Table A-2. Item-level Average Percent Positive Response by Hospital Bed Size

2007 Comparative Database Report

Survey Items By CompositeBed Size
6-24
beds
25-49
beds
50-99
beds
100-199
beds
200-299
beds
300-399
beds
400 or more
beds
 
41
Hospitals
97
Hospitals
79
Hospitals
61
Hospitals
45
Hospitals
29
Hospitals
30
Hospitals
2,657
Respond-ents
8,764
Respond-ents
10,825
Respond-ents
14,786
Respond-ents
21,298
Respond-ents
17,476
Respond-ents
32,815
Respond-
ents
1. Team-
work Within Units
A1—People support one another in this unit.85%85%84%80%79%81%81%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.89%88%86%81%80%83%81%
A4—In this unit, people treat each other with respect.79%79%78%73%72%75%72%
A11—When one area in this unit gets really busy, others help out.71%70%68%65%63%64%64%
2. Super-
visor/ Manager Expecta-
tions & 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%70%69%67%68%68%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.74%79%76%72%72%71%72%
B3 R—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.77%78%75%72%69%70%68%
B4 R—My supv/mgr overlooks patient safety problems that happen over and over.76%80%77%75%72%73%72%
3. Manage-
ment Support for Patient Safety
F1—Hospital mgmt provides a work climate that promotes patient safety.83%84%80%75%74%78%72%
F8—The actions of hospital mgmt show that patient safety is a top priority.73%74%71%67%66%70%65%
F9 R—Hospital mgmt seems interested in patient safety only after an adverse event happens.62%64%60%56%53%56%50%
4. Organ-
izational Learning—
Continuous Improve-
ment
A6—We are actively doing things to improve patient safety.79%83%82%76%77%79%77%
A9—Mistakes have led to positive changes here.62%65%61%59%58%60%59%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.65%69%67%63%64%64%63%
5. Overall Perceptions of Patient SafetyA10 R—It is just by chance that more serious mistakes don't happen around here.63%63%61%57%55%57%54%
A15—Patient safety is never sacrificed to get more work done.71%68%65%60%57%56%55%
A17 R—We have patient safety problems in this unit.68%67%64%59%56%56%53%
A18—Our procedures and systems are good at preventing errors from happening.67%71%70%65%65%67%65%
6. Feedback and Communi-
cation About Error
C1—We are given feedback about changes put into place based on event reports.49%52%51%50%52%54%53%
C3—We are informed about errors that happen in this unit.66%67%65%62%61%62%60%
C5—In this unit, we discuss ways to prevent errors from happening again.73%71%70%67%66%66%65%
7. Commun-
ication Openness
C2—Staff will freely speak up if they see something that may negatively affect patient care.77%76%76%73%72%74%73%
C4—Staff feel free to question the decisions or actions of those with more authority.49%47%46%45%46%46%47%
C6 R—Staff are afraid to ask questions when something does not seem right.65%63%62%60%59%61%62%
8. Freq-
uency of Events Reported
D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?52%51%50%49%49%52%46%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?57%56%55%53%51%53%49%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?76%75%73%71%69%71%66%
9. Teamwork Across UnitsF2 R—Hospital units do not coordinate well with each other.52%50%47%41%37%40%34%
F4—There is good cooperation among hospital units that need to work together.66%64%61%53%50%52%47%
F6 R—It is often unpleasant to work with staff from other hospital units.62%63%59%53%51%54%51%
F10—Hospital units work well together to provide the best care for patients.75%72%70%62%58%63%56%
10. StaffingA2—We have enough staff to handle the workload.63%61%55%49%47%48%45%
A5 R—Staff in this unit work longer hours than is best for patient care.58%57%53%47%48%49%50%
A7 R—We use more agency/temporary staff than is best for patient care.71%67%66%60%60%61%62%
A14 R—We work in "crisis mode" trying to do too much, too quickly.57%54%51%43%41%42%40%
11. Hand-
offs & Transitions
F3 R—Things "fall between the cracks" when transferring patients from one unit to another.54%48%45%37%32%33%30%
F5 R—Important patient care information is often lost during shift changes.58%52%51%45%43%46%45%
F7 R—Problems often occur in the exchange of information across hospital units.52%46%45%37%34%36%33%
F11 R—Shift changes are problematic for patients in this hospital.59%51%48%41%37%41%38%
12. Nonpun-itive Re-
sponse to Error
A8 R—Staff feel like their mistakes are held against them.54%53%52%49%46%46%44%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.45%46%44%43%42%41%40%
A16 R—Staff worry that mistakes they make are kept in their personnel file.39%37%37%34%31%30%28%

Return to Appendix A

Current as of December 2012
Internet Citation: Table A-2. Item-level Average Percent Positive Response by Hospital Bed Size: 2007 Comparative Database Report. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2007/hospdbtaba2.html