Table D-10.

Trending: Item-Level Average Percent Positive Response by Interaction With Patients

2009 Comparative Database Report

Survey Items By CompositeInteraction With Patients
WITH direct interactionWITHOUT direct interaction
203 Hospitals Both Years198 Hospitals Both Years
48,941 Most Recent Respondents15,100 Most Recent Respondents
7,300 Previous Respondents2,079 Previous Respondents
1. Teamwork Within UnitsA1—1. People support one another in this unit.Most Recent85%87%
Previous82%83%
Change3%4%
A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent86%87%
Previous84%84%
Change2%3%
A4—3. In this unit, people treat each other with respect.Most Recent77%81%
Previous75%77%
Change2%4%
A11—4. When one area in this unit gets really busy, others help out.Most Recent69%71%
Previous66%67%
Change3%4%
2. Supervisor/Manager Expectations Actions Promoting Patient SafetyB1 —My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.Most Recent71%75%
Previous69%72%
Change2%3%
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent76%79%
Previous74%76%
Change2%3%
B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent75%77%
Previous73%75%
Change2%2%
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent77%78%
Previous75%74%
Change2%4%
3.Organizational Learning-Continuous ImprovementA6—1. We are actively doing things to improve patient safety.Most Recent83%81%
Previous80%79%
Change3%2%
A9—2. Mistakes have led to positive changes here.Most Recent63%68%
Previous60%67%
Change3%1%
A13—3. After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent69%69%
Previous66%66%
Change3%3%
4. Management Support for Patient SafetyF1—1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent79%85%
Previous77%84%
Change2%1%
F8—2. The actions of hospital mgmt show that patient safety is a top priority.Most Recent71%79%
Previous68%76%
Change3%3%
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent59%66%
Previous57%63%
Change2%3%
5. Overall Perceptions of Patient SafetyA10R—1. It is just by chance that more serious mistakes don't happen around here.Most Recent61%60%
Previous59%59%
Change2%1%
A15—2. Patient safety is never sacrificed to get more work done.Most Recent65%68%
Previous62%65%
Change3%3%
A17R—3. We have patient safety problems in this unit.Most Recent62%64%
Previous61%62%
Change1%2%
A18—4. Our procedures and systems are good at preventing errors from happening.Most Recent71%74%
Previous67%69%
Change4%5%
6. Feedback and Communication About ErrorC1—1. We are given feedback about changes put into place based on event reports.Most Recent52%56%
Previous51%54%
Change1%2%
C3—2. We are informed about errors that happen in this unit.Most Recent63%70%
Previous62%68%
Change1%2%
C5—3. In this unit, we discuss ways to prevent errors from happening again.Most Recent70%75%
Previous68%73%
Change2%2%
7. Communication OpennessC2—1. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent75%76%
Previous74%74%
Change1%2%
C4—2. Staff feel free to question the decisions or actions of those with more authority.Most Recent46%51%
Previous46%50%
Change0%1%
C6R—3. Staff are afraid to ask questions when something does not seem right.Most Recent62%65%
Previous61%63%
Change1%2%
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 Recent53%57%
Previous51%55%
Change2%2%
D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent57%56%
Previous55%55%
Change2%1%
D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent74%73%
Previous72%70%
Change2%3%
9. Teamwork Across UnitsF2R—1. Hospital units do not coordinate well with each other.Most Recent45%49%
Previous44%46%
Change1%3%
F4—2. There is good cooperation among hospital units that need to work together.Most Recent59%60%
Previous57%59%
Change2%1%
F6R—3. It is often unpleasant to work with staff from other hospital units.Most Recent59%58%
Previous57%54%
Change2%4%
F10—4. Hospital units work well together to provide the best care for patients.Most Recent67%71%
Previous65%68%
Change2%3%
10. StaffingA2—1. We have enough staff to handle the workload.Most Recent53%57%
Previous52%55%
Change1%2%
A5R—2. Staff in this unit work longer hours than is best for patient care.Most Recent53%50%
Previous52%46%
Change1%4%
A7R—3. We use more agency/temporary staff than is best for patient care.Most Recent67%58%
Previous65%54%
Change2%4%
A14R—4. We work in "crisis mode" trying to do too much, too quickly.Most Recent50%51%
Previous49%45%
Change1%6%
11. Handoffs & Transitions
F3R—1. Things "fall between the cracks" when transferring patients from one unit to another.Most Recent44%37%
Previous43%35%
Change1%2%
F5R—2. Important patient care information is often lost during shift changes.Most Recent52%44%
Previous51%41%
Change1%3%
F7R—3. Problems often occur in the exchange of information across hospital units.Most Recent44%41%
Previous43%36%
Change1%5%
F11R—4. Shift changes are problematic for patients in this hospital.Most Recent47%40%
Previous46%39%
Change1%1%
12. Nonpunitive Response to ErrorA8R—1. Staff feel like their mistakes are held against them.Most Recent51%56%
Previous50%52%
Change1%4%
A12R—2. When an event is reported, it feels like the person is being written up, not the problem.Most Recent46%51%
Previous43%48%
Change3%3%
A16R—3. Staff worry that mistakes they make are kept in their personnel file.Most Recent36%39%
Previous34%35%
Change2%4%

Return to Appendix D

Current as of April 2009
Internet Citation: Table D-10.: Trending: Item-Level Average Percent Positive Response by Interaction With Patients. April 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tabd-10.html