Table C-6.

Trending: Item-level Average Percent Positive Response by Hospital Teaching Status and Ownership and Control

2009 Comparative Database Report

Survey Items by CompositeTeaching StatusOwnership and Control
TeachingNonteachingGovernmentNongovernment
59 Hospitals Both Years145 Hospitals Both Years63 Hospitals Both Years141 Hospitals Both Years
40,839 Most Recent Respondents28,702 Most Recent Respondents10,036 Most Recent Respondents59,505 Most Recent Respondents
38,681 Previous Respondents26,640 Previous Respondents10,007 Previous Respondents55,314 Previous Respondents
1. Teamwork Within UnitsA1—1. People support one another in this unit.Most Recent83%86%84%85%
Previous78%83%84%81%
Change5%3%0%4%
A3—2. When a lot of work needs to be done quickly, we work togetder as a team to get the work done.Most Recent83%87%87%86%
Previous79%86%87%82%
Change4%1%0%4%
A4—3. In this unit, people treat each other with respect.Most Recent75%78%77%78%
Previous71%77%77%74%
Change4%1%0%4%
A11—4. When one area in this unit gets really busy, others help out.Most Recent66%71%69%69%
Previous63%68%68%65%
Change3%3%1%4%
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%72%72%72%
Previous67%70%70%69%
Change4%2%2%3%
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent75%77%77%76%
Previous71%75%76%73%
Change4%2%1%3%
B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent71%76%78%73%
Previous70%75%76%72%
Change1%1%2%1%
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent75%78%79%76%
Previous71%76%77%73%
Change4%2%2%3%
3. Organizational Learning-Continuous ImprovementA6—1. We are actively doing things to improve patient safety.Most Recent80%83%84%82%
Previous77%81%83%78%
Change3%2%1%4%
A9—2. Mistakes have led to positive changes here.Most Recent61%65%65%63%
Previous58%62%63%60%
Change3%3%2%3%
A13—3. After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent66%70%71%68%
Previous63%67%69%64%
Change3%3%2%4%
4. Management Support for Patient SafetyF1—1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent75%82%83%78%
Previous73%81%83%76%
Change2%1%0%2%
F8—2. The actions of hospital mgmt show that patient safety is a top priority.Most Recent69%74%75%72%
Previous66%71%74%68%
Change3%3%1%4%
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent55%62%63%59%
Previous53%60%61%56%
Change2%2%2%3%
5. Overall Perceptions of Patient SafetyA10R—1. It is just by chance that more serious mistakes don't happen around here.Most Recent53%63%63%59%
Previous54%61%60%58%
Change-1%2%3%1%
A15—2. Patient safety is never sacrificed to get more work done.Most Recent59%68%70%63%
Previous57%65%68%60%
Change2%3%2%3%
A17R—3. We have patient safety problems in this unit.Most Recent52%66%68%59%
Previous54%63%65%59%
Change-2%3%3%0%
A18—4. Our procedures and systems are good at preventing errors from happening.Most Recent67%73%73%70%
Previous63%69%69%66%
Change4%4%4%4%
6. Feedback & Communication About ErrorC1—1. We are given feedback about changes put into place based on event reports.Most Recent54%53%51%54%
Previous52%52%51%52%
Change2%1%0%2%
C3—2. We are informed about errors that happen in this unit.Most Recent61%66%68%63%
Previous59%65%67%62%
Change2%1%1%1%
C5—3. In this unit, we discuss ways to prevent errors from happening again.Most Recent68%71%72%70%
Previous65%70%72%67%
Change3%1%0%3%
7. Communication OpennessC2—1. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent73%76%75%75%
Previous71%75%75%73%
Change2%1%0%2%
C4—2. Staff feel free to question the decisions or actions of those with more authority.Most Recent46%48%48%47%
Previous46%46%47%46%
Change0%2%1%1%
C6R—3. Staff are afraid to ask questions when something does not seem right.Most Recent59%63%65%61%
Previous58%62%63%60%
Change1%1%2%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 Recent51%54%55%53%
Previous48%53%54%50%
Change3%1%1%3%
D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent54%59%60%56%
Previous51%57%58%54%
Change3%2%2%2%
D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent70%75%75%73%
Previous68%73%75%71%
Change2%2%0%2%
9. Teamwork Across UnitsF2R—1. Hospital units do not coordinate well with each other.Most Recent38%49%50%44%
Previous39%46%49%42%
Change-1%3%1%2%
F4—2. There is good cooperation among hospital units that need to work together.Most Recent51%63%64%57%
Previous50%60%63%55%
Change1%3%1%2%
F6R—3. It is often unpleasant to work with staff from other hospital units.Most Recent53%61%61%57%
Previous52%58%60%55%
Change1%3%1%2%
F10—4. Hospital units work well together to provide the best care for patients.Most Recent61%71%72%66%
Previous59%69%71%63%
Change2%2%1%3%
10. StaffingA2—1. We have enough staff to handle the workload.Most Recent47%57%59%52%
Previous48%55%58%51%
Change-1%2%1%1%
A5R—2. Staff in this unit work longer hours than is best for patient care.Most Recent47%54%55%51%
Previous47%52%54%49%
Change0%2%1%2%
A7R—3. We use more agency/temporary staff than is best for patient care.Most Recent62%66%64%65%
Previous58%64%64%61%
Change4%2%0%4%
A14R—4. We work in "crisis mode" trying to do too much, too quickly.Most Recent43%53%57%47%
Previous43%50%52%46%
Change0%3%5%1%
11. Handoffs & TransitionsF3R—1. Things "fall between the cracks" when transferring patients from one unit to another.Most Recent33%46%51%38%
Previous34%44%49%38%
Change-1%2%2%0%
F5R—2. Important patient care information is often lost during shift changes.Most Recent45%52%54%48%
Previous45%50%53%47%
Change0%2%1%1%
F7R—3. Problems often occur in the exchange of information across hospital units.Most Recent35%47%49%41%
Previous36%44%46%40%
Change-1%3%3%1%
F11R—4. Shift changes are problematic for patients in this hospital.Most Recent38%49%53%43%
Previous40%47%50%42%
Change-2%2%3%1%
12. Nonpunitive Response to ErrorA8R—1. Staff feel like their mistakes are held against them.Most Recent46%54%54%50%
Previous44%52%53%48%
Change2%2%1%2%
A12R—2. When an event is reported, it feels like the person is being written up, not the problem.Most Recent42%48%47%46%
Previous41%45%45%43%
Change1%3%2%3%
A16R—3. Staff worry that mistakes they make are kept in their personnel file.Most Recent31%39%40%35%
Previous30%36%37%33%
Change1%3%3%2%

Return to Appendix C

Current as of April 2009
Internet Citation: Table C-6.: Trending: Item-level Average Percent Positive Response by Hospital Teaching Status and Ownership and Control. April 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tabc-6.html