Table 5

Exploratory factor analysis with varimax rotation: factor loadings >0.3 of the 42 items of the Hospital Survey on Patient Safety Culture

 Factors
12345678910
Cooperation across units (F4)0.65
Units work well together (F10)0.60
Units do not coordinate well (F2R)0.62
Unpleasant to work with staff (F6R)0.60
Things fall between cracks (F3R)0.66
Information often lost (F5R)0.65
Problems in exchange of information (F7R)0.76
Shift changes problematic (F11R)0.49
Feedback about changes (C1)0.64
Informed about errors (C3)0.68
Discuss ways to prevent errors (C5)0.60
Staff speak freely (C2)0.62
Feel free to question authority (C4)0.68
Afraid to ask questions (C6R)0.360.47
People support one another (A1)0.70
We work together as a team (A3)0.81
People treat each other with respect (A4)0.78
When busy, others help out (A11)0.64
Incident caught and corrected (D1)0.82
Mistake has no potential to harm (D2)0.89
Mistake could harm (D3)0.84
Supervisor says a good word (B1)0.59
Supervisor considers staff suggestions (B2)0.73
Work faster, take shortcuts (B3R)0.68
Supervisor overlooks safety problems (B4R)0.74
Patient safety never sacrificed (A15)0.56
Systems good at preventing errors (A18)0.69
It's just by chance (A10R)0.53
We have safety problems (A17R)0.72
Management provides work climate (F1)0.73
Patient safety is top priority (F8)0.81
Interested only after adverse event (F9R)0.68
Mistakes held against them (A8R)0.65
Person written up (A12R)0.41
Mistakes kept in personnel file (A16R)0.70
Doing things to improve safety (A6)0.62
Mistakes have led to positive changes (A9)0.59
Evaluate effectiveness (A13)0.65
Enough staff to handle workload (A2)0.320.58
Staff work longer hours (A5R)0.67
Use more agency/temporary staff (A7R)0.62
Do too much too quickly (A14R)0.350.50