Table C-2.

Trending: Item-Level Average Percent Positive Response by Bed Size

2009 Comparative Database Report

Survey Items by CompositeBed Size
6-24 beds25-4950-99 beds100-199 beds200-299 beds300-499 beds500+ beds
21 Hospitals Both Years42 Hospitals Both Years37 Hospitals Both Years32 Hospitals Both Years22 Hospitals Both Years26 Hospitals Both Years24 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 UnitsA1—1. People support one another in this unit.Most Recent88%88%83%84%83%84%84%
Previous86%86%82%78%73%81%83%
Change2%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 Recent91%90%84%84%85%84%82%
Previous89%89%85%79%76%82%82%
Change2%1%-1%5%9%2%0%
A4—3. In this unit, people treat each other with respect.Most Recent80%82%75%77%76%76%75%
Previous80%80%76%72%68%74%75%
Change0%2%-1%5%8%2%0%
A11—4. When one area in this unit gets really busy, others help out.Most Recent74%73%69%69%66%67%65%
Previous70%71%67%64%59%64%66%
Change4%2%2%5%7%3%-1%
2. Supervisor/Manager Expectations & Actions Promoting Patient SafetyB1—1. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.Most Recent71%76%70%72%72%70%72%
Previous69%74%69%67%65%67%71%
Change2%2%1%5%7%3%1%
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent77%81%75%77%75%73%74%
Previous77%80%75%71%67%71%75%
Change0%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 Recent80%80%75%75%71%71%68%
Previous78%78%73%73%67%69%69%
Change2%2%2%2%4%2%-1%
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent76%82%77%77%74%73%75%
Previous76%80%75%72%67%71%73%
Change0%2%2%5%7%2%2%
3. Organizational Learning-Continuous ImprovementA6—1. We are actively doing things to improve patient safety.Most Recent83%86%83%83%81%81%79%
Previous82%85%81%75%71%79%80%
Change1%1%2%8%10%2%-1%
A9—2. Mistakes have led to positive changes here.Most Recent67%68%63%65%61%62%60%
Previous64%67%61%59%53%59%61%
Change3%1%2%6%8%3%-1%
A13—3. After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent69%73%69%70%67%67%65%
Previous68%70%66%62%60%64%66%
Change1%3%3%8%7%3%-1%
4. Management Support for Patient SafetyF1—1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent85%86%80%80%75%76%73%
Previous85%86%78%74%71%76%75%
Change0%0%2%6%4%0%-2%
F8—2. The actions of hospital mgmt show that patient safety is a top priority.Most Recent78%78%71%73%69%70%67%
Previous76%78%69%66%60%67%69%
Change2%0%2%7%9%3%-2%
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent67%68%58%59%55%56%52%
Previous66%66%57%55%51%54%52%
Change1%2%1%4%4%2%0%
5. Overall Perceptions of Patient SafetyA10R—1. It is just by chance that more serious mistakes don't happen around here.Most Recent69%67%61%60%56%59%45%
Previous65%64%61%57%52%55%54%
Change4%3%0%3%4%4%-9%
A15—2. Patient safety is never sacrificed to get more work done.Most Recent77%73%63%65%61%59%55%
Previous75%69%64%60%52%56%58%
Change2%4%-1%5%9%3%-3%
A17R—3. We have patient safety problems in this unit.Most Recent74%70%63%62%57%58%44%
Previous72%68%62%58%51%56%55%
Change2%2%1%4%6%2%-11%
A18—4. Our procedures and systems are good at preventing errors from happening.Most Recent75%76%71%71%69%68%65%
Previous70%73%67%64%60%66%66%
Change5%3%4%7%9%2%-1%
6. Feedback & Communication About ErrorC1—1. We are given feedback about changes put into place based on event reports.Most Recent52%53%52%54%53%54%54%
Previous53%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 Recent72%67%65%65%61%61%60%
Previous69%68%65%60%58%60%60%
Change3%-1%0%5%3%1%0%
C5—3. In this unit, we discuss ways to prevent errors from happening again.Most Recent73%74%70%70%67%68%66%
