Table 1.

Survey items

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
1. I know how to create an incident report	1	2	3	4	5
2. I do not have enough time in my day to file an incident report	1	2	3	4	5
3. Filing an incident report will not result in better patient care	1	2	3	4	5
4. I am hesitant to file an incident report because of negative consequences that may affect others involved	1	2	3	4	5
5. I am hesitant to file an incident report because of negative consequences that may affect me	1	2	3	4	5
6. I am concerned because incident reporting is not anonymous	1	2	3	4	5