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Table 1 Dimensions and items of the S-HSOPSC

From: Psychometric properties of the hospital survey on patient safety culture, HSOPSC,applied on a large Swedish health care sample

1

Communication openness

C2

Staff will freely speak up if they see something that maynegatively affect patient care

C4

Staff feel free to question the decisions or actions of thosewith more authority

C6r

Staff are afraid to ask questions when something does notseem right

2

Feedback and communication about error

C1

We are given feedback about changes put into place based onevent reports

C3

We are informed about errors that happen in this unit

C5

In this unit, we discuss ways to prevent errors fromhappening again

3

Frequency of error reporting

D1

When a mistake is made, but is caught and corrected beforeaffecting the patient, how often is this reported?

D2

When a mistake is made, but has no potential to harm thepatient, how often is this reported?

D3

When a mistake is made that could harm the patient, but doesnot, how often is this reported?

4

Handoffs and transitions between units and shifts

F3r

Things “fall between the cracks” whentransferring patients from one unit to another

F5r

Important patient care information is often lost during shiftchanges

F7

Problems often occur in the exchange of information acrossunits

F11

Shift changes are problematic for patients in this unit

5

Executive management support for patient safety

F1

Executive management provides a work climate that promotespatient safety

F8

The actions of executive management show that patient safetyis a top priority

F9

Executive management seems interested in patient safety onlyafter an adverse event happens

6

Nonpunitive response to error

A8

Staff feel like their mistakes are held against them

A12

When an event is reported, it feels like the person is beingwritten up, not the problem

A16

Staff worry that mistakes they make are kept in theirpersonnel file

7

Organizational learning–continuous improvement

A6

We are actively doing things to improve patient safety

A9

Mistakes have led to positive changes here

A13

After we make changes to improve patient safety, we evaluatetheir effectiveness

8

Overall perceptions of safety

A15

Patient safety is never sacrificed to get more work done

A18

Our procedures and systems are good at preventing errors fromhappening

A10

It is just by chance that more serious mistakes don´thappen around here

A17

We have patient safety problems in this unit

9

Staffing

A2

We have enough staff to handle the workload

A5

Staff in this unit work longer hours (scheduled hoursincluding overtime) than is best for patient care

A7

We use more agency/temporary staff than is best for patientcare

A14

We work in “crisis mode”, trying to do too much,too quickly

10

Supervisor/manager expectations and actions promotingsafety

B1

My supervisor/manager says a good word when he/she sees a jobdone according to established safety procedures.

B2

My supervisor/manager seriously considers staff suggestionsfor improving patient safety

B3

Whenever pressure builds up, my supervisor/manager wants usto work faster, even if it means taking shortcuts

B4

My supervisor/manager overlooks patient safety problems thathappen over and over

11

Teamwork across units

F4

There is good cooperation among units that need to worktogether

F10

Units work well together to provide the best care forpatients

F2

Units do not coordinate well with each other

F6

It is often unpleasant to work with staff from otherunits

12

Teamwork within the unit

A1

People support one another in this unit

A3

When a lot of work needs to be done quickly, we work togetheras a team to get the work done

A4

In this unit, people treat each other with respect

A11

When one area in this unit gets really busy, others helpout

13

Information and support to patients and family who havesuffered an adverse event

G3

In this unit, apologies and regrets are given to patients andfamilies who have suffered an adverse event

G4

In this unit, patients and families who have suffered anadverse event are informed about the event, its causes andactions taken to prevent it from happening again

G5

In this unit, patients and families who have suffered anadverse event, receive help and support in order to managethe situation

G6

In this unit, patients and families who have suffered anadverse event, are informed about the possibility to applyfor economic compensation from the Patient Insurance

14

Information and support to staff who have been involvedin an adverse event

G7

In this unit, staff who have been involved in an adverseevent, receive information about actions taken to preventthe event from happening again

G8

In our unit, staff who have been involved in an adverseevent, receive help and support in order to manage thesituation

15

Patient safety grade

E

Please give your unit an overall grade on patient safety

16

Number of events reported

G1

In the past 12 months, how many event reports have you filledout and submitted?

17

Number of risks reported

G2

In the past 12 months, how many risk reports have you filledout and submitted?