Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report

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Table C-1. Trending: Composite-level Percent Positive Response by Respondent Work Area/Unit

Patient Safety Culture Composites		Work Area/Unit
		Anes- thesio- logy	Emer- gency	ICU (any type)	Lab	Medi- cine	Obstet- rics	Pediatr.	Pharm.	Psych/ Mental Health	Radi- ology	Rehabil- itation	Surgery
		10 Hospi- tals both yrs	68 Hospi- tals both yrs	39 Hospi- tals both yrs	83 Hospi- tals both yrs	84 Hospi- tals both yrs	37 Hospi- tals both yrs	21 Hospi- tals both yrs	61 Hospi- tals both yrs	20 Hospi- tals both yrs	80 Hospi- tals both yrs	66 Hospi- tals both yrs	72 Hospi- tals both yrs
		170 Most Recent Respon- dents	1,035 Most Recent Respon- dents	1,315 Most Recent Respon- dents	1,102 Most Recent Respon- dents	2,702 Most Recent Respon- dents	586 Most Recent Respon- dents	497 Most Recent Respon- dents	617 Most Recent Respon- dents	504 Most Recent Respon- dents	1,066 Most Recent Respon- dents	546 Most Recent Respon- dents	1,984 Most Recent Respon- dents
		85 Previous Respon- dents	903 Previous Respon- dents	988 Previous Respon- dents	890 Previous Respon- dents	2,048 Previous Respon- dents	551 Previous Respon- dents	456 Previous Respon- dents	487 Previous Respon- dents	467 Previous Respon- dents	810 Previous Respon- dents	650 Previous Respon- dents	1,635 Previous Respon- dents
1. Teamwork Within Units	Most Recent	85%	84%	78%	81%	76%	81%	84%	82%	78%	80%	89%	81%
	Previous	91%	81%	83%	80%	74%	77%	75%	85%	77%	81%	86%	80%
	Change	-6%	3%	-5%	1%	2%	4%	9%	-3%	1%	-1%	3%	1%
2. Supv/Mgr Expectations & Actions Promoting Patient Safety	Most Recent	69%	75%	66%	74%	74%	77%	77%	81%	76%	78%	85%	80%
	Previous	88%	73%	74%	75%	70%	78%	68%	81%	77%	74%	82%	76%
	Change	-19%	2%	-8%	-1%	4%	-1%	9%	0%	-1%	4%	3%	4%
3. Mgmt Support for Patient Safety	Most Recent	64%	68%	57%	73%	69%	71%	71%	74%	62%	76%	74%	74%
	Previous	82%	63%	58%	73%	64%	70%	63%	74%	68%	73%	77%	72%
	Change	-18%	5%	-1%	0%	5%	1%	8%	0%	-6%	3%	-3%	2%
4. Org Learning—Continuous Improvement	Most Recent	72%	68%	69%	73%	72%	72%	80%	83%	71%	74%	76%	81%
	Previous	85%	65%	73%	67%	66%	75%	67%	83%	74%	70%	77%	76%
	Change	-13%	3%	-4%	6%	6%	-3%	13%	0%	-3%	4%	-1%	5%
5. Overall Perceptions of Patient Safety	Most Recent	63%	60%	58%	74%	59%	68%	76%	74%	62%	77%	79%	76%
	Previous	72%	58%	58%	74%	54%	62%	60%	73%	62%	74%	79%	72%
	Change	-9%	2%	0%	0%	5%	6%	16%	1%	0%	3%	0%	4%
6. Feedback & Communication About Error	Most Recent	61%	56%	54%	65%	57%	67%	69%	69%	65%	67%	74%	72%
	Previous	56%	55%	54%	65%	55%	64%	59%	72%	59%	65%	72%	65%
	Change	5%	1%	0%	0%	2%	3%	10%	-3%	6%	2%	2%	7%
7. Communication Openness	Most Recent	54%	61%	57%	65%	57%	68%	74%	74%	68%	66%	73%	70%
	Previous	74%	58%	60%	63%	52%	68%	61%	72%	59%	61%	72%	69%
	Change	-20%	3%	-3%	2%	5%	0%	13%	2%	9%	5%	1%	1%
8. Frequency of Events Reported	Most Recent	54%	61%	57%	60%	67%	65%	59%	69%	63%	57%	61%	69%
	Previous	47%	61%	63%	58%	61%	65%	64%	66%	63%	52%	64%	63%
	Change	7%	0%	-6%	2%	6%	0%	-5%	3%	0%	5%	-3%	6%
9. Teamwork Across Units	Most Recent	56%	56%	50%	61%	61%	55%	60%	59%	54%	63%	61%	58%
	Previous	56%	57%	48%	58%	58%	58%	48%	59%	48%	61%	62%	58%
	Change	0%	-1%	2%	3%	3%	-3%	12%	0%	6%	2%	-1%	0%
10. Staffing	Most Recent	55%	53%	54%	58%	52%	60%	66%	60%	48%	68%	64%	62%
	Previous	62%	53%	54%	59%	54%	56%	56%	60%	56%	67%	66%	61%
	Change	-7%	0%	0%	-1%	-2%	4%	10%	0%	-8%	1%	-2%	1%
11. Handoffs & Transitions	Most Recent	24%	54%	46%	41%	54%	57%	44%	32%	34%	50%	44%	46%
	Previous	32%	55%	46%	42%	51%	53%	43%	38%	31%	48%	45%	45%
	Change	-8%	-1%	0%	-1%	3%	4%	1%	-6%	3%	2%	-1%	1%
12. Nonpunitive Response to Error	Most Recent	40%	39%	40%	47%	42%	44%	38%	60%	48%	48%	58%	54%
	Previous	38%	35%	43%	45%	36%	39%	41%	61%	43%	46%	62%	50%
	Change	2%	4%	-3%	2%	6%	5%	-3%	-1%	5%	2%	-4%	4%

Note: ICU = Intensive Care Unit; Pediatr. = Pediatrics; Pharm. = Pharmacy.

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