Table 2 Impact of the SinergiAPS intervention on safety culture measured with the Medical Office Survey on Patient Safety Culture (MOSPSC) domain-specific and overall scores

Overall safety culture score

3.609 (3.571; 3.646)

3.640 (3.600; 3.682)

3.601 (3.563; 3.639)

3.597 (3.551; 3.643)

.104

 − 0.009 (− 0.055; 0.038)

.481

Patient safety and quality issues

0.659 (0.636; 0.681)

0.664 (0.639; 0.690)

0.668 (0.646; 0.691)

0.656 (0.629; 0.680)

.013

 − 0.016 (− 0.049; 0.025)

.173

Information exchange with other settings

0.480 (0.444; 0.515)

0.463 (0.423; 0.502)

0.517 (0.479; 0.556)

0.492 (0.450; 0.535)

.002

0.018 (− 0.027; 0.047)

.218

Teamwork

0.767 (0.741; 0.792)

0.792 (0.763; 0.820)

0.778 (0.753; 0.804)

0.783 (0.753; 0.813)

.135

0.001 (− 0.033; 0.035)

.309

Work pressure and pace

0.257 (0.232; 0.282)

0.263 (0.235; 0.290)

0.250 (0.222; 0.271)

0.239 (0.211; 0.268)

.159

 − 0.004 (− 0.038; 0.032)

.305

Non-healthcare staff training

0.630 (0.597; 0.662)

0.645 (0.609; 0.681)

0.655 (0.622; 0.688)

0.620 (0.581; 0.660)

.003

 − 0.023 (− 0.090; 0.053)

.184

Healthcare staff training

0.703 (0.672; 0.733)

0.690 (0.655; 0.726)

0.718 (0.687; 0.750)

0.681 (0.643; 0.720)

.024

 − 0.015 (− 0.066; 0.049)

.216

Office processes and standardization for non-healthcare staff

0.564 (0.535; 0.593)

0.580 (0.548; 0.612)

0.569 (0.539; 0.600)

0.552 (0.518; 0.587)

.061

 − 0.026 (− 0.066; 0.017)

.285

Office processes and standardization for healthcare staff

0.606 (0.579; 0.634)

0.612 (0.581; 0.642)

0.603 (0.575; 0.631)

0.584 (0.551; 0.617)

.069

 − 0.016 (− 0.058; 0.033)

.277

Communication openness

0.625 (0.596; 0.654)

0.647 (0.615; 0.679)

0.622 (0.592; 0.653)

0.638 (0.603; 0.673)

.033

0.003 (− 0.040; 0.050)

.251

Patient care tracking/follow-up

0.787 (0.763; 0.811)

0.774 (0.746; 0.801)

0.779 (0.754; 0.804)

0.746 (0.715; 0.778)

.041

 − 0.013 (− 0.055; 0.036)

.169

Communication about error. Non-healthcare staff

0.663 (0.635; 0.691)

0.680 (0.649; 0.710)

0.653 (0.623; 0.683)

0.610 (0.564; 0.656)

.039

 − 0.012 (− 0.056; 0.029)

.221

Communication about the error healthcare staff

0.712 (0.685; 0.738)

0.731 (0.702; 0.760)

0.692 (0.664; 0.719)

0.704 (0.671; 0.736)

.027

 − 0.005 (− 0.050; 0.055)

.210

Leadership support for patient safety

0.637 (0.605; 0.669)

0.700 (0.662; 0.731)

0.594 (0.559; 0.629)

0.631 (0.590; 0.672)

.038

 − 0.046 (− 0.093; − 0.001)

.242

Organizational learning

0.805 (0.777; 0.832)

0.839 (0.811; 0.867)

0.773 (0.743; 0.803)

0.793 (0.758; 0.827)

.019

 − 0.037 (− 0.075; − 0.002)

.181

Overall perceptions of patient safety and quality

0.694 (0.667; 0.721)

0.718 (0.688; 0.748)

0.698 (0.670; 0.727)

0.670 (0.635; 0.705)

.039

 − 0.049 (− 0.091; 0.003)

.280

Overall ratings on quality

0.856 (0.838; 0.874)

0.874 (0.853; 0.894)

0.858 (0.839; 0.877)

0.867 (0.845; 0.889)

.092

 − 0.001 (− 0.027; 0.027)

.263

Overall rating on patient safety

0.890 (0.870; 0.920)

0.890 (0.860; 0.920)

0.880 (0.850; 0.910)

0.850 (0.810; 0.890)

.044

 − 0.026 (− 0.074; 0.044)

.089