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Table 4 HSOPSC-S dimensions and items (the selected items have same wording as in the full PreHSOPSC [28])

From: Assessing safety climate in prehospital settings: testing psychometric properties of a common structural model in a cross-sectional and prospective study

Dimension / Item Factor loadings
HEMS 12 HEMS 16 Ground 16 Total 16
Management support for patient safety
 H1 Hospital management provides a work climate that promotes patient safety. .86 .77 .82 .82
 H8 The actions of hospital management show that patient safety is a top priority. .73 .92 .80 .80
Manager expectations & actions promoting patient safety
 C1 My manager says a good word when he/she sees a job done according to established patient safety procedures. .85 .79 .85 .84
 C2 My manager seriously considers staff suggestions for improving patient safety. .91 .85 .90 .91
Teamwork within units
 A1 People support one another in this local unit. .76 .84 .83 .83
 A3 When a lot of work needs to be done quickly, we work together as a team to get the work done. .77 .72 .71 .72
 A4 In this local unit, people treat each other with respect. .65 .92 .81 .83
Learning, feedback and improvement within units
 D1 We are given feedback about changes put into place based on event reports. .67 .71 .65 .68
 D3 We are informed about errors that happen in this local unit. .80 .89 .74 .77
 D4 Staff feel free to question the decisions or actions of those with more authority. .71 .72 .70 .72
Stop working in dangerous situations
 A19 I ask my colleagues to stop work when I think the job is being done in a risky manner. .65 .62 .66 .66
 A20 I report dangerous situations when I see them. .59 .81 .75 .76
 B2 I stop working if I think it could be dangerous for me or others to continue. .69 .68 .56 .57
Transitions and handoffs
 H3 Things “fall between the cracks”* when transferring patients from one unit to another. (*For example, patient information is not transmitted, unclear responsibility for tasks and procedures in patient handover.) .71 .72 .66 .66
 H5 Important patient care information is often lost during shift changes. .75 .86 .74 .75
 H7 Problems often occur in the exchange of information across units in the prehospital chain. .66 .76 .69 .70
 H11 Patient handovers are problematic for patients in the prehospital chain. .61 .76 .63 .64
  1. Dimensions and items based on original Norwegian and English versions of HSOPSC [27, 29, 32]. HEMS 12 = HEMS sample 2012, HEMS 16 = HEMS sample 2016, Ground 16 = ground ambulance sample 2016, Total 16 = combined HEMS and ground ambulance 2016 samples