- 604.07 KB]Table C-2.
Trending: Item-level Percent Positive Response by Respondent Work Area/Unit
2008 Comparative Database Report
| Survey Items by Composite | Work Area/Unit | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anes- thesio- logy | Emer- gency | ICU (any type) | Lab | Medi- cine | Obstet- rics | Pediatr. | Pharm. | Psych/ Mental Health | Radi- ology | Rehabil- itation | Surgery | |||
| 10 Hospi- tals both yrs | 68 Hospi- tals both yrs | 39 Hospi- tals both yrs | 83 Hospi- tals both yrs | 84 Hospi- tals both yrs | 37 Hospi- tals both yrs | 21 Hospi- tals both yrs | 61 Hospi- tals both yrs | 20 Hospi- tals both yrs | 80 Hospi- tals both yrs | 66 Hospi- tals both yrs | 72 Hospi- tals both yrs | |||
| 170 Most Recent Respon- dents | 1,035 Most Recent Respon- dents | 1,315 Most Recent Respon- dents | 1,102 Most Recent Respon- dents | 2,702 Most Recent Respon- dents | 586 Most Recent Respon- dents | 497 Most Recent Respon- dents | 617 Most Recent Respon- dents | 504 Most Recent Respon- dents | 1,066 Most Recent Respon- dents | 546 Most Recent Respon- dents | 1,984 Most Recent Respon- dents | |||
| 85 Previous Respon- dents | 903 Previous Respon- dents | 988 Previous Respon- dents | 890 Previous Respon- dents | 2,048 Previous Respon- dents | 551 Previous Respon- dents | 456 Previous Respon- dents | 487 Previous Respon- dents | 467 Previous Respon- dents | 810 Previous Respon- dents | 650 Previous Respon- dents | 1,635 Previous Respon- dents | |||
| 1. Team- work Within Units | A1—People support one another in this unit. | Most Recent | 88% | 89% | 83% | 85% | 84% | 86% | 87% | 87% | 84% | 85% | 91% | 86% |
| Previous | 96% | 84% | 88% | 81% | 81% | 81% | 79% | 92% | 83% | 83% | 93% | 84% | ||
| Change | -8% | 5% | -5% | 4% | 3% | 5% | 8% | -5% | 1% | 2% | -2% | 2% | ||
| A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. | Most Recent | 99% | 91% | 92% | 87% | 84% | 90% | 92% | 89% | 85% | 89% | 94% | 89% | |
| Previous | 90% | 89% | 94% | 87% | 84% | 87% | 79% | 90% | 80% | 91% | 89% | 89% | ||
| Change | 9% | 2% | -2% | 0% | 0% | 3% | 13% | -1% | 5% | -2% | 5% | 0% | ||
| A4—In this unit, people treat each other with respect. | Most Recent | 98% | 80% | 73% | 80% | 76% | 80% | 82% | 85% | 80% | 75% | 90% | 81% | |
| Previous | 94% | 77% | 84% | 77% | 71% | 75% | 74% | 86% | 77% | 78% | 87% | 79% | ||
| Change | 4% | 3% | -11% | 3% | 5% | 5% | 8% | -1% | 3% | -3% | 3% | 2% | ||
| A11—When one area in this unit gets really busy, others help out. | Most Recent | 54% | 74% | 66% | 74% | 59% | 68% | 73% | 70% | 65% | 71% | 82% | 68% | |
| Previous | 81% | 73% | 67% | 73% | 61% | 63% | 69% | 72% | 68% | 73% | 75% | 69% | ||
| Change | -27% | 1% | -1% | 1% | -2% | 5% | 4% | -2% | -3% | -2% | 7% | -1% | ||
| 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. | Most Recent | 60% | 68% | 59% | 67% | 68% | 76% | 67% | 73% | 75% | 69% | 80% | 78% |
| Previous | 81% | 69% | 72% | 64% | 63% | 74% | 60% | 75% | 70% | 69% | 75% | 70% | ||
| Change | -21% | -1% | -13% | 3% | 5% | 2% | 7% | -2% | 5% | 0% | 5% | 8% | ||
