Table C-2.
Trending: Item-Level Average Percent Positive Response by Bed Size
2009 Comparative Database Report
Survey Items by Composite | Bed Size | ||||||||
---|---|---|---|---|---|---|---|---|---|
6-24 beds | 25-49 | 50-99 beds | 100-199 beds | 200-299 beds | 300-499 beds | 500+ beds | |||
21 Hospitals Both Years | 42 Hospitals Both Years | 37 Hospitals Both Years | 32 Hospitals Both Years | 22 Hospitals Both Years | 26 Hospitals Both Years | 24 Hospitals Both Years | |||
1,054 Most Recent Respon- dents | 3,550 Most Recent Respon- dents | 4,360 Most Recent Respon- dents | 8,886 Most Recent Respon- dents | 8,408 Most Recent Respon- dents | 15,678 Most Recent Respon- dents | 27,605 Most Recent Respon- dents | |||
1,362 Previous Respon- dents | 3,401 Previous Respon- dents | 4,686 Previous Respon- dents | 7,573 Previous Respon- dents | 8,108 Previous Respon- dents | 14,300 Previous Respon- dents | 25,891 Previous Respon- dents | |||
1. Teamwork Within Units | A1—1. People support one another in this unit. | Most Recent | 88% | 88% | 83% | 84% | 83% | 84% | 84% |
Previous | 86% | 86% | 82% | 78% | 73% | 81% | 83% | ||
Change | 2% | 2% | 1% | 6% | 10% | 3% | 1% | ||
A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done. | Most Recent | 91% | 90% | 84% | 84% | 85% | 84% | 82% | |
Previous | 89% | 89% | 85% | 79% | 76% | 82% | 82% | ||
Change | 2% | 1% | -1% | 5% | 9% | 2% | 0% | ||
A4—3. In this unit, people treat each other with respect. | Most Recent | 80% | 82% | 75% | 77% | 76% | 76% | 75% | |
Previous | 80% | 80% | 76% | 72% | 68% | 74% | 75% | ||
Change | 0% | 2% | -1% | 5% | 8% | 2% | 0% | ||
A11—4. When one area in this unit gets really busy, others help out. | Most Recent | 74% | 73% | 69% | 69% | 66% | 67% | 65% | |
Previous | 70% | 71% | 67% | 64% | 59% | 64% | 66% | ||
Change | 4% | 2% | 2% | 5% | 7% | 3% | -1% | ||
2. Supervisor/Manager Expectations & Actions Promoting Patient Safety | B1—1. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. | Most Recent | 71% | 76% | 70% | 72% | 72% | 70% | 72% |
Previous | 69% | 74% | 69% | 67% | 65% | 67% | 71% | ||
Change | 2% | 2% | 1% | 5% | 7% | 3% | 1% | ||
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 77% | 81% | 75% | 77% | 75% | 73% | 74% | |
Previous | 77% | 80% | 75% | 71% | 67% | 71% | 75% | ||
Change | 0% | 1% | 0% | 6% | 8% | 2% | -1% | ||
B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 80% | 80% | 75% | 75% | 71% | 71% | 68% | |
Previous | 78% | 78% | 73% | 73% | 67% | 69% | 69% | ||
Change | 2% | 2% | 2% | 2% | 4% | 2% | -1% | ||
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 76% | 82% | 77% | 77% | 74% | 73% | 75% | |
Previous | 76% | 80% | 75% | 72% | 67% | 71% | 73% | ||
Change | 0% | 2% | 2% | 5% | 7% | 2% | 2% | ||
3. Organizational Learning-Continuous Improvement | A6—1. We are actively doing things to improve patient safety. | Most Recent | 83% | 86% | 83% | 83% | 81% | 81% | 79% |
Previous | 82% | 85% | 81% | 75% | 71% | 79% | 80% | ||
Change | 1% | 1% | 2% | 8% | 10% | 2% | -1% | ||
A9—2. Mistakes have led to positive changes here. | Most Recent | 67% | 68% | 63% | 65% | 61% | 62% | 60% | |
Previous | 64% | 67% | 61% | 59% | 53% | 59% | 61% | ||
Change | 3% | 1% | 2% | 6% | 8% | 3% | -1% | ||
A13—3. After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 69% | 73% | 69% | 70% | 67% | 67% | 65% | |
Previous | 68% | 70% | 66% | 62% | 60% | 64% | 66% | ||
Change | 1% | 3% | 3% | 8% | 7% | 3% | -1% | ||
4. Management Support for Patient Safety | F1—1. Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 85% | 86% | 80% | 80% | 75% | 76% | 73% |
