| Strongly agree | Agree | Disagree | Strongly disagree | |
| Reporting adverse events helps identify staff who need additional training | 1 | 2 | 3 | 4 |
| Whether or not to report an adverse event depends on how many people are aware the error has taken place* | 1 | 2 | 3 | 4 |
| It is not my responsibility to report adverse events involving colleagues | 1 | 2 | 3 | 4 |
| Reporting adverse events protects patients* | 1 | 2 | 3 | 4 |
| Reporting adverse events lets others check up on me* | 1 | 2 | 3 | 4 |
| As long as those around me learn from adverse events there is no need to report them* | 1 | 2 | 3 | 4 |
| The careers of staff who report adverse events suffer* | 1 | 2 | 3 | 4 |
| The procedures in this hospital are clear on how to report adverse events | 1 | 2 | 3 | 4 |
| I am not doing my job properly unless I report adverse events | 1 | 2 | 3 | 4 |
| Minor adverse events should not be reported* | 1 | 2 | 3 | 4 |
| My colleagues expect me to report adverse events | 1 | 2 | 3 | 4 |
| Reporting adverse events creates problems for me* | 1 | 2 | 3 | 4 |
| The procedures in this hospital are clear on what sort of adverse events should be reported | 1 | 2 | 3 | 4 |
| Only uncommon adverse events should be reported* | 1 | 2 | 3 | 4 |
| Writing in a patient’s notes that an adverse event has happened is just as good as filling in a separate reporting form* | 1 | 2 | 3 | 4 |
| Receiving encouragement from senior clinical staff encourages me to report adverse events | 1 | 2 | 3 | 4 |
| Having an Adverse Event Monitoring Unit based in the hospital encourages staff to report errors | 1 | 2 | 3 | 4 |
| Reporting adverse events lets everyone know I have made a mistake* | 1 | 2 | 3 | 4 |
| I am not permitted to report adverse events* | 1 | 2 | 3 | 4 |
| You should only report those adverse events where something can be learnt from them* | 1 | 2 | 3 | 4 |
| Reporting adverse events is a method through which to pinpoint blame* | 1 | 2 | 3 | 4 |
| Adverse events can’t be prevented so there is no point in reporting them* | 1 | 2 | 3 | 4 |
| Reporting adverse events lets colleagues gossip about my involvement in the event* | 1 | 2 | 3 | 4 |
| Reporting adverse events makes people accountable for their actions | 1 | 2 | 3 | 4 |
| Colleagues seem unconcerned when adverse events occur* | 1 | 2 | 3 | 4 |
*Items requiring reverse-scoring.