Table 3 Responses (%) to items omitted from final factor analysis.

	Disagree strongly*	Disagree slightly*	Neutral*	Agree slightly*	Agree strongly*	Not applicable†
Teamwork items
Where I work, it is difficult to speak up if I perceive a problem with patient care‡	6	12	4	23	55	2
I am frequently unable to express disagreement with the senior clinical staff here‡	9	13	14	27	37	6
Briefing staff on handovers between shifts/periods of work (i.e. to plan for possible contingencies) is important for patient safety.	0.4	0.3	3	12	84	15
Safety climate items
Staff frequently disregard rules or guidelines (e.g. hand‐washing, treatment protocols/clinical pathways, etc) that are established for the area where I work‡	7	10	8	22	53	2
Where I work, it is difficult to discuss errors‡	4	11	9	30	46	1

*Percentage of valid responses (not including “not applicable”) from direct patient care staff.

†Percentage of total responses from direct patient care staff.

‡These items are negatively worded.