Table 1 Dimensions and Items of the Hospital Survey on Patient Safety Culture version 2.0
| Dimension | Item | ||
|---|---|---|---|
| 1 | Teamwork | A1 | In this unit, we work together as an effective team |
| A8 | During busy times, staff in this unit help each other | ||
| A9r | There is a problem with disrespectful behavior by those working in this unit | ||
| 2 | Staffing and Work Pace | A2 | In this unit, we have enough staff to handle the workload |
| A3r | Staff in this unit work longer hours than is best for patient care | ||
| A5ra | This unit relies too much on temporary, float, or PRN staff | ||
| A11r | The work pace in this unit is so rushed that it negatively affects patient safety | ||
| 3 | Organizational learning – Continuous improvement | A4 | This unit regularly reviews work processes to determine if changes are needed to improve patient safety |
| A12 | In this unit, changes to improve patient safety are evaluated to see how well they worked | ||
| A14r | This unit lets the same patient safety problems keep happening | ||
| 4 | Response to Error | A6r | In this unit, staff feel like their mistakes are held against them |
| A7r | When an event is reported in this unit, it feels like the person is being written up, not the problem | ||
| A10 | When staff make errors, this unit focuses on learning rather than blaming individuals | ||
| A13r | In this unit, there is a lack of support for staff involved in patient safety errors | ||
| 5 | Supervisor, Manager, or Clinical Leader Support for Patient Safety | B1 | My supervisor, manager, or clinical leader seriously considers staff suggestions for improving patient safety |
| B2r | My supervisor, manager, or clinical leader wants us to work faster during busy times, even if it means taking shortcuts | ||
| B3 | My supervisor, manager, or clinical leader takes action to address patient safety concerns that are brought to their attention | ||
| 6 | Communication About Error | C1 | We are informed about errors that happen in this unit |
| C2 | When errors happen in this unit, we discuss ways to prevent them from happening again | ||
| C3 | In this unit, we are informed about changes that are made based on event reports | ||
| 7 | Communication Openness | C4 | In this unit, staff speak up if they see something that may negatively affect patient care |
| C5 | When staff in this unit see someone with more authority doing something unsafe for patients, they speak up | ||
| C6 | When staff in this unit speak up, those with more authority are open to their patient safety concerns | ||
| C7r | In this unit, staff are afraid to ask questions when something does not seem right | ||
| 8 | Reporting Patient Safety Event | D1 |
When a mistake is caught and corrected before reaching the patient, how often is this reported? |
| D2 | When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported | ||
| 9 | Hospital Management Support for Patient Safety | F1 | The actions of hospital management show that patient safety is a top priority |
| F2 | Hospital management provides adequate resources to improve patient safety | ||
| F3r | Hospital management seems interested in patient safety only after an adverse event happens | ||
| 10 | Handoffs and Information Exchange | F4r | When transferring patients from one unit to another, important information is often left out |
| F5r | During shift changes, important patient care information is often left out | ||
| F6 | During shift changes, there is adequate time to exchange all key patient care information | ||
| Number of Events Reportedb | D3 | In the past 12 months, how many patient safety events have you reported? | |
| Patient Safety Ratingb | E1 | How would you rate your unit/work area on patient safety? | |