Table 1

 Patient safety climate surveys: summary of characteristics

Name of survey
SLOAPSPSCHOVHA PSCQHSOPSCSSSAQSCSMSSAHTSSCS
SLOAPS, Strategies for Leadership: An Organizational Approach to Patient Safety;16,24,31 PSCHO, Patient Safety Cultures in Healthcare Organizations;25,32 VHA PSCQ, Veterans Administration Patient Safety Culture Questionnaire19 (McKnight and Lee, unpublished data, September 2001); HSOPS, Hospital Survey on Patient Safety;21,33 CSS, Culture of Safety Survey;18 SAQ, Safety Attitudes Questionnaire;22,23,26,34–39 SCS, Safety Climate Survey40 (10 item version called Safety Climate Scale24,40); MSSA, Medication Safety Self Assessment;17,41 HTSSCS, Hospital Transfusion Service Safety Culture Survey.20
Setting appropriate for useGeneralGeneralGeneralGeneralGeneralMultiple unitsMultiple unitsPharmacyTransfusion
General characteristics
    To be completed by individualsNoYesYesYesYesYesYesNoYes
    No of items (demographics not included)5882/32714234601919427
    Uses 5-point Likert scaleYesYesYesYesPartialYesYesYesYes
    Measures implementation of actionsYesNoNoNoNoNoNoYesNo
Common dimensions covered
    LeadershipYesYesYesYesYesYesYesYesPartial
    Policies and proceduresYesPartialYesPartialNoPartialPartialYesPartial
    StaffingYesPartialYesYesPartialYesPartialYesNo
    CommunicationYesYesYesYesYesYesYesYesYes
    ReportingYesYesYesYesYesYesYesYesYes
    Total no of dimensions95 (16)131246208
Psychometrics performed
    Item analysisNoPartialYesYesNoYesPartialNoYes
    Exploratory factor analysisNoNoYesYesNoYesNoNoYes
    Confirmatory factor analysisNoYesYesYesNoYesPartialNoYes
    Cronbach’s alphaNoNo0.45–0.900.63–0.83“Poor”0.68–0.81“Good”0.44–0.840.61–0.85
    Test/retest reliabilityNoNoNoNoYesYesPartialNoNo
    Correlated composite scores across dimensionsNoNoYesYesNoYesNoPartialYes
    Analysis of variance across servicesNoYesNoYesNoYesYesPartialYes
How used in studies
    Intra institutional comparisonsYesYesYesYesYesYesYesNoYes
    Inter institutional comparisonsNoYesNoYesYesYesPartialYesYes
    Inter industry comparisonsNoYesNoNoNoYesPartialNoNo
    Association with reporting ratesNoNoNoYesYesYesNoYesNo
    Association with process measuresNoNoNoNoYesYesNoNoNo
    Association with patient outcomesNoNoNoNoNoYesNoNoNo
    Pre v post intervention studiesPartialNoNoNoNoYesNoNoNo