Table 1.

Items on the TCI short version (modified from Kivimaki et al 2007 [42])

Questions*		Subscale
1	How far are you in agreement with the objectives of your practice?	Vision
2	To what extent do you think the objectives of your practice are clearly understood by other members of the practice?
3.	To what extent do you think the objectives of your practice can actually be achieved?
4.	How worthwhile do you think these objectives are to the practice?
5.	We have a "we are in it together" attitude	Participatory safety
6.	People keep each other informed about work related issues in the practice
7.	People feel understood and accepted by each other
8.	There are real attempts to share information throughout the practice
9.	Are members of your practice prepared to question the basis of what the practice is doing?	Task orientation
10.	Does the practice critically appraise potential weaknesses in what it is doing to achieve the best possible outcome?
11.	Do members of the practice build on each other's ideas to achieve the best possible outcome?
12.	People in this practice are always searching for fresh, new ways of looking at problems.	Support for innovation
13.	In this practice we take the time needed to develop new ideas.
14.	People in the practice cooperate to help develop and apply new ideas.

*We used "practice" throughout the questionnaire to indicate the "work unit" originally stated on Kivimaki et al 2007.