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Table 2 Mean scores and factor loadings of the items of the SCOPE-PC questionnaire

From: Measuring safety culture in Dutch primary care: psychometric characteristics of the SCOPE-PC questionnaire

Item Description Mean SD F1 F2 F3 F4 F5 F6 F7 α
Open communication and learning from error .87
C1 We are given feedback about changes put into place based on event reports 3.95 1.27 .84       
C2 Staff will freely speak up if they see something that may negatively affect patient care 4.53 0.65 .59       
C3 We are informed about errors that happen in this practice 4.22 0.88 .86       
C4 Staff feel free to question the decisions or actions of those with more authority 4.08 0.89 .72       
C5 In this practice, we discuss ways to prevent errors from happening again 4.42 0.76 .69       
C7 Professionals discuss errors that occurred with each other 4.30 0.78 .73       
C9 We are given personal feedback about our own event reports 4.09 0.99 .66       
B4n My supervisor/manager overlooks patient safety problems that happen over and over 3.96 0.81 .40       
Handover and teamwork .87
F1n Problems often occur in the exchange of information across disciplines in our practice 3.50 1.01   .67      
F2n The fact that patients are treated by different professionals in our practice is causing problems 4.12 0.71   .77      
F3n Disciplines in the practice that we co work with do not coordinate well with each other 3.88 0.90   .85      
F4 There is a good exchange of information between professionals in this practice 4.30 0.76   .52      
F5 There is a good exchange of information between supporting staff in this practice 4.21 0.72   .45      
F7n Things “fall between the cracks” when transferring patients between different disciplines in this practice. 3.89 0.88   .83      
F8n Important patient care information is often lost because patients see different professionals 4.01 0.85   .81      
Adequate procedures and working conditions .86
A5n It is just by chance that more serious mistakes don’t happen around here 4.34 0.78    .77     
A7n We use more agency/temporary staff than is best for patient care 4.40 0.78    .80     
A8n Staff feel like their mistakes are held against them 4.23 0.80    .54     
A10n In this practice we work longer hours than is best for patient care 3.89 0.92    .76     
A12n When an event is reported, it feels like the person is being written up, not the problem 4.06 0.80    .65     
A13n We work in “crisis mode” trying to do too much, too quickly 3.80 0.95    .59     
A14n Staff worry that mistakes they make are kept in their personnel file 4.17 0.77    .58     
A15n We have patient safety problems in this practice 4.39 0.70    .59     
B3n Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts 4.02 0.84    .43     
Patient safety management .86
B1 My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures 3.32 0.96     .71    
B2 My supervisor/manager seriously considers staff suggestions for improving patient safety 3.96 0.73     .86    
B5 My supervisor/manager provides a work climate that promotes patient safety 3.90 0.73     .96    
B6 The actions of my supervisor/manager show that patient safety is top priority 3.76 0.88     .90    
B7n My supervisor/manager seems interested in patient safety only after an adverse event happens 4.09 0.74     .43    
Support and fellowship .83
A1 People support one another in this practice 4.56 0.62      .90   
A2 We have enough staff to handle the workload 3.93 0.94      .60   
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done 4.18 0.75      .85   
A4 In this practice, people treat each other with respect 4.51 0.63      .92   
A11 When someone in this practice gets really busy, others help out 4.12 0.74      .79   
Intention to report events .90
D2 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? 3.56 1.19       .91  
D3 When a mistake is made, but has no potential to harm the patient, how often is this reported? 3.59 1.14       .93  
D4 When a mistake is made that could harm the patient, but does not, how often is this reported? 4.01 1.04       .90  
Organisational learning .70
A6 We are actively doing things to improve patient safety 3.95 0.82        .62
A9 Mistakes have led to positive changes here 3.97 0.68        .57
A16 Our procedures and systems are good at preventing errors from happening 4.00 0.66        .53
Deleted items
C6n Staff are afraid to ask questions when something does not seem right           
F6 Disciplines work together well to provide the best care for patients          
Separate item
C8 Professionals discuss errors that occurred with other disciplines 3.55 1.08         
  1. The letter “n” in an item-code means that it concerns an item in negative wording.