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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?