Table C-2.

Trending: Item-level Percent Positive Response by Respondent Work Area/Unit

2008 Comparative Database Report

Survey Items by CompositeWork Area/Unit
Anes-
thesio-
logy
Emer-
gency
ICU
(any type)
LabMedi-
cine
Obstet-
rics
Pediatr.Pharm.Psych/ Mental HealthRadi-
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 Recent88%89%83%85%84%86%87%87%84%85%91%86%
Previous96%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 Recent99%91%92%87%84%90%92%89%85%89%94%89%
Previous90%89%94%87%84%87%79%90%80%91%89%89%
Change9%2%-2%0%0%3%13%-1%5%-2%5%0%
A4—In this unit, people treat each other with respect.Most Recent98%80%73%80%76%80%82%85%80%75%90%81%
Previous94%77%84%77%71%75%74%86%77%78%87%79%
Change4%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 Recent54%74%66%74%59%68%73%70%65%71%82%68%
Previous81%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 Recent60%68%59%67%68%76%67%73%75%69%80%78%
Previous81%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 Recent71%75%65%73%73%75%80%82%75%78%87%80%
Previous88%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 Recent67%77%72%80%77%77%80%83%78%81%85%76%
Previous89%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 Recent79%79%70%77%77%79%81%87%78%84%87%83%
Previous90%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 SafetyF1—Hospital mgmt provides a work climate that promotes patient safety.Most Recent67%76%64%84%78%81%86%81%68%87%82%84%
Previous89%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 Recent71%70%57%74%71%72%68%74%67%76%75%75%
Previous83%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 Recent54%58%49%60%58%60%59%67%52%67%64%64%
Previous75%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 Recent84%79%85%79%83%83%91%91%81%84%90%92%
Previous89%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 Recent60%60%55%70%64%64%74%79%60%68%63%69%
Previous78%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 Recent75%66%66%69%69%68%75%80%72%70%76%83%
Previous87%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 Recent66%56%57%70%56%67%73%68%61%74%78%72%
Previous77%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 Recent46%63%50%75%58%63%67%72%71%78%78%75%
Previous65%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 Recent70%57%60%75%58%63%67%72%71%78%78%75%
Previous65%57%55%74%55%57%56%71%69%81%79%71%
Change5%0%5%1%3%6%11%1%2%-3%-1%4%
A18—Our procedures and systems are good at preventing errors from happening.Most Recent69%64%65%78%65%74%82%83%63%79%82%83%
Previous83%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 Recent49%47%40%47%44%60%64%52%54%53%62%60%
Previous29%47%46%51%47%58%48%55%55%53%58%48%
Change20%0%-6%-4%-3%2%16%-3%-1%0%4%12%
C3—We are informed about errors that happen in this unit.Most Recent63%56%60%75%57%68%67%77%66%75%78%74%
Previous51%57%54%70%59%67%61%78%53%72%76%72%
Change12%-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 Recent71%65%60%72%67%73%76%80%75%72%81%81%
Previous87%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 Recent64%74%72%79%73%83%87%82%79%80%88%84%
Previous85%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 Recent47%47%41%47%42%56%60%64%54%48%60%57%
Previous58%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 Recent53%62%58%69%56%65%76%76%71%69%72%70%
Previous78%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 Recent45%50%44%48%56%60%50%55%58%47%54%58%
Previous48%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 Recent56%58%57%54%66%57%56%68%56%51%57%66%
Previous42%62%64%50%60%63%60%63%56%43%58%59%
Change11%-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 Recent61%75%71%78%80%78%69%85%74%73%71%82%
Previous52%74%75%77%74%81%80%80%73%67%76%80%
Change9%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 Recent30%43%34%48%47%41%41%47%34%51%48%47%
Previous34%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 Recent69%59%50%65%62%57%64%58%54%65%66%59%
Previous52%57%52%59%58%58%49%61%47%63%65%59%
Change17%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 Recent55%54%56%61%65%59%60%60%61%62%61%67%
Previous80%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 Recent71%67%61%72%70%64%74%69%68%74%69%69%
Previous61%69%58%69%68%65%57%70%54%71%71%70%
Change10%-2%3%3%2%-1%17%-1%14%3%-2%-1%
10. Staff-
ing
A2—We have enough staff to handle the workload.Most Recent69%45%52%55%48%54%69%58%41%66%57%59%
Previous58%46%50%61%47%50%49%58%54%66%58%61%
Change11%-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 Recent33%54%54%52%47%54%57%58%43%67%60%56%
Previous45%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 Recent80%65%62%72%61%81%81%68%61%72%73%71%
Previous75%65%63%69%69%75%72%68%66%74%73%72%
Change5%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 Recent38%48%47%53%51%50%57%57%48%66%65%62%
Previous56%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 Recent18%52%39%36%54%47%38%29%28%48%43%49%
Previous28%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 Recent29%60%54%40%53%65%60%32%42%54%48%47%
Previous32%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 Recent18%54%40%40%50%50%39%33%33%48%44%46%
Previous45%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 Recent30%51%50%45%58%64%40%35%31%50%40%42%
Previous23%50%50%47%56%63%46%41%33%50%42%40%
Change7%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 Recent55%48%49%57%48%51%51%68%48%53%63%63%
Previous58%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 Recent36%43%37%44%43%44%38%59%53%47%55%55%
Previous42%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 Recent29%29%33%40%36%38%24%54%42%44%55%43%
Previous14%28%37%40%26%33%30%51%37%38%58%43%
Change15%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).

Return to Appendix C

Current as of 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. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2008/tablec2.html