Table C-6.

Trending: Item-level 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
92
Hospi-
tals
both yrs
53
Hospi-
tals
both yrs
27
Hospi-
tals
both yrs
58
Hospi-
tals
both yrs
41
Hospi-
tals
both yrs
98
Hospi-
tals
both yrs
70
Hospi-
tals
both yrs
66
Hospi-
tals
both yrs
89
Hospi-
tals
both yrs
1,201
Most
Recent
Respon-
dents
1,656
Most
Recent
Respon-
dents
117
Most
Recent
Respon-
dents
1,160
Most
Recent
Respon-
dents
297
Most
Recent
Respon-
dents
7,452
Most
Recent
Respon-
dents
2,113
Most
Recent
Respon-
dents
891
Most
Recent
Respon-
dents
1,270
Most
Recent
Respon-
dents
1,046
Previous
Respon-
dents
1,118
Previous
Respon-
dents
83
Previous
Respon-
dents
1,062
Previous
Respon-
dents
235
Previous
Respon-
dents
6,560
Previous
Respon-
dents
1,513
Previous
Respon-
dents
814
Previous
Respon-
dents
1,105
Previous
Respon-
dents
1. Team-
work Within Units
A1—People support one another in this unit.Most Recent94%92%86%79%89%85%84%90%83%
Previous90%83%87%77%91%85%79%86%85%
Change4%9%-1%2%-2%0%5%4%-2%
A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent93%90%93%84%90%88%86%86%84%
Previous90%83%94%82%90%87%87%88%87%
Change3%7%-1%2%0%1%-1%-2%-3%
A4—In this unit, people treat each other with respect.Most Recent89%88%82%74%89%77%76%85%73%
Previous84%83%86%69%78%77%75%83%77%
Change5%5%-4%5%11%0%1%2%-4%
A11—When one area in this unit gets really busy, others help out.Most Recent79%69%78%65%71%67%70%76%70%
Previous73%73%85%64%72%67%69%73%72%
Change6%-4%-7%1%-1%0%1%3%-2%
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 Recent82%66%84%74%69%69%70%77%73%
Previous75%59%78%69%72%68%68%72%76%
Change7%7%6%5%-3%1%2%5%-3%
B2—My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent87%74%86%78%80%74%76%82%73%
Previous86%68%77%70%85%75%79%84%83%
Change1%6%9%8%-5%-1%-3%-2%-10%
B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent85%75%77%73%86%75%83%80%79%
Previous81%70%67%76%79%74%80%80%81%
Change4%5%10%-3%7%1%3%0%-2%
B4—My supv/mgr overlooks patient safety problems that happen over and over.Most Recent85%76%86%75%86%76%83%75%80%
Previous81%72%83%80%78%75%78%81%84%
Change4%4%3%-5%8%1%5%-6%-4%
3. Mgmt Support for Patient SafetyF1—Hospital mgmt provides a work climate that promotes patient safety.Most Recent91%79%79%84%78%76%85%84%87%
Previous91%80%86%80%75%77%84%84%87%
Change0%-1%-7%4%3%-1%1%0%0%
F8—The actions of hospital mgmt show that patient safety is a top priority.Most Recent87%76%81%82%76%68%77%69%79%
Previous82%63%73%74%75%67%76%73%77%
Change5%13%8%8%1%1%1%-4%2%
F9—Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent76%67%54%63%70%57%64%58%63%
Previous74%60%61%54%67%57%59%58%66%
Change2%7%-7%9%3%0%5%0%-3%
4. Organ-
izational Learn-
ing—
Contin-
uous Improve-
ment
A6—We are actively doing things to improve patient safety.Most Recent90%84%82%90%89%85%82%87%81%
Previous86%82%80%79%91%83%78%83%83%
Change4%2%2%11%-2%2%4%4%-2%
A9—Mistakes have led to positive changes here.Most Recent83%74%71%67%76%62%67%60%62%
Previous81%65%81%59%77%63%61%63%60%
Change2%9%-10%8%-1%-1%6%-3%2%
A13—After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent81%69%74%77%77%70%70%68%68%
Previous76%69%79%73%66%68%67%73%75%
Change5%0%-5%4%11%2%3%-5%-7%
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 Recent75%60%60%59%68%62%70%71%61%
Previous71%67%81%49%66%60%61%70%63%
Change4%-7%-21%10%2%2%9%1%-2%
A15—Patient safety is never sacrificed to get more work done.Most Recent75%70%63%68%70%62%74%73%75%
Previous70%65%76%67%62%58%74%68%75%
Change5%5%-13%1%8%4%0%5%0%
A17 R—We have patient safety problems in this unit.Most Recent68%62%69%60%70%62%76%72%89%
Previous69%58%73%53%62%60%73%71%71%
Change-1%4%-4%7%8%2%3%1%-2%
A18—Our procedures and systems are good at preventing errors from happening.Most Recent77%69%81%71%83%68%78%78%77%
Previous77%62%76%70%78%65%80%76%75%
Change0%7%5%1%5%3%-2%2%2%
6. Feed-
back and Com-
munica-
tion About Error
C1—We are given feedback about changes put into place based on event reports.Most Recent61%53%62%57%57%48%50%56%49%
Previous58%48%70%52%51%49%50%57%58%
Change3%5%-8%5%6%-1%0%-1%-9%
C3—We are informed about errors that happen in this unit.Most Recent79%60%74%66%74%59%73%69%69%