| B2—My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 71% | 75% | 65% | 73% | 73% | 75% | 80% | 82% | 75% | 78% | 87% | 80% | |
| Previous | 88% | 72% | 77% | 79% | 69% | 79% | 72% | 80% | 81% | 73% | 87% | 78% | ||
| Change | -17% | 3% | -12% | -6% | 4% | -4% | 8% | 2% | -6% | 5% | 0% | 2% | ||
| B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 67% | 77% | 72% | 80% | 77% | 77% | 80% | 83% | 78% | 81% | 85% | 76% | |
| Previous | 89% | 76% | 71% | 81% | 72% | 78% | 69% | 84% | 79% | 76% | 79% | 77% | ||
| Change | -22% | 1% | 1% | -1% | 5% | -1% | 11% | -1% | -1% | 5% | 6% | -1% | ||
| B4—My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 79% | 79% | 70% | 77% | 77% | 79% | 81% | 87% | 78% | 84% | 87% | 83% | |
| Previous | 90% | 75% | 76% | 75% | 75% | 81% | 72% | 83% | 79% | 76% | 86% | 79% | ||
| Change | -11% | 4% | -6% | 2% | 2% | -2% | 9% | 4% | -1% | 8% | 1% | 4% | ||
| 3. Mgmt Support for Patient Safety | F1—Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 67% | 76% | 64% | 84% | 78% | 81% | 86% | 81% | 68% | 87% | 82% | 84% |
| Previous | 89% | 75% | 68% | 83% | 75% | 81% | 74% | 80% | 77% | 86% | 88% | 81% | ||
| Change | -22% | 1% | -4% | 1% | 3% | 0% | 12% | 1% | -9% | 1% | -6% | 3% | ||
| F8—The actions of hospital mgmt show that patient safety is a top priority. | Most Recent | 71% | 70% | 57% | 74% | 71% | 72% | 68% | 74% | 67% | 76% | 75% | 75% | |
| Previous | 83% | 63% | 58% | 74% | 65% | 71% | 62% | 76% | 71% | 73% | 78% | 74% | ||
| Change | -12% | 7% | -1% | 0% | 6% | 1% | 6% | -2% | -4% | 3% | -3% | 1% | ||
| F9—Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 54% | 58% | 49% | 60% | 58% | 60% | 59% | 67% | 52% | 67% | 64% | 64% | |
| Previous | 75% | 53% | 48% | 61% | 52% | 59% | 53% | 66% | 55% | 61% | 67% | 60% | ||
| Change | -21% | 5% | 1% | -1% | 6% | 1% | 6% | 1% | -3% | 6% | -3% | 4% | ||
| 4. Organ- izational Learn- ing— Contin- uous Improve- ment | A6—We are actively doing things to improve patient safety. | Most Recent | 84% | 79% | 85% | 79% | 83% | 83% | 91% | 91% | 81% | 84% | 90% | 92% |
| Previous | 89% | 76% | 86% | 77% | 78% | 81% | 82% | 93% | 85% | 81% | 88% | 88% | ||
| Change | -5% | 3% | -1% | 2% | 5% | 2% | 9% | -2% | -4% | 3% | 2% | 4% | ||
| A9—Mistakes have led to positive changes here. | Most Recent | 60% | 60% | 55% | 70% | 64% | 64% | 74% | 79% | 60% | 68% | 63% | 69% | |
| Previous | 78% | 57% | 60% | 64% | 57% | 70% | 58% | 79% | 65% | 61% | 66% | 68% | ||
| Change | -18% | 3% | -5% | 6% | 7% | -6% | 16% | 0% | -5% | 7% | -3% | 1% | ||
| A13—After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 75% | 66% | 66% | 69% | 69% | 68% | 75% | 80% | 72% | 70% | 76% | 83% | |
| Previous | 87% | 63% | 73% | 61% | 63% | 72% | 61% | 78% | 71% | 68% | 77% | 72% | ||
| Change | -12% | 3% | -7% | 8% | 6% | -4% | 14% | 2% | 1% | 2% | -1% | 11% | ||
| 5. Over- all Per- ceptions of Patient Safety | A10 R—It is just by chance that more serious mistakes don’t happen around here. | Most Recent | 66% | 56% | 57% | 70% | 56% | 67% | 73% | 68% | 61% | 74% | 78% | 72% |
| Previous | 77% | 56% | 61% | 68% | 56% | 57% | 66% | 70% | 60% | 66% | 75% | 67% | ||
