Table C-10.

Trending: Item-level Average Percent Positive Response by Respondent Interaction with Patients

2008 Comparative Database Report

Survey Items by CompositeRespondent Interaction with Patients
With
direct interaction
Without
direct interaction
97 Hospitals both years92 Hospitals both years
13,063 Most Recent
Respondents
3,179 Most Recent
Respondents
12,254 Previous
Respondents
2,933 Previous
Respondents
1. Teamwork Within UnitsA1—People support one another in this unit.Most Recent85%87%
Previous83%86%
Change2%1%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent87%87%
Previous87%88%
Change0%-1%
A4—In this unit, people treat each other with respect.Most Recent78%81%
Previous76%80%
Change2%1%
A11—When one area in this unit gets really busy, others help out.Most Recent69%71%
Previous68%69%
Change1%2%
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.Most Recent71%74%
Previous69%72%
Change2%2%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent76%78%
Previous75%78%
Change1%0%
B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent78%76%
Previous76%76%
Change2%0%
B4—My supv/mgr overlooks patient safety problems that happen over and over.Most Recent78%77%
Previous77%77%
Change1%0%
3. Mgmt Support for Patient SafetyF1—Hospital mgmt provides a work climate that promotes patient safety.Most Recent82%87%
Previous81%88%
Change1%-1%
F8—The actions of hospital mgmt show that patient safety is a top priority.Most Recent74%80%
Previous71%78%
Change3%2%
F9—Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent61%67%
Previous60%65%
Change1%2%
4. Organizational Learning—
Continuous Improvement
A6—We are actively doing things to improve patient safety.Most Recent84%81%
Previous82%81%
Change2%0%
A9—Mistakes have led to positive changes here.Most Recent65%69%
Previous62%69%
Change3%0%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent71%71%
Previous69%69%
Change2%2%
5. Overall Perceptions of Patient SafetyA10 R—It is just by chance that more serious mistakes don’t happen around here.Most Recent64%64%
Previous61%62%
Change3%2%
A15—Patient safety is never sacrificed to get more work done.Most Recent69%70%
Previous66%67%
Change3%3%
A17 R—We have patient safety problems in this unit.Most Recent67%69%
Previous65%65%
Change2%4%
A18—Our procedures and systems are good at preventing errors from happening.Most Recent73%73%
Previous69%72%
Change4%1%
6. Feedback and Communication About ErrorC1—We are given feedback about changes put into place based on event reports.Most Recent51%53%
Previous50%54%
Change1%-1%
C3—We are informed about errors that happen in this unit.Most Recent66%72%
Previous65%70%
Change1%2%
C5—In this unit, we discuss ways to prevent errors from happening again.Most Recent71%76%
Previous69%76%
Change2%0%
7. Communication OpennessC2—Staff will freely speak up if they see something that may negatively affect patient care.Most Recent76%76%
Previous75%78%
Change1%-2%
C4—Staff feel free to question the decisions or actions of those with more authority.Most Recent47%51%
Previous45%49%
Change2%2%
C6 R—Staff are afraid to ask questions when something does not seem right.Most Recent64%66%
Previous62%66%
Change2%0%
8. Frequency of Events ReportedD1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent53%57%
Previous52%53%
Change1%4%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent60%55%
Previous57%56%
Change3%-1%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent76%73%
Previous75%71%
Change1%2%
9. Teamwork Across UnitsF2 R—Hospital units do not coordinate well with each other.Most Recent49%52%
Previous47%48%
Change2%4%
F4—There is good cooperation among hospital units that need to work together.Most Recent64%61%
Previous62%62%
Change2%-1%
F6 R—It is often unpleasant to work with staff from other hospital units.Most Recent61%60%
Previous60%57%
Change1%3%
F10—Hospital units work well together to provide the best care for patients.Most Recent71%73%
Previous70%72%
Change1%1%
10. StaffingA2—We have enough staff to handle the workload.Most Recent56%60%
Previous56%59%
Change0%1%
A5 R—Staff in this unit work longer hours than is best for patient care.  Most Recent55%50%
Previous56%47%
Change-1%3%
A7 R—We use more agency/temporary staff than is best for patient care.Most Recent67%57%
Previous68%56%
Change-1%1%
A14 R—We work in "crisis mode" trying to do too much, too quickly.Most Recent55%55%
Previous53%50%
Change2%5%
11. Handoffs & TransitionsF3 R—Things "fall between the cracks" when transferring patients from one unit to another.Most Recent49%40%
Previous48%40%
Change1%0%
F5 R—Important patient care information is often lost during shift changes.Most Recent54%46%
Previous53%43%
Change1%3%
F7 R—Problems often occur in the exchange of information across hospital units.Most Recent49%43%
Previous46%39%
Change3%4%
F11 R—Shift changes are problematic for patients in this hospital.Most Recent52%44%
Previous50%43%
Change2%1%
12. Nonpunitive Response to ErrorA8 R—Staff feel like their mistakes are held against them.Most Recent53%60%
Previous53%56%
Change0%4%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.Most Recent47%52%
Previous43%51%
Change4%1%
A16 R—Staff worry that mistakes they make are kept in their personnel file.Most Recent39%42%
Previous37%38%
Change2%4%

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 C

Current as of March 2008
Internet Citation: Table C-10.: Trending: Item-level Average Percent Positive Response by Respondent Interaction with Patients. March 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2008/tablec10.html