Previous75%74%69%64%60%67%68%
Change-2%0%1%6%7%1%-2%
7. Communication OpennessC2—1. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent78%78%75%75%74%74%72%
Previous80%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 Recent50%48%46%48%47%46%46%
Previous50%47%45%44%44%47%48%
Change0%1%1%4%3%-1%-2%
C6R—3. Staff are afraid to ask questions when something does not seem right.Most Recent67%66%61%62%59%61%59%
Previous66%63%60%59%55%61%60%
Change1%3%1%3%4%0%-1%
8. Frequency of Events ReportedD1—1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent55%56%51%55%52%53%51%
Previous55%54%51%50%47%51%51%
Change0%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 Recent61%61%56%59%55%55%53%
Previous61%59%55%54%50%52%52%
Change0%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 Recent77%78%73%73%70%71%68%
Previous78%77%72%70%65%69%67%
Change-1%1%1%3%5%2%1%
9. Teamwork Across UnitsF2R—1. Hospital units do not coordinate well with each other.Most Recent57%54%45%45%37%39%37%
Previous54%52%45%42%37%37%37%
Change3%2%0%3%0%2%0%
F4—2. There is good cooperation among hospital units that need to work together.Most Recent71%67%59%59%51%53%50%
Previous68%67%60%53%47%50%51%
Change3%0%-1%6%4%3%-1%
F6R—3. It is ften unpleasant to work with staff from other hospital units.Most Recent67%65%58%58%51%54%51%
Previous65%63%57%53%49%52%53%
Change2%2%1%5%2%2%-2%
F10—4. Hospital units work well together to provide the best care for patients.Most Recent78%75%68%68%59%62%58%
Previous76%75%68%62%56%59%60%
Change2%0%0%6%3%3%-2%
10. StaffingA2—1. We have enough staff to handle the workload.Most Recent64%63%53%51%47%50%44%
Previous63%62%54%51%43%47%47%
Change1%1%-1%0%4%3%-3%
A5R—2. Staff in this unit work longer hours than is best for patient care.Most Recent61%55%51%51%48%50%45%
Previous56%55%51%48%45%49%46%
Change5%0%0%3%3%1%-1%
A7R—3. We use more agency/temporary staff than is best for patient care.Most Recent69%68%63%62%64%65%61%
Previous69%64%65%59%55%60%60%
Change0%4%-2%3%9%5%1%
A14R—4. We work in "crisis mode" trying to do too much, too quickly.Most Recent64%59%50%48%43%43%39%
Previous58%55%49%47%40%41%41%
Change6%4%1%1%3%2%-2%
11. Handoffs & TransitionsF3R—1. Things "fall between the cracks" when transferring patients from one unit to another.Most Recent58%52%44%39%32%32%32%
Previous55%50%45%38%31%32%32%
Change3%2%-1%1%1%0%0%
F5R—2. Important patient care information is often lost during shift changes.Most Recent59%55%50%48%44%45%44%
Previous56%55%50%45%41%44%46%
Change3%0%0%3%3%1%-2%
F7R—3. Problems often occur in the exchange of information across hospital units.Most Recent57%51%45%42%36%36%34%
Previous52%49%45%37%34%34%35%
Change5%2%0%5%2%2%-1%
F11R—4. Shift changes are problematic for patients in this hospital.Most Recent61%55%47%43%37%39%36%
Previous58%52%44%43%37%38%38%
Change3%3%3%0%0%1%-2%
12. Nonpunitive Response to ErrorA8R—1. Staff feel like their mistakes are held against them.Most Recent61%57%50%51%48%47%44%
Previous58%55%49%49%45%45%44%
Change3%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 Recent53%51%44%46%43%43%41%
Previous48%48%42%43%41%41%40%
Change5%3%2%3%2%2%1%
A16R—3. Staff worry that mistakes they make are kept in their personnel file.Most Recent45%42%36%35%33%31%28%
Previous41%38%35%35%30%30%28%
Change4%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).

Return to Appendix C

Current as of April 2009
Internet Citation: Table C-2.: Trending: Item-Level Average Percent Positive Response by Bed Size. April 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tabc-2.html