Table 6-4. Item-level Comparative Results for the 2009 Database

2009 Comparative Database Report

ItemSurvey Items By CompositeNo. Hospitals &
No. Respondents
Average Percent Positives.d.Survey Item Percent Positive Response
Min10th Percentile25th PercentileMedian/
50th Percentile
75th Percentile90th PercentileMax
1.Teamwork Within Units          
A11. People support one another in this unit.H = 621
N = 192,527
85%6.40%45%77%82%86%89%93%100%
A32. When a lot of work needs to be done quickly, we work together as a team to get the work done.H = 621
N = 192,455
86%5.81%62%79%82%86%90%93%100%
A43. In this unit, people treat each other with respect.H = 621
N = 192,280
78%7.93%31%68%73%78%83%87%100%
A114. When one area in this unit gets really busy, others help out.H = 621
N = 189,110
68%8.42%26%58%63%68%73%79%97%
2.Supervisor/Manager Expectations & Actions Promoting Patient Safety          
B11. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.H = 622
N = 189,567
72%8.21%41%61%67%72%78%81%95%
B22. My supv/mgr seriously considers staff suggestions for improving patient safety.H = 622
N = 189,149
76%7.86%41%66%71%76%82%86%100%
B3R3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.H = 622
N = 189,526
74%8.55%43%64%68%74%80%85%100%
B4R4. My supv/mgr overlooks patient safety problems that happen over and over.H = 622
N = 187,842
77%7.05%52%68%72%77%81%86%100%
3.Organizational Learning—Continuous Improvement          
A61. We are actively doing things to improve patient safety.H = 621
N = 190,239
82%7.77%19%73%77%82%87%91%100%
A92. Mistakes have led to positive changes here.H = 622
N = 191,118
63%8.58%33%53%57%63%68%74%100%
A133. After we make changes to improve patient safety, we evaluate their effectiveness.H = 622
N = 188,202
68%9.76%12%56%61%68%74%79%94%
4.Management Support for Patient Safety          
F11. Hospital mgmt provides a work climate that promotes patient safety.H = 622
N = 188,278
80%9.75%30%67%73%80%87%91%100%
F82. The actions of hospital mgmt show that patient safety is a top priority.H = 620
N = 184,677
72%10.49%36%58%65%72%79%85%100%
F9R3. Hospital mgmt seems interested in patient safety only after an adverse event happens.H = 622
N = 184,071
59%12.01%15%45%51%59%67%76%93%
5.Overall Perceptions of Patient Safety          
A10R1. It is just by chance that more serious mistakes don't happen around here.H = 622
N = 190,591
60%11.00%18%47%53%60%68%74%85%
A152. Patient safety is never sacrificed to get more work done.H = 621
N = 187,492
64%10.63%27%51%57%63%71%78%100%
A17R3. We have patient safety problems in this unit.H = 622
N = 188,306
62%11.67%22%48%55%62%69%77%92%
A184. Our procedures and systems are good at preventing errors from happening.H = 622
N = 190,749
70%9.00%35%59%64%70%76%81%100%
6.Feedback and Communication About Error          
C11. We are given feedback about changes put into place based on event reports.H = 620
N = 181,755
53%10.41%18%40%47%54%60%65%90%
C32. We are informed about errors that happen in this unit.H = 620
N = 182,755
64%9.64%35%53%58%63%70%77%93%
C53. In this unit, we discuss ways to prevent errors from happening again.H = 618
N = 183,922
70%8.93%33%59%65%70%76%82%100%
7.Communication Openness          
C21. Staff will freely speak up if they see something that may negatively affect patient care.H = 621
N = 185,743
76%6.80%47%68%72%75%80%84%100%
C42. Staff feel free to question the decisions or actions of those with more authority.H = 619
N = 186,331
47%8.63%26%37%42%46%52%58%94%
C6R3. Staff are afraid to ask questions when something does not seem right.H = 619
N = 186,727
63%8.43%7%54%57%62%67%72%100%
8.Frequency of Events Reported          
D11. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?H = 621
N = 171,464
52%9.45%25%40%45%52%58%64%81%
D22. When a mistake is made, but has no potential to harm the patient, how often is this reported?H = 617
N = 169,547
56%9.10%25%45%50%56%61%68%85%
D33. When a mistake is made that could harm the patient, but does not, how often is this reported?H = 621
N = 170,172
73%7.70%45%63%68%73%78%83%100%
9.Teamwork Across Units          
F2R1. Hospital units do not coordinate well with each other.H = 621
N = 182,580
45%12.93%5%29%35%43%53%61%91%
F42. There is good cooperation among hospital units that need to work together.H = 621
N = 181,274
58%12.08%11%43%49%57%67%74%93%
F6R3. It is often unpleasant to work with staff from other hospital units.H = 621
N = 179,358
58%10.54%7%46%51%58%65%72%100%
F104. Hospital units work well together to provide the best care for patients.H = 621
N = 180,279
67%11.51%21%52%58%67%76%82%95%
10.Staffing          
A21. We have enough staff to handle the workload.H = 620
N = 190,634
54%13.9211%37%44%53%64%73%98%
A5R2. Staff in this unit work longer hours than is best for patient care.H = 620
N = 185,900
52%10.11%9%40%45%51%58%65%87%
A7R3. We use more agency/temporary staff than is best for patient care.H = 620
N = 181,833
65%12.35%0%50%57%65%73%78%100%
A14R4. We work in "crisis mode" trying to do too much, too quickly.H = 620
N = 187,157
49%12.73%6%34%40%47%58%67%91%
11.Handoffs & Transitions          
F3R1. Things "fall between the cracks" when transferring patients from one unit to another.H = 622
N = 178,434
41%13.77%13%25%30%38%49%60%91%
F5R2. Important patient care information is often lost during shift changes.H = 622
N = 176,811
49%10.99%19%37%41%48%55%63%91%
F7R3. Problems often occur in the exchange of information across hospital units.H = 622
N = 178,665
42%12.15%0%28%33%40%48%59%100%
F11R4. Shift changes are problematic for patients in this hospital.H = 622
N = 176,268
45%13.27%18%29%35%44%53%63%94%
12.Nonpunitive Response to Error          
A8R1. Staff feel like their mistakes are held against them.H = 621
N = 189,625
51%9.58%18%40%45%50%58%63%88%
A12R2. When an event is reported, it feels like the person is being written up, not the problem.H = 621
N = 186,807
45%9.37%12%35%39%44%50%57%88%
A16R3. Staff worry that mistakes they make are kept in their personnel file.H = 621
N = 187,203
35%9.23%12%24%29%34%41%48%71%

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).

Key: H = hospitals; N = respondents.

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Current as of April 2009
Internet Citation: Table 6-4. Item-level Comparative Results for the 2009 Database: 2009 Comparative Database Report. April 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tab6-4.html