perceptions of safety (α = 0.75)
A15: Patient safety is never sacrificed to get more work done         0.87     0.88
A18: Our procedures and systems are good at preventing errors from happening         0.88     0.86
A17: We have patient safety problems in this unit         0.56     0.36
Factor 9: Hospital management support for patient safety (α = 0.66)
F8: The actions of hospital management show that patient safety is a top priority          0.65    0.70
F9: Hospital management seems interested in patient safety only after an adverse event happens          0.57    0.36
F1: Hospital management provides a work climate that promotes patient safety          0.69    0.76
Factor 10: Teamwork across hospital departments (α = 0.61)
F4: There is good cooperation among hospital units that need to work together           0.76   0.61
F10: Hospital units work well together to provide the best care for patients           0.77   0.62
F2: Hospital units do not coordinate well with each other           0.43   0.45
F6: It is often unpleasant to work with staff from other hospital units           0.61   0.47
Factor 11: No punitive response to error (α = 0.60)
A16: Staff worry that mistakes they make are kept in their personnel file            0.67 0.60
A8: Staff feel like their mistakes are held against them            0.69 0.60
A12: When an event is reported, it feels like the person is being written up, not the problem            0.75 0.50