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Table 2 Mean scores and factor loadings of the items regarding patient safety culture

From: The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals

Item   Mean SD F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11
F4 There is good cooperation among hospital units that need to work together 3.04 0.79 0.73           
F10 Hospital units work well together to provide the best care for patients 3.05 0.80 0.72           
F2n Hospital units do not coordinate well with each other 3.51 0.75 -0.60           
F3n Things "fall between the cracks" when transferring patients from one unit to another 3.49 0.80 -0.52   0.51         
F7n Problems often occur in the exchange of information across hospital units 3.04 0.80 -0.47   0.47         
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done 3.91 0.59   0.73          
A1 People support one another in this unit 4.00 0.60   0.71          
A11 When one area in this unit gets really busy, others help out 3.78 0.68   0.63          
A4 In this unit, people treat each other with respect 3.87 0.62   0.59          
F11n Shift changes are problematic for patients in this hospital 2.45 0.72    0.76         
F5n Important patient care information is often lost during shift changes 2.59 0.85    0.71         
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? 2.89 1.07     0.88        
D3 When a mistake is made that could harm the patient, but does not, how often is this reported? 3.42 1.00     0.79        
D1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? 2.40 1.06     0.67        
A16n Staff worry that mistakes they make are kept in their personnel file 2.37 0.77      0.74       
A12n When an event is reported, it feels like the person is being written up, not the problem 2.58 0.83      0.74       
A8n Staff feel like their mistakes are held against them 2.22 0.81      0.68       
F6n It is often unpleasant to work with staff from other hospital units 2.43 0.67       -0.62      
C2 Staff will freely speak up if they see something that may negatively affect patient care 3.95 0.67       0.59      
C4 Staff feel free to question the decisions or actions of those with more authority 3.56 0.77       0.58      
C6n Staff are afraid to ask questions when something does not seem right 2.26 0.73       -0.56      
C3 We are informed about errors that happen in this unit 3.39 0.98        0.73     
C1 We are given feedback about changes put into place based on event reports 2.99 1.06        0.70     
C5 In this unit, we discuss ways to prevent errors from happening again 3.69 0.80        0.65     
A9 Mistakes have led to positive changes here 3.38 0.72        0.53     
A13 After we make changes to improve patient safety, we evaluate their effectiveness 3.13 0.84        0.52     
A6 We are actively doing things to improve patient safety 3.45 0.81        0.47     
B3n Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts 2.21 0.72         -0.69    
B2 My supervisor/manager seriously considers staff suggestions for improving patient safety. 3.79 0.61         0.67    
B4n My supervisor/manager overlooks patient safety problems that happen over and over 2.25 0.74         -0.64    
B1 My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures 3.02 0.92         0.59    
F8 The actions of hospital management show that patient safety is a top priority 2.73 0.81          0.74   
F9n Hospital management seems interested in patient safety only after an adverse event happens 3.07 0.82          -0.71   
F1 Hospital management provides a work climate that promotes patient safety 3.21 0.81          0.53   
A5n Staff in this unit work longer hours than is best for patient care 2.22 0.73           0.72  
A2 We have enough staff to handle the workload 3.40 0.92           -0.67  
A7n We use more agency/temporary staff than is best for patient care 2.00 0.86           0.66  
A17n We have patient safety problems in this unit 2.60 0.87            0.68
A18 Our procedures and systems are good at preventing errors from happening 2.97 0.83            -0.61
A10n It is just by chance that more serious mistakes don't happen around here 2.47 0.81            0.60
A14n We work in "crisis mode" trying to do too much, too quickly 2.57 0.79            0.48
A15 Patient safety is never sacrificed to get more work done 3.19 0.95            -0.36
  1. Note: Factor loadings > 0.40 are shown. Factor loadings in italics indicate that this was not the preferred option.
  2. The letter 'n' in a code means that it concerns an item in negative wording.