Table A-10. Item-level Average Percent Positive Response by Hospital Geographic Region
2007 Comparative Database Report
Survey Items By Composite | Region | ||||||||
---|---|---|---|---|---|---|---|---|---|
Mid Atlantic/ New England | South Atlantic | East North Central | East South Central | West North Central | West South Central | Mountain | Pacific | ||
20 Hospitals | 60 Hospitals | 100 Hospitals | 26 Hospitals | 83 Hospitals | 31 Hospitals | 35 Hospitals | 27 Hospitals | ||
10,796 Respond- ents | 17,870 Respond ents | 34,715 Respond ents | 6,982 Respond-ents | 17,418 Respond-ents | 10,223 Respond-ents | 5,809 Respond- ents | 4,808 Respond- ents | ||
1. Teamwork Within Units | A1- People support one another in this unit. | 82% | 83% | 80% | 84% | 85% | 86% | 83% | 84% |
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. | 82% | 85% | 82% | 87% | 88% | 88% | 84% | 84% | |
A4—In this unit, people treat each other with respect. | 74% | 77% | 73% | 78% | 78% | 80% | 75% | 76% | |
A11—When one area in this unit gets really busy, others help out. | 64% | 67% | 65% | 68% | 69% | 71% | 67% | 67% | |
2. Supervisor/ Manager Expectations & Actions Promoting Patient Safety | B1—My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. | 68% | 72% | 66% | 75% | 68% | 76% | 68% | 70% |
B2—My supv/mgr seriously considers staff suggestions for improving patient safety. | 72% | 77% | 72% | 79% | 75% | 78% | 73% | 75% | |
B3 R—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | 69% | 75% | 73% | 76% | 75% | 76% | 74% | 71% | |
B4 R—My supv/mgr overlooks patient safety problems that happen over and over. | 72% | 79% | 73% | 79% | 78% | 79% | 73% | 74% | |
3. Management Support for Patient Safety | F1—Hospital mgmt provides a work climate that promotes patient safety. | 74% | 80% | 77% | 82% | 83% | 80% | 78% | 78% |
F8—The actions of hospital mgmt show that patient safety is a top priority. | 68% | 72% | 66% | 75% | 73% | 73% | 69% | 68% | |
F9 R—Hospital mgmt seems interested in patient safety only after an adverse event happens. | 54% | 60% | 56% | 62% | 63% | 60% | 56% | 53% | |
4. Organizational Learning—Continuous Improvement | A6—We are actively doing things to improve patient safety. | 78% | 83% | 76% | 83% | 82% | 83% | 78% | 79% |
A9—Mistakes have led to positive changes here. | 58% | 63% | 58% | 63% | 63% | 64% | 60% | 61% | |
A13—After we make changes to improve patient safety, we evaluate their effectiveness. | 66% | 69% | 62% | 72% | 67% | 72% | 62% | 59% | |
5. Overall Perceptions of Patient Safety | A10 R—It is just by chance that more serious mistakes don't happen around here. | 53% | 56% | 57% | 59% | 66% | 62% | 61% | 57% |
A15—Patient safety is never sacrificed to get more work done. | 60% | 65% | 60% | 65% | 67% | 65% | 64% | 59% | |
A17 R—We have patient safety problems in this unit. | 54% | 59% | 59% | 63% | 68% | 64% | 64% | 56% | |
A18—Our procedures and systems are good at preventing errors from happening. | 66% | 68% | 65% | 72% | 71% | 73% | 64% | 65% | |
6. Feedback and Communication About Error | C1—We are given feedback about changes put into place based on event reports. | 51% | 54% | 50% | 54% | 50% | 55% | 50% | 50% |
C3—We are informed about errors that happen in this unit. | 65% | 68% | 61% | 71% | 63% | 69% | 65% | 60% | |
C5—In this unit, we discuss ways to prevent errors from happening again. | 67% | 71% | 64% | 71% | 70% | 73% | 71% | 71% | |
7. Communication Openness | C2—Staff will freely speak up if they see something that may negatively affect patient care. | 75% | 75% | 74% | 76% | 75% | 76% | 74% | 76% |
C4—Staff feel free to question the decisions or actions of those with more authority. | 49% | 47% | 45% | 47% | 44% | 50% | 48% | 51% | |
C6 R—Staff are afraid to ask questions when something does not seem right. | 63% | 64% | 60% | 63% | 61% | 65% | 62% | 64% | |
8. Frequency of Events Reported | D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | 53% | 49% | 47% | 54% | 50% | 55% | 53% | 50% |
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? | 56% | 54% | 51% | 58% | 57% | 57% | 54% | 52% | |
D3— When a mistake is made that could harm the patient, how often is this reported? | 72% | 72% | 70% | 77% | 76% | 74% | 70% | 72% | |
9. Teamwork Across Units | F2 R—Hospital units do not coordinate well with each other. | 38% | 45% | 43% | 50% | 49% | 44% | 41% | 39% |
F4—There is good cooperation among hospital units that need to work together. | 51% | 57% | 54% | 63% | 63% | 60% | 55% | 54% | |
F6 R—It is often unpleasant to work with staff from other hospital units. | 54% | 58% | 55% | 59% | 62% | 56% | 57% | 57% | |
F10—Hospital units work well together to provide the best care for patients. | 61% | 65% | 63% | 72% | 73% | 67% | 66% | 64% | |
10. Staffing | A2—We have enough staff to handle the workload | 43% | 54% | 52% | 50% | 62% | 54% | 55% | 53% |
A5 R—Staff in this unit work longer hours than is best for patient care. | 44% | 52% | 52% | 52% | 56% | 53% | 50% | 51% | |
A7 R—We use more agency/temporary staff than is best for patient care. | 58% | 62% | 63% | 63% | 71% | 66% | 61% | 61% | |
A14 R—We work in "crisis mode" trying to do too much, too quickly. | 39% | 49% | 45% | 47% | 55% | 51% | 50% | 45% | |
11. Handoffs & Transitions | F3 R—Things "fall between the cracks" when transferring patients from one unit to another. | 34% | 42% | 39% | 47% | 49% | 41% | 40% | 37% |
F5 R—Important patient care information is often lost during shift changes. | 48% | 49% | 47% | 52% | 54% | 47% | 49% | 46% | |
F7 R—Problems often occur in the exchange of information across hospital units. | 36% | 40% | 39% | 47% | 47% | 40% | 41% | 39% | |
F11 R—Shift changes are problematic for patients in this hospital. | 39% | 44% | 44% | 47% | 54% | 43% | 45% | 44% | |
12. Nonpunitive Response to Error | A8 R—Staff feel like their mistakes are held against them. | 45% | 49% | 48% | 52% | 56% | 53% | 50% | 47% |
A12 R—When an event is reported, it feels like the person is being written up, not the problem. | 40% | 43% | 42% | 44% | 47% | 44% | 42% | 40% | |
A16 R—Staff worry that mistakes they make are kept in their personnel file. | 28% | 34% | 32% | 36% | 40% | 36% | 35% | 32% |
*Note: States are categorized into AHA-defined regions as follows:
Region | States |
---|---|
Mid Atlantic/New England | NY, NJ, PA, ME, NH, VT, MA, RI, CT |
South Atlantic | DE, MD, DC, VA, WV, NC, SC, GA, FL |
West North Central | MN, IA, MO, ND, SD, NE, KS |
West South Central | AR, LA, OK, TX |
East North Central | OH, IN, IL, MI, WI |
East South Central | KY, TN, AL, MS |
Mountain | MT, ID, WY, CO, NM, AZ, UT, NV |
Pacific | WA, OR, CA, AK, HI |