Table 5.

Safety climate: top 10 items with the highest problematic response rates (n = 365)

	Items	Proportion of problematic responses*
1	Senior management does not hesitate to temporarily restrict clinicians who are under high personal stress	0.52
2	Senior management reacts well to unexpected changes to its plan	0.51
3	Loss of experienced personnel has negatively affected my ability to provide high-quality patient care	0.54
4	My program follows a specific process to review performance against defined training goals	0.24
5	Patient safety decisions are made at the proper levels by the most qualified people	0.23
6	My program closely monitors performance to ensure clinicians are qualified	0.23
7	Senior management has a clear picture of the risks associated with patient care	0.22
8	In my department, there is significant peer pressure to discourage unsafe patient care	0.20
9	Good communication flow exists down the chain of command regarding patient safety issues	0.20
10	I am provided adequate resources (personnel, budget, and equipment) to provide safe patient care	0.19