Previous76%57%75%62%72%60%70%72%72%
Change3%3%-1%4%2%-1%3%-3%-3%
C5—In this unit, we discuss ways to prevent errors from happening again.Most Recent87%75%78%68%79%68%72%75%71%
Previous81%63%86%62%75%66%71%76%76%
Change6%12%-8%6%4%2%1%-1%-5%
7. Com-
munica-
tion Open-
ness
C2—Staff will freely speak up if they see something that may negatively affect patient care.Most Recent85%76%76%72%80%75%78%81%73%
Previous80%70%88%71%83%75%75%81%74%
Change5%6%-12%1%-3%0%3%0%-1%
C4—Staff feel free to question the decisions or actions of those with more authority.Most Recent67%62%47%41%71%44%46%55%42%
Previous61%47%70%36%56%46%41%50%45%
Change6%15%-23%5%15%-2%5%5%-3%
C6 R—Staff are afraid to ask questions when something does not seem right.Most Recent76%70%64%56%78%62%65%70%60%
Previous70%58%55%53%74%62%66%70%65%
Change6%12%9%3%4%0%-1%0%-5%
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 Recent58%54%59%61%52%52%51%46%62%
Previous56%54%55%56%37%48%50%49%63%
Change2%0%4%5%15%4%1%-3%-1%
D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent64%57%59%62%63%65%54%46%60%
Previous60%57%55%54%47%59%55%54%62%
Change4%0%4%8%16%6%-1%-8%-2%
D3—When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent78%78%77%75%78%80%77%66%73%
Previous76%73%75%66%67%78%76%71%76%
Change2%5%6%9%11%2%1%-5%-3%
9. Team-
work Across Units
F2 R—Hospital units do not coordinate well with each other.Most Recent54%51%54%44%50%48%48%57%48%
Previous51%46%53%51%44%44%45%46%52%
Change3%5%1%-7%6%4%3%11%-4%
F4—There is good cooperation among hospital units that need to work together.Most Recent69%65%58%64%62%62%61%67%63%
Previous65%65%71%64%59%58%60%65%67%
Change4%0%-13%0%3%4%1%2%-4%
F6 R—It is often unpleasant to work with staff from other hospital units.Most Recent66%71%60%61%69%61%59%63%58%
Previous60%65%76%63%58%59%59%63%62%
Change6%6%-16%-2%11%2%0%0%-4%
F10—Hospital units work well together to provide the best care for patients.Most Recent78%68%71%73%74%68%70%69%76%
Previous75%70%78%73%62%67%69%69%79%
Change3%-2%-7%0%12%1%1%0%-3%
10. Staff-
ing
A2—We have enough staff to handle the workload.Most Recent69%64%66%42%50%54%59%54%48%
Previous68%67%73%43%53%54%59%57%51%
Change1%-3%-7%-1%-3%0%0%-3%-3%
A5 R—Staff in this unit work longer hours than is best for patient care.  Most Recent61%56%63%43%63%56%57%58%51%
Previous55%58%59%43%61%58%58%58%57%
Change6%-2%4%0%2%-2%-1%0%-6%
A7 R—We use more agency/temporary staff than is best for patient care.Most Recent68%65%53%54%67%70%68%75%57%
Previous68%71%76%58%57%70%68%73%65%
Change0%-6%-23%-4%10%0%0%2%-8%
A14 R—We work in "crisis mode" trying to do too much, too quickly.Most Recent62%63%56%48%58%53%57%59%54%
Previous56%56%70%42%57%52%50%58%57%
Change6%7%-14%6%1%1%7%1%-3%
11. Hand-
offs & Transiti-
ons
F3 R—Things "fall between the cracks" when transferring patients from one unit to another.Most Recent47%55%41%45%34%50%36%44%51%
Previous46%45%52%51%33%46%38%37%53%
Change1%10%-11%-6%1%4%-2%7%-2%
F5 R—Important patient care information is often lost during shift changes.Most Recent53%53%50%54%30%57%46%48%56%
Previous51%49%48%58%41%55%45%49%53%
Change2%4%2%-4%-11%2%1%-1%3%
F7 R—Problems often occur in the exchange of information across hospital units.Most Recent49%57%38%40%34%50%43%48%49%
Previous49%49%59%44%34%45%37%44%48%
Change0%8%-21%-4%0%5%6%4%1%
F11 R—Shift changes are problematic for patients in this hospital.Most Recent53%46%43%49%35%55%43%41%53%
Previous53%47%56%49%35%51%46%39%53%
Change0%-1%-13%0%0%4%-3%2%0%
12. Nonpuni-
tive Response to Error
A8 R—Staff feel like their mistakes are held against them.Most Recent70%53%54%43%75%52%52%64%47%
Previous67%53%59%42%72%52%49%61%55%
Change3%0%-5%1%3%0%3%3%-8%
A12 R—When an event is reported, it feels like the person is being written up, not the problem.Most Recent70%42%60%38%70%47%42%55%39%
Previous65%42%57%29%72%45%40%49%41%
Change5%0%3%9%-2%2%2%6%-2%
A16 R—Staff worry that mistakes they make are kept in their personnel file.Most Recent55%28%36%30%66%37%40%50%37%
Previous51%31%54%26%61%36%38%45%36%
Change4%-3%-18%4%5%1%2%5%1%

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-6.: Trending: Item-level 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/tablec6.html