Table 2.

Patient Safety Climate in Health Care Organizations Survey Dimensions

Label	Number of Items	Cronbach's α	Sample Item
Organizational dimensions
Senior managers‘ engagement	7	0.89	Senior management has a clear picture of the risk associated with patient care.*
Organizational resources	3	0.67	I am provided with adequate resources (personnel, budget, and equipment) to provide safe patient care.*
Overall emphasis on patient safety	3	0.65	Overall, the level of patient safety at this facility is improving.*
Work unit dimensions
Unit safety norms	7	0.82	In my unit, disregarding policy and procedures is rare.*
Unit support and recognition for safety efforts	4	0.74	I am rewarded for taking quick action to identify a serious mistake.*
Interpersonal dimensions
Fear of blame	2	0.61	If people find out that I made a mistake, I will be disciplined.†
Fear of shame	5	0.58	Asking for help is a sign of incompetence.†

^*Positively worded item; a response of “disagree/strongly disagree” is problematic.

^†Negatively worded item; a response of “agree/strongly agree” is problematic.