Table B-6.

Item-level Average Percent Positive Response by Respondent Staff Position

2008 Comparative Database Report

Patient Safety Culture CompositesStaff Position
Admin/
Mgmt
Attending/
Physician/
Resident/
PA or NP
DieticianPat Care
Asst/Aide/
Care Partner
PharmacistRN/LVN/
LPN
Technician
(EKG,
Lab,
Radiology)
Therapist
(Respiratory,
Phys,
Occup,
Speech)
Unit Asst/
Clerk/
Secretary
487
Hospi-
tals
346
Hospi-
tals
265
Hospi-
tals
438
Hospi-
tals
345
Hospi-
tals
510
Hospi-
tals
458
Hospi-
tals
433
Hospi-
tals
479
Hospi-
tals
10,955
Respon-
dents
7,345
Respon-
dents
1,046
Respon-
dents
8,663
Respon-
dents
2,387
Respon-
dents
55,119
Respon-
dents
16,173
Respon-
dents
7,258
Respon-
dents
9,864
Respon-
dents
1. Teamwork Within UnitsA1—People support one another in this unit.92%88%84%78%85%85%82%89%81%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.92%87%84%80%84%86%84%87%82%
A4—In this unit, people treat each other with respect.86%85%77%70%79%77%75%84%74%
A11—When one area in this unit gets really busy, others help out.76%69%71%64%67%66%67%75%67%
2. Supv/Mgr Expectations & Actions Promoting Patient SafetyB1—My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.80%65%76%72%68%69%68%73%73%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.86%74%78%75%77%74%75%80%75%
B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.83%66%73%74%77%73%77%75%78%
B4—My supv/mgr overlooks patient safety problems that happen over and over.84%72%73%74%77%76%77%77%78%
3. Mgmt Support for Patient SafetyF1—Hospital mgmt provides a work climate that promotes patient safety.89%78%84%81%73%73%81%82%83%
F8—The actions of hospital mgmt show that patient safety is a top priority.83%70%78%77%68%64%72%70%75%
F9—Hospital mgmt seems interested in patient safety only after an adverse event happens.75%60%60%59%60%55%59%58%60%
4. Organizational Learning—Continuous ImprovementA6—We are actively doing things to improve patient safety.87%79%81%84%85%82%79%83%80%
A9—Mistakes have led to positive changes here.79%67%63%59%74%60%62%58%61%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.75%65%64%72%61%67%64%68%66%
5. Overall Perceptions of Patient SafetyA10 R—It is just by chance that more serious mistakes don’t happen around here.72%62%57%52%62%59%64%67%58%
A15—Patient safety is never sacrificed to get more work done.72%61%64%64%58%57%70%70%70%
A17 R— We have patient safety problems in this unit.69%59%65%59%58%57%71%69%66%
A18—Our procedures and systems are good at preventing errors from happening.76%67%73%67%69%65%73%74%70%
6. Feedback and Communication About ErrorC1—We are given feedback about changes put into place based on event reports.63%53%58%55%50%50%51%55%54%
C3—We are informed about errors that happen in this unit.76%62%66%66%67%57%69%65%68%
C5—In this unit, we discuss ways to prevent errors from happening again.82%68%75%70%72%66%71%73%70%
7. Communication OpennessC2—Staff will freely speak up if they see something that may negatively affect patient care.83%73%75%76%77%75%77%81%75%
C4—Staff feel free to question the decisions or actions of those with more authority.67%56%53%41%61%45%46%53%42%
C6 R—Staff are afraid to ask questions when something does not seem right.73%63%62%57%73%62%65%69%60%
8. Frequency of Events ReportedD1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?57%47%49%61%36%48%49%46%59%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?60%49%48%60%50%59%51%47%58%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?77%68%68%73%73%76%73%67%74%
9. Teamwork Across UnitsF2 R—Hospital units do not coordinate well with each other.51%48%51%47%42%42%42%50%45%
F4—There is good cooperation among hospital units that need to work together.65%60%59%60%56%55%57%62%57%
F6 R—It is often unpleasant to work with staff from other hospital units.63%61%60%59%61%59%55%65%55%
F10—Hospital units work well together to provide the best care for patients.74%67%70%71%62%63%65%69%68%
10. StaffingA2—We have enough staff to handle the workload.67%56%58%45%49%53%54%53%50%
A5 R—Staff in this unit work longer hours than is best for patient care.  59%51%54%45%59%55%54%56%50%
A7 R—We use more agency/temporary staff than is best for patient care.68%60%57%61%67%70%66%69%58%
A14 R—We work in "crisis mode" trying to do too much, too quickly.55%53%52%47%46%48%50%55%51%
11. Handoffs & TransitionsF3 R—Things "fall between the cracks" when transferring patients from one unit to another.41%43%32%45%25%44%36%39%44%
F5 R—Important patient care information is often lost during shift changes.48%46%41%57%31%53%45%46%51%
F7 R—Problems often occur in the exchange of information across hospital units.44%44%37%43%31%45%39%43%42%
F11 R—Shift changes are problematic for patients in this hospital.47%40%38%51%31%50%41%41%45%
12. Nonpunitive Response to ErrorA8 R—Staff feel like their mistakes are held against them.68%48%51%42%63%50%50%57%47%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.67%45%46%36%60%45%42%50%40%
A16 R—Staff worry that mistakes they make are kept in their personnel file.50%33%35%27%54%34%36%43%32%

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).

Return to Appendix B

Current as of March 2008
Internet Citation: Table B-6. : Item-level Average Percent Positive Response by Respondent Staff Position. March 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2008/tableb6.html