| Change | -11% | 0% | -4% | 2% | 0% | 10% | 7% | -2% | 1% | 8% | 3% | 5% | ||
| A15—Patient safety is never sacrificed to get more work done. | Most Recent | 46% | 63% | 50% | 75% | 58% | 63% | 67% | 72% | 71% | 78% | 78% | 75% | |
| Previous | 65% | 58% | 50% | 74% | 55% | 57% | 56% | 71% | 69% | 81% | 79% | 71% | ||
| Change | -19% | 5% | 0% | 1% | 3% | 6% | 11% | 1% | 2% | -3% | -1% | 4% | ||
| A17 R—We have patient safety problems in this unit. | Most Recent | 70% | 57% | 60% | 75% | 58% | 63% | 67% | 72% | 71% | 78% | 78% | 75% | |
| Previous | 65% | 57% | 55% | 74% | 55% | 57% | 56% | 71% | 69% | 81% | 79% | 71% | ||
| Change | 5% | 0% | 5% | 1% | 3% | 6% | 11% | 1% | 2% | -3% | -1% | 4% | ||
| A18—Our procedures and systems are good at preventing errors from happening. | Most Recent | 69% | 64% | 65% | 78% | 65% | 74% | 82% | 83% | 63% | 79% | 82% | 83% | |
| Previous | 83% | 62% | 68% | 81% | 57% | 70% | 62% | 82% | 71% | 75% | 85% | 80% | ||
| Change | -14% | 2% | -3% | -3% | 8% | 4% | 20% | 1% | -8% | 4% | -3% | 3% | ||
| 6. Feed- back and Com- munica- tion About Error | C1—We are given feedback about changes put into place based on event reports. | Most Recent | 49% | 47% | 40% | 47% | 44% | 60% | 64% | 52% | 54% | 53% | 62% | 60% |
| Previous | 29% | 47% | 46% | 51% | 47% | 58% | 48% | 55% | 55% | 53% | 58% | 48% | ||
| Change | 20% | 0% | -6% | -4% | -3% | 2% | 16% | -3% | -1% | 0% | 4% | 12% | ||
| C3—We are informed about errors that happen in this unit. | Most Recent | 63% | 56% | 60% | 75% | 57% | 68% | 67% | 77% | 66% | 75% | 78% | 74% | |
| Previous | 51% | 57% | 54% | 70% | 59% | 67% | 61% | 78% | 53% | 72% | 76% | 72% | ||
| Change | 12% | -1% | 6% | 5% | -2% | 1% | 6% | -1% | 13% | 3% | 2% | 2% | ||
| C5—In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 71% | 65% | 60% | 72% | 67% | 73% | 76% | 80% | 75% | 72% | 81% | 81% | |
| Previous | 87% | 61% | 62% | 73% | 59% | 69% | 69% | 82% | 69% | 71% | 81% | 76% | ||
| Change | -16% | 4% | -2% | -1% | 8% | 4% | 7% | -2% | 6% | 1% | -10% | 5% | ||
| 7. Com- munica- tion Open- ness | C2—Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 64% | 74% | 72% | 79% | 73% | 83% | 87% | 82% | 79% | 80% | 88% | 84% |
| Previous | 85% | 70% | 70% | 73% | 66% | 81% | 71% | 86% | 76% | 76% | 86% | 83% | ||
| Change | -21% | 4% | 2% | 6% | 7% | 2% | 16% | -4% | 3% | 4% | 2% | 1% | ||
| C4—Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 47% | 47% | 41% | 47% | 42% | 56% | 60% | 64% | 54% | 48% | 60% | 57% | |
| Previous | 58% | 45% | 46% | 44% | 35% | 56% | 48% | 53% | 42% | 45% | 56% | 54% | ||
| Change | -11% | 2% | -5% | 3% | 7% | 0% | 12% | 11% | 12% | 3% | 4% | 3% | ||
| C6 R—Staff are afraid to ask questions when something does not seem right. | Most Recent | 53% | 62% | 58% | 69% | 56% | 65% | 76% | 76% | 71% | 69% | 72% | 70% | |
| Previous | 78% | 58% | 65% | 71% | 55% | 68% | 64% | 77% | 59% | 62% | 74% | 69% | ||
| Change | -25% | 4% | -7% | -2% | 1% | -3% | 12% | -1% | 12% | 7% | -2% | 1% | ||
