Table 3

HSOPC items in the UK data and their fit to the original 12 dimension model

Dimension/itemItem R2 from CFA*Standard path coefficient from CFA*Reliability of dimension
Overall perceptions of safety (outcome dimension)0.67
A25Patient safety is never sacrificed to get the work done0.250.50
A30Our procedures and systems are good at preventing errors from happening0.330.58
A18It is just by chance that serious mistakes don't happen around here0.450.67
A28We have patient safety problems in this ward/department0.370.60
Frequency of error reporting (outcome dimension)0.83
D1When an event occurs, but is caught and identified before affecting the patient, how often is it reported?0.450.67
D2When an event occurs, but it has no adverse outcome to the patient, how often is it reported?0.870.93
D3When an event occurs that could have an adverse outcome to the patient but does not, how often is it reported?0.590.77
Supervisor/manager expectations and actions promoting patient safety0.68
B1My supervisor/manager provides positive feedback when he/she sees a job done according to established patient safety procedures0.540.73
B2My supervisor/manager seriously considers staff suggestions for improving patient safety0.680.82
B3Whenever pressure build up, my supervisor/manager wants us to work faster, even if it means taking shortcuts0.260.51
B4My supervisor/manager overlooks patient safety problems that happen repeatedly0.140.38
Organisational learning—continuous improvement0.66
A14We are actively doing things to improve patient safety0.450.67
A16Mistakes have led to positive changes around here0.300.55
A22After we make changes to patient safety, we evaluate their effectiveness0.450.67
Teamwork within units0.73
A1People support one another in this ward/department0.620.79
A3When a lot of work needs to be done quickly, we work together as a team to get the work done0.450.67
A7In this ward/department, people treat each other with respect0.620.79
A20When one area in this ward/department gets busy, others help out0.230.48
Communication openness0.67
C3Staff will freely speak up if they see something that may negatively affect patient care0.510.72
C8Staff feel free to question the decisions and actions of those with more authority0.540.73
C11Staff are afraid to ask questions where something doesn't seem right0.290.54
Feedback and communication about error0.80
C1We are given feedback about changes put into place based on event reports0.520.72
C7We are informed about events that happen in this ward/department0.540.74
C9In this ward/department, we discuss ways to prevent events from happening again0.640.80
Non-punitive response to error0.65
A15Staff feel that their mistakes are held against them0.810.90
A26Staff worry that mistakes they make are kept in their personal files0.280.53
A2We have enough staff to handle the workload0.340.59
A12Staff in this ward/department work longer hours that is best for patient care0.170.41
A13We use more agency/temporary staff than is best for patient care0.090.30
A24We often work in “crisis mode” trying to do too much, too quickly0.540.74
Hospital management support for patient safety0.69
F10The actions of hospital management show that patient safety is a top priority0.540.73
F11Hospital management seems interested in patient safety only after an adverse event happens0.510.72
Teamwork across hospital units0.70
F4There is good cooperation across hospital wards/departments that need to work together0.430.66
F13Hospital wards/departments work well together to provide the best care for patients0.420.65
F2Hospital wards/departments do not coordinate well with each other0.500.70
F7It is often unpleasant to work with staff from other hospital wards/departments0.150.39
Hospital handoffs and transitions0.77
F3Things “fall between the cracks” when transferring patients from one ward/department to another0.510.72
F5Important patient care information is often lost during shift changes0.480.69
F9Problems often occur in the exchange of information across hospital wards/departments0.570.76
F14Shift changes are problematic for patients in this hospital0.290.54
  • * n=1017.

  • Cronbach's α statistic for internal consistency reliability, 1238<n<1412.