Table 8

Multivariate analysis with a linear mixed model approach for each of the factors in the Nursing Home Survey on Patient Safety Culture

Safety factors
(scale 1–5)
ItemsConstantDifference for nursing home intervention group vs controlOverall change T1 to T2 (preintervention survey to postintervention survey T2)Overall change T1 to T3 (preintervention survey T1 to postintervention survey T3)Nursing home intervention group effect for group × survey (pre-T1/post-T2) interactionNursing home intervention group effect for group × survey (pre-T1/post-T3) interaction
β0 95% CIβ1 95% CIβ2 95% CIβ3 95% CIβ4 95% CIβ5 95% CI
Handoffs34.164.04 to 4.290.15−0.04 to 0.33−0.21−0.35 to −0.06**−0.21−0.34 to −0.08**
Training and skills33.653.49 to 3.810.00−0.20 to 0. 21−0.00−0.16 to 0.15−0.27−0.43 to −0.13***
Compliance with procedures33.743.59 to 3.890.460.25 to 0. 67***−0.15−0.32 to 0.02−0.38−0.56 to −0.20***
Non-punitive response or error43.953.84 to 4.07−0.07−0.23 to 0.09−0.03−0.16 to 0.11−0.08−0.21 to 0. 06
Supervisor expectations34.404.26 to 4.54−0.23−0.43 to −0.02*−0.07−0.21 to 0.08−0.23−0.42 to −0.04*
Management support for patient safety103.983.85 to 4.12−0.14−0.34 to 0. 07−0.07−0.17 to 0.04−0.36−0.54 to −0.19***
Feedback and communication about incidents44.154.03 to 4.270.09−0.09 to 0. 26−0.05−0.16 to 0. 06−0.13−0.26 to 0. 01
Communication openness34.023.90 to 4.140.07−0.11 to 0. 24−0.10−0.24 to 0.04−0.55−0.74 to −0.36***
Teamwork44.173.98 to 4.35−0.03−0.32 to 0. 27−0.38−0.57 to −0.18***−0.92−1.21 to −0.64***−0.16−0.16 to 0.490.520.01 to 1.03*
Staffing43.313.15 to 3.470.350.09 to 0. 60**−0.08−0.25 to 0.08−0.58−0.75 to −0.41***−0.16−0.45 to 0.110.640.31 to 0. 97***
I would tell friends that this nursing home is safe (scale 1–3)12.952.87 to 3.04−0.19−0.33 to −0.04**−0.04−0.14 to 0.07−0.27−0. 47 to −0.07**0.200.03 to 0.38*0.17−0.20 to 0. 54
Overall rating on patient safety14.344.16 to 4.52−0.39−0.69 to −0.09*−0.11−0.35 to 0.13−0.70−0.99 to −0.42***−0.04−0.47 to 0.380.620.07 to 1.17*
  • *P<0.05, **P<0.01, ***P<0.001.