Previous | 85% | 86% | 78% | 74% | 71% | 76% | 75% | ||
Change | 0% | 0% | 2% | 6% | 4% | 0% | -2% | ||
F8—2. The actions of hospital mgmt show that patient safety is a top priority. | Most Recent | 78% | 78% | 71% | 73% | 69% | 70% | 67% | |
Previous | 76% | 78% | 69% | 66% | 60% | 67% | 69% | ||
Change | 2% | 0% | 2% | 7% | 9% | 3% | -2% | ||
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 67% | 68% | 58% | 59% | 55% | 56% | 52% | |
Previous | 66% | 66% | 57% | 55% | 51% | 54% | 52% | ||
Change | 1% | 2% | 1% | 4% | 4% | 2% | 0% | ||
5. Overall Perceptions of Patient Safety | A10R—1. It is just by chance that more serious mistakes don't happen around here. | Most Recent | 69% | 67% | 61% | 60% | 56% | 59% | 45% |
Previous | 65% | 64% | 61% | 57% | 52% | 55% | 54% | ||
Change | 4% | 3% | 0% | 3% | 4% | 4% | -9% | ||
A15—2. Patient safety is never sacrificed to get more work done. | Most Recent | 77% | 73% | 63% | 65% | 61% | 59% | 55% | |
Previous | 75% | 69% | 64% | 60% | 52% | 56% | 58% | ||
Change | 2% | 4% | -1% | 5% | 9% | 3% | -3% | ||
A17R—3. We have patient safety problems in this unit. | Most Recent | 74% | 70% | 63% | 62% | 57% | 58% | 44% | |
Previous | 72% | 68% | 62% | 58% | 51% | 56% | 55% | ||
Change | 2% | 2% | 1% | 4% | 6% | 2% | -11% | ||
A18—4. Our procedures and systems are good at preventing errors from happening. | Most Recent | 75% | 76% | 71% | 71% | 69% | 68% | 65% | |
Previous | 70% | 73% | 67% | 64% | 60% | 66% | 66% | ||
Change | 5% | 3% | 4% | 7% | 9% | 2% | -1% | ||
6. Feedback & Communication About Error | C1—1. We are given feedback about changes put into place based on event reports. | Most Recent | 52% | 53% | 52% | 54% | 53% | 54% | 54% |
Previous | 53% | 53% | 50% | 49% | 48% | 53% | 56% | ||
Change | -1% | 0% | 2% | 5% | 5% | 1% | -2% | ||
C3—2. We are informed about errors that happen in this unit. | Most Recent | 72% | 67% | 65% | 65% | 61% | 61% | 60% | |
Previous | 69% | 68% | 65% | 60% | 58% | 60% | 60% | ||
Change | 3% | -1% | 0% | 5% | 3% | 1% | 0% | ||
C5—3. In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 73% | 74% | 70% | 70% | 67% | 68% | 66% | |
Previous | 75% | 74% | 69% | 64% | 60% | 67% | 68% | ||
Change | -2% | 0% | 1% | 6% | 7% | 1% | -2% | ||
7. Communication Openness | C2—1. Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 78% | 78% | 75% | 75% | 74% | 74% | 72% |
Previous | 80% | 76% | 75% | 70% | 68% | 74% | 74% | ||
Change | -2% | 2% | 0% | 5% | 6% | 0% | -2% | ||
C4—2. Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 50% | 48% | 46% | 48% | 47% | 46% | 46% | |
Previous | 50% | 47% | 45% | 44% | 44% | 47% | 48% | ||
Change | 0% | 1% | 1% | 4% | 3% | -1% | -2% | ||
C6R—3. Staff are afraid to ask questions when something does not seem right. | Most Recent | 67% | 66% | 61% | 62% | 59% | 61% | 59% | |
Previous | 66% | 63% | 60% | 59% | 55% | 61% | 60% | ||
Change | 1% | 3% | 1% | 3% | 4% | 0% | -1% | ||
8. Frequency of Events Reported | D1—1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | Most Recent | 55% | 56% | 51% | 55% | 52% | 53% | 51% |
Previous | 55% | 54% | 51% | 50% | 47% | 51% | 51% | ||
Change | 0% | 2% | 0% | 5% | 5% | 2% | 0% | ||
D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 61% | 61% | 56% | 59% | 55% | 55% | 53% | |
Previous | 61% | 59% | 55% | 54% | 50% | 52% | 52% | ||
Change | 0% | 2% | 1% | 5% | 5% | 3% | 1% | ||
D3—3. When a istake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 77% | 78% | 73% | 73% | 70% | 71% | 68% | |
Previous | 78% | 77% | 72% | 70% | 65% | 69% | 67% | ||
Change | -1% | 1% | 1% | 3% | 5% | 2% | 1% | ||
