Table B-2. Item-level Average Percent Positive Response by Respondent Work Area/Unit

2007 Comparative Database Report

Survey Items by CompositeWork Area/Unit
Anesthe-
siology
Emer-
gency
ICU
(any type)
LabMedicineObstetricsPediatr.Pharm.Psych/ Mentl HlthRadi-
ology
Rehabil-
itation
Surgery
88
Hospi-
tals
301
Hospi-
tals
215
Hospi-
tals
319
Hospi-
tals
319
Hospi-
tals
195
Hospi-
tals
116
Hospi-
tals
271
Hospi-
tals
115
Hospi-
tals
330
Hospi-
tals
286
Hospi-
tals
299
Hospi-
tals
720
Respon-
dents
5,168
Respon-
dents
5,992
Respon-
dents
5,118
Respon-
dents
8,279
Respon-
dents
3,880
Respon-
dents
1,763
Respon-
dents
2,744
Respon-
dents
2,301
Respon-
dents
5,600
Respon-
dents
4,153
Respon-
dents
9,351
Respon-
dents
1. Team-
work Within Units
A1—People support one another in this unit.86%83%86%80%81%83%78%85%79%84%91%81%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.88%86%87%85%80%86%82%84%81%87%89%86%
A4—In this unit, people treat each other with respect.84%74%79%75%71%76%73%78%73%77%86%73%
A11—When one area in this unit gets really busy, others help out.70%70%69%70%60%66%63%68%64%67%76%64%
2. Supv/
Mgr Ex-
pecta-
tions & Actions Promot-
ing Patient Safety
B1—My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.67%69%67%67%67%69%63%73%72%69%75%69%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.70%73%72%74%70%75%71%79%77%75%84%75%
B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.74%73%70%80%72%73%68%79%75%78%80%72%
B4—My supv/mgr overlooks patient safety problems that happen over and over.74%75%74%76%75%75%68%79%78%78%83%76%
3. Mgmt Support for Patient SafetyF1—Hospital mgmt provides a work climate that promotes patient safety.77%72%69%80%74%77%71%77%75%82%85%77%
F8—The actions of hospital mgmt show that patient safety is a top priority.67%60%59%71%65%66%61%72%68%72%76%68%
F9—Hospital mgmt seems interested in patient safety only after an adverse event happens.56%51%47%60%54%52%48%62%59%59%63%59%
4. Organ-
izational Learn-
ing—
Contin-
uous Improve-
ment
A6—We are actively doing things to improve patient safety.81%75%81%78%78%77%79%87%83%78%87%85%
A9—Mistakes have led to positive changes here.63%56%55%66%58%61%52%73%60%60%63%62%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.71%62%67%64%65%67%62%69%69%62%73%69%
5. Over-
all Per-
ceptions of Patient Safety
A10 R—It is just by chance that more serious mistakes don';t happen around here.66%53%54%64%53%59%56%64%58%65%74%63%
A15—Patient safety is never sacrificed to get more work done.60%55%49%70%53%54%61%66%64%74%76%64%
A17 R—We have patient safety problems in this unit.67%52%53%71%49%58%58%64%49%71%75%67%
A18—Our procedures and systems are good at preventing errors from happening.75%60%63%78%58%66%62%73%67%72%80%74%
6. Feed-
back and Com-
munica-
tion About Error
C1—We are given feedback about changes put into place based on event reports.47%48%47%50%49%54%45%55%56%51%62%50%
C3—We are informed about errors that happen in this unit.61%58%54%69%55%62%59%73%61%70%72%68%
C5—In this unit, we discuss ways to prevent errors from happening again.74%63%64%72%62%70%62%76%69%69%80%73%
7. Com-
munica-
tion Open-
ness
C2—Staff will freely speak up if they see something that may negatively affect patient care.82%73%74%74%71%78%72%80%73%78%83%80%
C4—Staff feel free to question the decisions or actions of those with more authority.57%46%45%47%38%51%44%58%48%47%58%51%
C6 R—Staff are afraid to ask questions when something does not seem right.75%62%63%67%56%64%59%74%62%66%72%65%
8. Freq-
uency of Events Report-
ed
D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?49%43%43%51%47%47%48%49%55%41%55%55%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?49%55%52%55%57%56%55%60%58%44%56%58%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?66%72%72%79%73%75%70%78%72%68%75%75%
9. Team-
work Across Units
F2 R—Hospital units do not coordinate well with each other.35%41%39%43%44%39%39%45%36%43%47%39%
F4—There is good cooperation among hospital units that need to work together.49%50%51%58%55%54%49%58%48%58%61%53%
F6 R—It is often unpleasant to work with staff from other hospital units.62%51%55%55%59%56%49%59%55%56%63%55%
F10—Hospital units work well together to provide the best care for patients.60%60%57%64%63%63%57%66%56%65%69%62%
10. Staff-
ing
A2—We have enough staff to handle the workload.57%45%48%54%45%50%52%54%50%59%57%56%
A5 R—Staff in this unit work longer hours than is best for patient care.  46%53%54%55%51%52%53%57%50%57%62%51%
A7 R—We use more agency/temporary staff than is best for patient care.63%65%64%67%66%74%69%65%65%72%69%70%
A14 R—We work in "crisis mode" trying to do too much, too quickly.56%43%45%48%44%47%51%49%48%55%63%49%
11. Hand-
offs & Transiti-
ons
F3 R—Things "fall between the cracks" when transferring patients from one unit to another.32%50%37%29%44%43%38%29%29%42%40%41%
F5 R—Important patient care information is often lost during shift changes.43%56%57%45%52%58%48%36%48%48%46%45%
F7 R—Problems often occur in the exchange of information across hospital units.38%48%40%36%43%42%39%34%37%39%44%39%
F11 R—Shift changes are problematic for patients in this hospital.34%48%52%43%51%56%40%35%47%44%40%37%
12. Nonpuni-
tive Response to Error
A8 R—Staff feel like their mistakes are held against them.52%43%44%51%45%50%48%64%50%53%67%51%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.44%36%40%42%40%40%42%58%47%43%57%45%
A16 R—Staff worry that mistakes they make are kept in their personnel file.36%28%30%35%30%30%30%50%33%38%53%37%

Return to Appendix B

Current as of December 2012
Internet Citation: Table B-2. Item-level Average Percent Positive Response by Respondent Work Area/Unit: 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/hospdbtabb2.html