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The target audience of this article is those who actually use safety culture assessment tools in the healthcare setting, and we assumed they possess basicto medium-level knowledge in statistics and psychometrics. Thus, we intentionally avoided showing complex formulae; instead, we tried to simplify, and sometimes oversimplify, the concepts introduced in this article to facilitate understanding. Terminology was also carefully chosen for those who did not major in statistics. In addition, we did not follow a typical research article style. We intentionally allocated many paragraphs usually reserved for the discussion section to the results section in order to facilitate understanding. Anyone curious about full mathematical descriptions are asked to please contact the authors.

The Pure and the Overarching: An Application of Bifactor Model to Safety Attitudes Questionnaire