Table 4

Responses to survey items

Strongly disagree/ disagreeNeitherStrongly agree/agreeAverage positive response
Never/rarelySome-timesMost of the time /always
Important patient care information is often lost during shift changes. (R)19206219
Shift changes are problematic for patients in this hospital. (R)19295319
It is often unpleasant to work with staff from other hospital units. (R)20305020
Staff are afraid to ask questions when something does not seem right. (R)22374222
Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts. (R)23215623
Things “fall between the cracks” when transferring patients from one unit to another. (R)26294526
We use more agency/temporary staff than is best for patient care. (R)27225027
Hospital units do not coordinate well with each other. (R)27264727
My supervisor/manager overlooks patient safety problems that happen over and over. (R)29155529
Hospital management seems interested in patient safety only after an adverse event happens. (R)31185131
Staff feel free to question the decisions or actions of those with more authority.28403333
We have enough staff to handle the workload.48163535
Problems often occur in the exchange of information across hospital units. (R)35343135
When an event is reported, it feels like the person is being written up, not the problem. (R)46272746
Staff feel like their mistakes are held against them. (R)49272449
We are given feedback about changes put into place based on event reports.13345454
We work in “crisis mode” trying to do too much, too quickly. (R)57222157
There is good cooperation among hospital units that need to work together.18255858
Staff will freely speak up if they see something that may negatively affect patient care.13295858
Mistakes have led to positive changes here.12236565
We are informed about errors that happen in this unit.11246666
In this unit, people treat each other with respect.16186767
Staff in this unit work longer hours than is best for patient care. (R)67161767
Hospital units work well together to provide the best care for patients.11197070
In this unit, we discuss ways to prevent errors from happening again.10207070
My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures.14157171
Hospital management provides a work climate that promotes patient safety.12187171
Staff worry that mistakes they make are kept in their personnel file. (R)72161272
My supervisor/manager seriously considers staff suggestions for improving patient safety.10177373
The actions of hospital management show that patient safety is a top priority.14127474
When a lot of work needs to be done quickly, we work together as a team to get the work done.13127575
After we make changes to improve patient safety, we evaluate their effectiveness.8167676
People support one another in this unit.11137676
We are actively doing things to improve patient safety.688686