All 54 hospital units (n=1370) | 40 US units (n=1057) | 14 Swiss units (n=313) | Differences between US and Swiss units | ||||
Safety dimensions | Mean value (SD); Min.-Max. Unit %-Positive [% <60%] | F; Sig* | Mean value (SD); Min.-Max. Unit %- Positive [% <60%] | F; Sig† | Mean value (SD); Min.-Max. Unit %-Positive [% <60%] | F; Sig† | F; Sig‡ |
Teamwork climate | 71.2 (13.9); 35.7–100 [20] | 2.66; <0.001 | 70.9 (13.9); 35.7–100 [23] | 2.58; <0.001 | 72.3 (14.4); 50–95.8 [14] | 3.59; <0.001 | 0.105; 0.747 |
Safety climate | 66.0 (14.8); 29.4–90.5 [26] | 2.02; <0.001 | 68.7 (13.8); 33.3–90.5 [20] | 1.61; <0.001 | 58.4 (15.1); 29.4–83.3 [43] | 3.73; <0.001 | 5.444; 0.024 |
Job satisfaction | 77.6 (13.2); 46.2–100 [9] | 2.73; <0.001 | 79.0 (12.8); 46.2–100 [8] | 2.60; <0.001 | 73.9 (13.8); 47.1–95 [14] | 3.53; <0.001 | 1.536; 0.221 |
Stress recognition | 50.5 (15.8); 8.3–74.2 [67] | 1.02; 0.433 | 57.2 (10.0); 28.6–74.2 [55] | 0.92; 0.584 | 31.4 (13.8); 8.3–55 [100] | 1.29; 0.222 | 56.920; <0.001 |
Perceptions of unit management | 55.3 (17.0); 16.7–91.7 [61] | 2.54; <0.001 | 60.1 (16.4); 16.7–91.7 [48] | 2.97; <0.001 | 41.5 (9.5); 28–57.1 [100] | 0.91; 0.541 | 15.863; <0.001 |
Working conditions | 62.0 (15.3); 21.4–100 [43] | 1.24; 0.143 | 60.7 (16.1); 21.4–100 [45] | 0.92; 0.589 | 66.0 (12.6); 44.1–83.3 [36] | 2.73; 0.002 | 1.269; 0.265 |
Score values of safety attitudes dimensions, range of % positive respondents and [% positive respondents below 60% thresholds].
↵* ANOVA for each safety dimension controlled for country and hospital level with significance testing for unit variability.
↵† ANOVA for each safety dimension controlled for hospital level with significance testing for unit variability.
↵‡ General linear models for between-the-country differences of safety dimensions score values at the unit level.