Table 2

 Factor structure, factor loadings and internal reliability (Cronbach’s alpha) of the LOTICS scale

CommunicationInformation about changes in OR programme/planned procedure timely provided0.750
α = 0.84Information about changes in OR programme/planned procedure are communicated through the right channels0.685
Adequate communication about patients with other disciplines0.631
Information to perform procedure available at the time when it is needed0.620
Adequate communication about patients between teams0.617
Information to perform procedure not properly communicated0.613
MaintenanceMaintenance carried out on a regular basis0.855
α = 0.87Maintenance inspection performed timely0.808
OR/ICU equipment badly maintained0.731
Maintenance schedule is lagging0.703
TrainingAdequate coaching of new personnel0.706
α = 0.81Keeping employees informed about new medical/technological developments0.634
Training employees in the operation of new equipment0.617
Adequate supervision of trainees in their practical period0.613
Co-workers on my department have the necessary qualifications0.531
In OR a combination of staff junior/junior are avoided/on the ICU an adequate mix of seniority is applied0.513
Situation AwarenessTeam members alert each other to problems0.772
α = 0.79Members of my team know what one another is doing0.705
Members of my team monitor each other’s performance0.681
Adequate exchange of information during the operation/shift0.571
ProceduresAccessibility of procedures/regulations/rules0.659
α = 0.81Violations of procedures/regulations/rules0.651
Procedures/regulations/rules frequently not clear0.543
Procedures/regulations/rules frequently not applicable in practice0.525
Procedures/regulations/rules applied correctly0.513
Procedures taken a bit less seriously to do a better job0.500
DesignEquipment operation is difficult0.751
α = 0.76Controls or displays are hard to read0.730
Controls of displays are unclear and/or lacking0.624
Too much information on controls or display0.563
TeamworkI really feel I am a part of my team0.668
α = 0.75Team’s ability to deal with unexpected events0.614
Members of my team work together as a well coordinated team0.496
Clear view of who is doing what and when0.453
Planning and CoordinationOrganisational changes not adequately supported within the department0.593
α = 0.75Lack of advance planning within the department0.530
Sufficiency of planning0.501
Team InstructionsTeam members debriefed on what they can expect during operation/shift0.657
α = 0.76Team members sufficiently instructed during operation/shift0.653
I have confidence in my other team members0.541
Material ResourcesWorn-out or faulty equipment replaced in a timely way0.582
α = 0.75Following new technologies when procuring new equipment0.554
Equipment frequently repaired0.552
Insufficient quality of materials and equipment0.527
Availability of materials and equipment at the time it is needed0.412
Staff ResourcesEnough experienced staff available0.623
α = 0.75Enough support staff to provide good care0.592
Enough staff to provide good care0.569
Enough physicians to provide good care0.557
Enough experienced staff available0.536