Table 5.
Factors associated with the nine safety culture elements adjusted for a multivariate analysis
aOR | SE | z | 95%CI | P value | |
My facility has a good atmosphere. | |||||
University hospital | 0.64 | 0.08 | 3.77 | 0.50 to 0.80 | <0.001 |
My facility has an environment where I can voice my opinions about work issues to my peers. | |||||
Gender (men) | 0.87 | 0.05 | 2.25 | 0.77 to 0.98 | 0.024 |
University hospital | 0.72 | 0.07 | 3.51 | 0.60 to 0.87 | <0.001 |
ED duty (3 or more/month) | 1.49 | 0.11 | 5.22 | 1.28 to 1.74 | <0.001 |
Experienced incidence | 1.32 | 0.10 | 3.76 | 1.14 to 1.52 | <0.001 |
My facility has an environment where I can talk to my peers about personal problems. | |||||
Gender (men) | 0.87 | 0.05 | 2.25 | 0.78 to 0.98 | 0.025 |
University hospital | 0.79 | 0.07 | 2.55 | 0.66 to 0.95 | 0.011 |
ED duty (3 or more/month) | 1.33 | 0.10 | 3.80 | 1.15 to 1.54 | <0.001 |
Experienced incidence | 1.25 | 0.09 | 3.21 | 1.09 to 1.44 | 0.001 |
My facility has an environment where I can suggest new plans or changes in procedures to my peers. | |||||
University hospital | 0.80 | 0.07 | 2.47 | 0.67 to 0.95 | 0.014 |
ED duty (3 or more/month) | 1.29 | 0.10 | 3.40 | 1.11 to 1.49 | 0.001 |
My facility has an environment where I feel comfortable speaking up to my peers and supervisor when I make mistakes. | |||||
Gender (men) | 0.83 | 0.05 | 3.30 | 0.74 to 0.93 | 0.001 |
University hospital | 0.68 | 0.06 | 4.33 | 0.57 to 0.81 | <0.001 |
Urban location | 0.86 | 0.05 | 2.64 | 0.77 to 0.96 | 0.008 |
Experienced incidence | 1.34 | 0.09 | 4.32 | 1.17 to 1.53 | <0.001 |
My facility has an environment where I can point out to my peers if I see them making a mistake. | |||||
University hospital | 0.73 | 0.07 | 3.50 | 0.61 to 0.87 | <0.001 |
Urban location | 0.90 | 0.05 | 1.99 | 0.80 to 1.00 | 0.047 |
ED duty (3 or more/month) | 1.23 | 0.09 | 2.79 | 1.06 to 1.41 | 0.005 |
Experienced incidence | 1.27 | 0.09 | 3.56 | 1.11 to 1.45 | <0.001 |
My facility has an environment where it is easy for me to be valued by my peers when I voice my opinion. | |||||
University hospital | 0.69 | 0.07 | 3.90 | 0.57 to 0.83 | <0.001 |
My facility makes it easy to ask for help from other members of the team. | |||||
Gender (men) | 0.74 | 0.05 | 4.92 | 0.66 to 0.83 | <0.001 |
University hospital | 0.79 | 0.07 | 2.59 | 0.66 to 0.94 | 0.01 |
ED duty (3 or more/month) | 1.28 | 0.10 | 3.25 | 1.10 to 1.48 | 0.001 |
Experienced incidence | 1.35 | 0.10 | 4.15 | 1.17 to 1.55 | <0.001 |
My facility has a team environment where we share about each other’s problems. | |||||
Gender (men) | 0.88 | 0.05 | 2.29 | 0.79 to 0.98 | 0.022 |
University hospital | 0.72 | 0.06 | 3.61 | 0.61 to 0.86 | <0.001 |
A multivariate logistic regression analysis was performed to identify factors associated with safety culture using nine predictor variables that included age, emergency department (ED) duty, number of patients, encounter of an incident and experience of incident reporting. Only statistically significant items were extracted. For all data, see online supplemental file 2.
aOR, adjusted OR; ED, emergency department.