| 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? | Most Recent | 45% | 50% | 44% | 48% | 56% | 60% | 50% | 55% | 58% | 47% | 54% | 58% |
| Previous | 48% | 47% | 50% | 47% | 49% | 50% | 53% | 54% | 61% | 44% | 57% | 52% | ||
| Change | -3% | 3% | -6% | 1% | 7% | 10% | -3% | 1% | -3% | 3% | -3% | 6% | ||
| D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 56% | 58% | 57% | 54% | 66% | 57% | 56% | 68% | 56% | 51% | 57% | 66% | |
| Previous | 42% | 62% | 64% | 50% | 60% | 63% | 60% | 63% | 56% | 43% | 58% | 59% | ||
| Change | 11% | -4% | -7% | 4% | 6% | -6% | -4% | 5% | 0% | 8% | -1% | 7% | ||
| D3—When a mistake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 61% | 75% | 71% | 78% | 80% | 78% | 69% | 85% | 74% | 73% | 71% | 82% | |
| Previous | 52% | 74% | 75% | 77% | 74% | 81% | 80% | 80% | 73% | 67% | 76% | 80% | ||
| Change | 9% | 1% | -4% | 1% | 6% | -3% | -11% | 5% | 1% | 6% | -5% | 2% | ||
| 9. Team- work Across Units | F2 R—Hospital units do not coordinate well with each other. | Most Recent | 30% | 43% | 34% | 48% | 47% | 41% | 41% | 47% | 34% | 51% | 48% | 47% |
| Previous | 34% | 47% | 36% | 44% | 45% | 45% | 36% | 48% | 33% | 48% | 50% | 41% | ||
| Change | -4% | -4% | -2% | 4% | 2% | -4% | 5% | -1% | 1% | 3% | -2% | 6% | ||
| F4—There is good cooperation among hospital units that need to work together. | Most Recent | 69% | 59% | 50% | 65% | 62% | 57% | 64% | 58% | 54% | 65% | 66% | 59% | |
| Previous | 52% | 57% | 52% | 59% | 58% | 58% | 49% | 61% | 47% | 63% | 65% | 59% | ||
| Change | 17% | 2% | -2% | 6% | 4% | -1% | 15% | -3% | 7% | 2% | 1% | 0% | ||
| F6 R—It is often unpleasant to work with staff from other hospital units. | Most Recent | 55% | 54% | 56% | 61% | 65% | 59% | 60% | 60% | 61% | 62% | 61% | 67% | |
| Previous | 80% | 55% | 47% | 60% | 61% | 62% | 51% | 57% | 57% | 62% | 62% | 61% | ||
| Change | -25% | -1% | 9% | 1% | 4% | -3% | 9% | 3% | 4% | 0% | -1% | -4% | ||
| F10—Hospital units work well together to provide the best care for patients. | Most Recent | 71% | 67% | 61% | 72% | 70% | 64% | 74% | 69% | 68% | 74% | 69% | 69% | |
| Previous | 61% | 69% | 58% | 69% | 68% | 65% | 57% | 70% | 54% | 71% | 71% | 70% | ||
| Change | 10% | -2% | 3% | 3% | 2% | -1% | 17% | -1% | 14% | 3% | -2% | -1% | ||
| 10. Staff- ing | A2—We have enough staff to handle the workload. | Most Recent | 69% | 45% | 52% | 55% | 48% | 54% | 69% | 58% | 41% | 66% | 57% | 59% |
| Previous | 58% | 46% | 50% | 61% | 47% | 50% | 49% | 58% | 54% | 66% | 58% | 61% | ||
| Change | 11% | -1% | 2% | -6% | 1% | 4% | 20% | 0% | -13% | 0% | -1% | -2% | ||
| A5 R—Staff in this unit work longer hours than is best for patient care. | Most Recent | 33% | 54% | 54% | 52% | 47% | 54% | 57% | 58% | 43% | 67% | 60% | 56% | |
| Previous | 45% | 53% | 57% | 57% | 52% | 49% | 52% | 58% | 53% | 64% | 63% | 56% | ||
| Change | -12% | 1% | -3% | -5% | -5% | 5% | 5% | 0% | -10% | 3% | -3% | 0% | ||
| A7 R—We use more agency/temporary staff than is best for patient care. | Most Recent | 80% | 65% | 62% | 72% | 61% | 81% | 81% | 68% | 61% | 72% | 73% | 71% | |
| Previous | 75% | 65% | 63% | 69% | 69% | 75% | 72% | 68% | 66% | 74% | 73% | 72% | ||
