Table 6-4. Item-level Comparative Results for the 2008 Database

2008 Comparative Database Report

ItemSurvey Items By CompositeNo. of hospitals
& No. of respondents
Average Percent
Positive
s.d.Survey Item Percent Positive Response
Min10th Percentile25th PercentileMedian/
50th Percentile
75th Percentile90th PercentileMax
1.Teamwork Within Units          
A11. People support one another in this unit.H = 518
N = 154,813
84%9.52%10%76%81%85%89%93%100%
A32. When a lot of work needs to be done quickly, we work together as a team to get the work done.H = 518
N = 155,014
85%9.16%12%78%82%87%90%93%100%
A43. In this unit, people treat each other with respect.H = 518
N = 154,895
77%9.85%16%67%73%78%83%87%100%
A114. When one area in this unit gets really busy, others help out.H = 518
N = 152,205
687%9.39%23%57%63%68%73%79%91%
2.Supervisor/Manager Expectations & Actions Promoting Patient Safety          
B11. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.H = 519
N = 154,796
71%9.82%18%60%66%71%78%81%93%
B22. My supv/mgr seriously considers staff suggestions for improving patient safety.H = 519
N = 154,389
75%9.93%12%65%71%76%82%86%100%
B3 R3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.H = 513
N = 153,026
74%8.99%21%64%68%74%81%85%100%
B4 R4. My supv/mgr overlooks patient safety problems that happen over and over.H = 519
N = 153,315
76%9.13%17%67%72%76%81%86%100%
3.Management Support for Patient Safety          
F11. Hospital mgmt provides a work climate that promotes patient safety.H = 519
N = 153,624
80%11.43%15%67%74%81%87%92%100%
F82. The actions of hospital mgmt show that patient safety is a top priority.H = 519
N = 150,833
71%12.00%12%57%64%73%79%85%100%
F9
R
3. Hospital mgmt seems interested in patient safety only after an adverse event happens.H = 519
N = 149,956
59%12.66%18%44%51%59%68%76%93%
4.Organizational Learning—Continuous Improvement          
A61. We are actively doing things to improve patient safety.H = 519
N = 154,667
81%9.94%7%72%77%82%87%91%100%
A92. Mistakes have led to positive changes here.H = 519
N = 155,575
62%9.80%16%52%57%63%68%74%100%
A133. After we make changes to improve patient safety, we evaluate their effectiveness.H = 519
N = 152,871
67%11.05%12%54%61%68%74%79%94%
5.Overall Perceptions of Patient Safety          
A10
R
1. It is just by chance that more serious mistakes don't happen around here.H = 519
N = 155,202
60%11.09%18%47%53%60%68%74%88%
A152. Patient safety is never sacrificed to get more work done.H = 519
N = 152,369
64%11.61%23%50%57%64%72%80%100%
A17
R
3. We have patient safety problems in this unit.H = 519
N = 152,911
62%11.97%15%48%55%62%70%77%92%
A184. Our procedures and systems are good at preventing errors from happening.H = 519
N = 155,393
69%10.51%8%58%64%70%76%81%100%
6.Feedback and Communication About Error          
C11. We are given feedback about changes put into place based on event reports.H = 518
N = 148,787
52%10.44%18%39%46%53%60%64%87%
C32. We are informed about errors that happen in this unit.H = 518
N = 149,666
64%10.21%21%53%58%63%70%77%93%
C53. In this unit, we discuss ways to prevent errors from happening again.H = 516
N = 150,571
70%10.36%13%59%64%70%76%82%100%
7.Communication Openness          
C21. Staff will freely speak up if they see something that may negatively affect patient care.H = 519
N = 153,939
76%8.96%12%67%72%76%81%85%100%
C42. Staff feel free to question the decisions or actions of those with more authority.H = 517
N = 154,448
47%8.73%25%37%42%46%52%58%94%
C6
R
3. Staff are afraid to ask questions when something does not seem right.H = 517
N = 154,824
63%9.60%7%53%58%63%68%73%100%
8.Frequency of Events Reported          
D11. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?H = 518
N = 137,040
51%10.01%18%39%45%51%57%63%81%
D22. When a mistake is made, but has no potential to harm the patient, how often is this reported?H = 518
N = 136,477
55%9.88%20%43%49%56%61%68%85%
D33. When a mistake is made that could harm the patient, but does not, how often is this reported?H = 518
N = 135,955
73%8.95%28%63%68%73%78%83%100%
9.Teamwork Across Units          
F2
R
1. Hospital units do not coordinate well with each other.H = 518
N = 146,911
45%13.30%5%29%35%44%54%63%91%
F42. There is good cooperation among hospital units that need to work together.H = 518
N = 145,905
58%12.75%20%42%49%58%67%76%96%
F6
R
3. It is often unpleasant to work with staff from other hospital units.H = 518
N = 144,216
58%11.16%7%46%51%58%65%73%100%
F104. Hospital units work well together to provide the best care for patients.H = 518
N = 145,058
67%12.62%15%52%58%68%76%83%96%
10.Staffing          
A21. We have enough staff to handle the workload.H = 517
N = 154,188
54%14.45%18%36%44%53%64%75%98%
A5
R
2. Staff in this unit work longer hours than is best for patient care.H = 517
N = 148,748
52%10.37%22%40%45%51%58%65%87%
A7
R
3. We use more agency/temporary staff than is best for patient care.H = 517
N = 144,748
64%13.33%4%47%56%65%73%79%100%
A14
R
4. We work in "crisis mode" trying to do too much, too quickly.H = 517
N = 150,454
49%12.89%18%33%40%49%58%67%91%
11.Handoffs & Transitions          
F3
R
1. Things "fall between the cracks" when transferring patients from one unit to another.H = 519
N = 144,828
41%14.00%13%25%31%39%50%61%91%
F5
R
2. Important patient care information is often lost during shift changes.H = 519
N = 143,493
49%11.35%19%36%41%48%56%64%91%
F7
R
3. Problems often occur in the exchange of information across hospital units.H = 519
N = 145,586
42%12.31%11%29%33%40%49%60%100%
F11
R
4. Shift changes are problematic for patients in this hospital.H = 519
N = 143,154
46%13.28%14%30%36%45%54%64%94%
12.Nonpunitive Response to Error          
A8
R
1. Staff feel like their mistakes are held against them.H = 518
N = 152,603
51%9.93%18%39%45%50%58%64%88%
A12
R
2. When an event is reported, it feels like the person is being written up, not the problem.H = 518
N = 150,158
45%9.82%12%33%38%44%44%57%88%
A16
R
3. Staff worry that mistakes they make are kept in their personnel file.H = 518
N = 150,413
36%9.65%12%24%24%34%34%49%71%

Note: The item's survey location is shown to the left. An “R” indicates a negatively worded item, where the percent positive response is based on those who responded “Strongly disagree” or “Disagree,” or “Never” or “Rarely” (depending on the response category used for the item).

Key: H = hospitals; N = respondents.

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Current as of March 2008
Internet Citation: Table 6-4. Item-level Comparative Results for the 2008 Database: 2008 Comparative Database Report. March 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2008/table6-4.html