Table A-6. Item-level Average Percent Positive Response by Hospital Teaching Status, and Ownership and Control

2007 Comparative Database Report

Survey Items by CompositeTeaching StatusOwnership and Control
TeachingNon-teachingGovt.Non-govt.
92
Hospitals
290
Hospitals
106
Hospitals
276
Hospitals
44,067
Respond-
ents
64,554
Respond-
ents
12,926
Respond-
ents
95,695
Respond-
ents
1.
Teamwork Within Units
A1—People support one another in this unit.82%83%84%82%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.83%85%87%84%
A4—In this unit, people treat each other with respect.74%77%77%76%
A11—When one area in this unit gets really busy, others help out.65%68%68%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%70%69%70%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.74%75%75%75%
B3 R—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.71%75%76%73%
B4 R—My supv/mgr overlooks patient safety problems that happen over and over.75%76%77%75%
3.
Management Support for Patient Safety
F1—Hospital mgmt provides a work climate that promotes patient safety.77%80%83%78%
F8—The actions of hospital mgmt show that patient safety is a top priority.68%71%73%69%
F9 R—Hospital mgmt seems interested in patient safety only after an adverse event happens.55%60%61%58%
4.
Organizational Learning—Continuous Improvement
A6—We are actively doing things to improve patient safety.81%79%81%79%
A9—Mistakes have led to positive changes here.60%62%63%60%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.65%66%67%65%
5.
Overall Perceptions of Patient Safety
A10 R—It is just by chance that more serious mistakes don't happen around here.58%60%61%59%
A15—Patient safety is never sacrificed to get more work done.59%65%68%62%
A17 R—We have patient safety problems in this unit.58%63%65%60%
A18—Our procedures and systems are good at preventing errors from happening.67%68%69%67%
6.
Feedback and Communication About Error
C1—We are given feedback about changes put into place based on event reports.52%51%50%52%
C3—We are informed about errors that happen in this unit.62%65%66%64%
C5—In this unit, we discuss ways to prevent errors from happening again.67%70%71%68%
7.
Communication Openness
C2—Staff will freely speak up if they see something that may negatively affect patient care.74%75%75%75%
C4—Staff feel free to question the decisions or actions of those with more authority.46%47%45%47%
C6 R—Staff are afraid to ask questions when something does not seem right.60%63%63%62%
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?49%50%50%50%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?53%55%54%54%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?70%73%73%72%
9.
Teamwork Across Units
F2 R—Hospital units do not coordinate well with each other.40%46%48%43%
F4—There is good cooperation among hospital units that need to work together.52%59%62%56%
F6 R—It is often unpleasant to work with staff from other hospital units.56%58%60%56%
F10—Hospital units work well together to provide the best care for patients.62%68%71%65%
10.
Staffing
A2—We have enough staff to handle the workload.51%55%61%52%
A5 R—Staff in this unit work longer hours than is best for patient care.51%53%55%51%
A7 R—We use more agency/temporary staff than is best for patient care.63%65%67%63%
A14 R—We work in "crisis mode" trying to do too much, too quickly.45%50%54%46%
11.
Handoffs & Transitions
F3 R—Things "fall between the cracks" when transferring patients from one unit to another.37%43%48%39%
F5 R—Important patient care information is often lost during shift changes.49%50%53%48%
F7 R—Problems often occur in the exchange of information across hospital units.38%43%46%40%
F11 R—Shift changes are problematic for patients in this hospital.43%47%51%44%
12.
Nonpunitive Response to Error
A8 R—Staff feel like their mistakes are held against them.48%51%52%50%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.43%44%44%43%
A16 R—Staff worry that mistakes they make are kept in their personnel file.33%36%36%34%

Return to Appendix A

Current as of December 2012
Internet Citation: Table A-6. Item-level Average Percent Positive Response by Hospital Teaching Status, and Ownership and Control: 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/hospdbtaba6.html