Table 1 Safety Culture Dimensions and component items listed in order of appearance in U.S. HSOPSC version 2.0

Teamwork

3

A1. In this unit, we work together as an effective team

A8. During busy times, staff in this unit help each other

A9R. There is a problem with disrespectful behavior by those working in this unit

Staffing and Work Pace

4

A2R. In this unit, we have enough staff to handle the workload

A3. Staff in this unit work longer hours than is best for patient care

A5R. This unit relies too much on temporary, float, or PRN staff

A11R. The work pace in this unit is so rushed that it negatively affects patient safety

Organizational Learning -Continuous Improvement

3

A4. This unit regularly reviews work processes to determine if changes are needed to improve patient safety

A12. In this unit, changes to improve patient safety are evaluated to see how well they worked

A14R. This unit lets the same patient safety problems keep happening

Response to Error

4

A6R. In this unit, staff feel like their mistakes are held against them

A7R. When an event is reported in this unit, it feels like the person is being written up, not the problem

A10. When staff make errors, this unit focuses on learning rather than blaming individuals

A13R. In this unit, there is a lack of support for staff involved in patient safety errors

Supervisor, Manager, or Clinical Leader Support for Patient Safety

3

B1. My supervisor, manager, or clinical leader seriously considers staff suggestions for improving patient safety

B2R. My supervisor, manager, or clinical leader wants us to work faster during busy times, even if it means taking shortcuts

B3. My supervisor, manager, or clinical leader takes action to address patient safety concerns that are brought to their attention

Communication About Error

3

C1. We are informed about errors that happen in this unit

C2. When errors happen in this unit, we discuss ways to prevent them from happening again

C3. In this unit, we are informed about changes that are made based on event reports

Communication Openness

4

C4. In this unit, staff speak up if they see something that may negatively affect patient care

C5. When staff in this unit see someone with more authority doing something unsafe for patients, they speak up

C6. When staff in this unit speak up, those with more authority are open to their patient safety concerns

C7R. In this unit, staff are afraid to ask questions when something does not seem right

Reporting Patient Safety Events

2

D1. When a mistake is caught and corrected before reaching the patient, how often is this reported?

D2. When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported?

Hospital Management Support for Patient Safety

3

F1. The actions of hospital management show that patient safety is a top priority

F2. Hospital management provides adequate resources to improve patient safety

F3R. Hospital management seems interested in patient safety only after an adverse event happens

Handoffs and Information Exchange

3

F4R. When transferring patients from one unit to another, important information is often left out

F5R. During shift changes, important patient care information is often left out

F6. During shift changes, there is adequate time to exchange all key patient care information