| Change | 5% | 0% | -1% | 3% | -8% | 6% | 9% | 0% | -5% | -2% | 0% | -1% | ||
| A14 R—We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 38% | 48% | 47% | 53% | 51% | 50% | 57% | 57% | 48% | 66% | 65% | 62% | |
| Previous | 56% | 46% | 48% | 51% | 48% | 52% | 51% | 55% | 53% | 63% | 68% | 54% | ||
| Change | -18% | 2% | -1% | 2% | 3% | -2% | 6% | 2% | -5% | 3% | -3% | 8% | ||
| 11. Hand- offs & Transiti- ons | F3 R—Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 18% | 52% | 39% | 36% | 54% | 47% | 38% | 29% | 28% | 48% | 43% | 49% |
| Previous | 28% | 57% | 36% | 36% | 51% | 43% | 35% | 33% | 23% | 47% | 41% | 46% | ||
| Change | -10% | -5% | 3% | 0% | 3% | 4% | 3% | -4% | 5% | 1% | 2% | 3% | ||
| F5 R—Important patient care information is often lost during shift changes. | Most Recent | 29% | 60% | 54% | 40% | 53% | 65% | 60% | 32% | 42% | 54% | 48% | 47% | |
| Previous | 32% | 59% | 63% | 47% | 53% | 64% | 51% | 37% | 42% | 52% | 47% | 48% | ||
| Change | -3% | 1% | -9% | -7% | 0% | 1% | 9% | -5% | 0% | 2% | 1% | -1% | ||
| F7 R—Problems often occur in the exchange of information across hospital units. | Most Recent | 18% | 54% | 40% | 40% | 50% | 50% | 39% | 33% | 33% | 48% | 44% | 46% | |
| Previous | 45% | 53% | 36% | 38% | 44% | 43% | 40% | 38% | 28% | 43% | 48% | 45% | ||
| Change | -27% | 1% | 4% | 2% | 6% | 7% | -1% | -5% | 5% | 5% | -4% | 1% | ||
| F11 R—Shift changes are problematic for patients in this hospital. | Most Recent | 30% | 51% | 50% | 45% | 58% | 64% | 40% | 35% | 31% | 50% | 40% | 42% | |
| Previous | 23% | 50% | 50% | 47% | 56% | 63% | 46% | 41% | 33% | 50% | 42% | 40% | ||
| Change | 7% | 1% | 0% | -2% | 2% | 1% | -6% | -6% | -2% | 0% | -2% | 2% | ||
| 12. Nonpuni- tive Response to Error | A8 R—Staff feel like their mistakes are held against them. | Most Recent | 55% | 48% | 49% | 57% | 48% | 51% | 51% | 68% | 48% | 53% | 63% | 63% |
| Previous | 58% | 41% | 47% | 53% | 45% | 46% | 50% | 70% | 50% | 54% | 69% | 56% | ||
| Change | -3% | 7% | 2% | 4% | 3% | 5% | 1% | -2% | -2% | -1% | -6% | 7% | ||
| A12 R—When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 36% | 43% | 37% | 44% | 43% | 44% | 38% | 59% | 53% | 47% | 55% | 55% | |
| Previous | 42% | 36% | 45% | 43% | 38% | 38% | 42% | 61% | 42% | 47% | 58% | 50% | ||
| Change | -6% | 7% | -8% | 1% | 5% | 6% | -4% | -2% | 11% | 0% | -3% | 5% | ||
| A16 R—Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 29% | 29% | 33% | 40% | 36% | 38% | 24% | 54% | 42% | 44% | 55% | 43% | |
| Previous | 14% | 28% | 37% | 40% | 26% | 33% | 30% | 51% | 37% | 38% | 58% | 43% | ||
| Change | 15% | 1% | -4% | 0% | 10% | 5% | -6% | 3% | 5% | 6% | -3% | 0% | ||
Note: ICU = Intensive Care Unit; Pediatr. = Pediatrics; Pharm. = Pharmacy.
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).
Page last reviewed March 2008
Internet Citation: Table C-2. : Trending: Item-level Percent Positive Response by Respondent Work Area/Unit.
March 2008. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2008/tablec2.html
5600 Fishers Lane Rockville, MD 20857