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

Table 4 Differences in the names and composition of the factors in the American and the Dutch factor structure

American factor structure		Dutch factor structure
Factor	Items	Factor	Items
Feedback about and communication about error	C1, C3, C5	Feedback about and learning from error	C1, C3, C5, A6, A9, A13
Organisational learning – Continuous improvement	A6, A9, A13	*	*
Overall perceptions of safety	A10, A15, A17, A18	Overall perceptions of safety	A10, A14, A17, A18
Teamwork across hospital units	F2, F4, F6, F10	Teamwork across hospital units	F2, F3, F4, F7, F10
Hospital handoffs and transitions	F3, F5, F7, F11	Adequate shift changes	F5, F11
Staffing	A2, A5, A7, A14	Adequate staffing	A2, A5, A7

Note: Underlined factors and items indicate where differences occurred. Items A15 and F6 were removed from the Dutch questionnaire.
* The items of the American factors Feedback about and communication about error and Organisational learning – Continuous improvement combined into one factor, Feedback about and learning from error, in the Dutch factor structure.

ISSN: 1472-6963