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Table 1 Dimensions and Items of the Hospital Survey on Patient Safety Culture version 2.0

From: Adaptation and validation of a Korean-language version of the revised hospital survey on patient safety culture (K-HSOPSC 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?

  1. r negatively worded item
  2. a A5r was removed from the final Korean version of the survey as it does not fit the Korean context. b single item measure