9. Teamwork Across Units | F2R—1. Hospital units do not coordinate well with each other. | Most Recent | 57% | 54% | 45% | 45% | 37% | 39% | 37% |
Previous | 54% | 52% | 45% | 42% | 37% | 37% | 37% | ||
Change | 3% | 2% | 0% | 3% | 0% | 2% | 0% | ||
F4—2. There is good cooperation among hospital units that need to work together. | Most Recent | 71% | 67% | 59% | 59% | 51% | 53% | 50% | |
Previous | 68% | 67% | 60% | 53% | 47% | 50% | 51% | ||
Change | 3% | 0% | -1% | 6% | 4% | 3% | -1% | ||
F6R—3. It is ften unpleasant to work with staff from other hospital units. | Most Recent | 67% | 65% | 58% | 58% | 51% | 54% | 51% | |
Previous | 65% | 63% | 57% | 53% | 49% | 52% | 53% | ||
Change | 2% | 2% | 1% | 5% | 2% | 2% | -2% | ||
F10—4. Hospital units work well together to provide the best care for patients. | Most Recent | 78% | 75% | 68% | 68% | 59% | 62% | 58% | |
Previous | 76% | 75% | 68% | 62% | 56% | 59% | 60% | ||
Change | 2% | 0% | 0% | 6% | 3% | 3% | -2% | ||
10. Staffing | A2—1. We have enough staff to handle the workload. | Most Recent | 64% | 63% | 53% | 51% | 47% | 50% | 44% |
Previous | 63% | 62% | 54% | 51% | 43% | 47% | 47% | ||
Change | 1% | 1% | -1% | 0% | 4% | 3% | -3% | ||
A5R—2. Staff in this unit work longer hours than is best for patient care. | Most Recent | 61% | 55% | 51% | 51% | 48% | 50% | 45% | |
Previous | 56% | 55% | 51% | 48% | 45% | 49% | 46% | ||
Change | 5% | 0% | 0% | 3% | 3% | 1% | -1% | ||
A7R—3. We use more agency/temporary staff than is best for patient care. | Most Recent | 69% | 68% | 63% | 62% | 64% | 65% | 61% | |
Previous | 69% | 64% | 65% | 59% | 55% | 60% | 60% | ||
Change | 0% | 4% | -2% | 3% | 9% | 5% | 1% | ||
A14R—4. We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 64% | 59% | 50% | 48% | 43% | 43% | 39% | |
Previous | 58% | 55% | 49% | 47% | 40% | 41% | 41% | ||
Change | 6% | 4% | 1% | 1% | 3% | 2% | -2% | ||
11. Handoffs & Transitions | F3R—1. Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 58% | 52% | 44% | 39% | 32% | 32% | 32% |
Previous | 55% | 50% | 45% | 38% | 31% | 32% | 32% | ||
Change | 3% | 2% | -1% | 1% | 1% | 0% | 0% | ||
F5R—2. Important patient care information is often lost during shift changes. | Most Recent | 59% | 55% | 50% | 48% | 44% | 45% | 44% | |
Previous | 56% | 55% | 50% | 45% | 41% | 44% | 46% | ||
Change | 3% | 0% | 0% | 3% | 3% | 1% | -2% | ||
F7R—3. Problems often occur in the exchange of information across hospital units. | Most Recent | 57% | 51% | 45% | 42% | 36% | 36% | 34% | |
Previous | 52% | 49% | 45% | 37% | 34% | 34% | 35% | ||
Change | 5% | 2% | 0% | 5% | 2% | 2% | -1% | ||
F11R—4. Shift changes are problematic for patients in this hospital. | Most Recent | 61% | 55% | 47% | 43% | 37% | 39% | 36% | |
Previous | 58% | 52% | 44% | 43% | 37% | 38% | 38% | ||
Change | 3% | 3% | 3% | 0% | 0% | 1% | -2% | ||
12. Nonpunitive Response to Error | A8R—1. Staff feel like their mistakes are held against them. | Most Recent | 61% | 57% | 50% | 51% | 48% | 47% | 44% |
Previous | 58% | 55% | 49% | 49% | 45% | 45% | 44% | ||
Change | 3% | 2% | 1% | 2% | 3% | 2% | 0% | ||
A12R—2. When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 53% | 51% | 44% | 46% | 43% | 43% | 41% | |
Previous | 48% | 48% | 42% | 43% | 41% | 41% | 40% | ||
Change | 5% | 3% | 2% | 3% | 2% | 2% | 1% | ||
A16R—3. Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 45% | 42% | 36% | 35% | 33% | 31% | 28% | |
Previous | 41% | 38% | 35% | 35% | 30% | 30% | 28% | ||
Change | 4% | 4% | 1% | 0% | 3% | 1% | 0% |
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).