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

 H1

Hospital management provides a work climate that promotes patient safety.

 H8

The actions of hospital management show that patient safety is a top priority.

 C1

My manager says a good word when he/she sees a job done according to established patient safety procedures.

 C2

My manager seriously considers staff suggestions for improving patient safety.

 A1

People support one another in this local unit.

 A3

When a lot of work needs to be done quickly, we work together as a team to get the work done.

 A4

In this local unit, people treat each other with respect.

 D1

We are given feedback about changes put into place based on event reports.

 D3

We are informed about errors that happen in this local unit.

 D4

Staff feel free to question the decisions or actions of those with more authority.

 A19

I ask my colleagues to stop work when I think the job is being done in a risky manner.

 A20

I report dangerous situations when I see them.

 B2

I stop working if I think it could be dangerous for me or others to continue.

 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.)

 H5

Important patient care information is often lost during shift changes.

 H7

Problems often occur in the exchange of information across units in the prehospital chain.

 H11

Patient handovers are problematic for patients in the prehospital chain.