As Donabedian[24] stated that patient satisfaction is an expression of their judgments on all aspects, performance results of the “satisfaction” aspect may be influenced by all other aspects of healthcare outcomes. Therefore, indictors from the satisfaction aspect may be a promising means when capturing overall hospital performance quickly but approximately. The PSF category represents conditions or factors that may impact on healthcare outcomes. This category is composed by the following three aspects: structure, process and culture/climate. Donabedian’s framework coveredthe first two aspects. However, there have been no or few frameworks that explicitly described “PSF” or related dimensions. It is well known that organizational culture– or a related concept, organizational climate, which is referred to as its surface manifestation – is correlated with various indices of organizational performance [25].Taking the safety aspect as an outcome property, for instance, it has been well acknowledged that safety performance is affected not only by structural and process factors, but also by employee attitudes to and perceptions of their job roles and safety related issues, their organization and management, i.e., safety culture (e.g., [26]).