Table D-2.

Trending: Item-Level Average Percent Positive Response by Work Area/Unit

2009 Comparative Database Report

#WorkArea/Unit
Anesthes-
iology
Emer-
gency
ICU (any type)LabMedicineObstetricsPediatricsPharmacyPsych/-
Mental-
Hlth
RadiologyRehabili-
tation
Surgery
No. of Hospitals Both Years421461141641711016213560161139154
No. of Most Recent Respondents2933,4424,0322,9267,5982,6001,3561,7051,1743,2752,0905,282
No. of Previous Respondents4063,1203,8952,8656,2201,8761,5251,5601,2203,0821,9415,328

Patient Safety Culture CompositesSurveyWorkArea/Unit
Anesthes-
iology
Emer-
gency
ICU (any type)LabMedicineObstetricsPediatricsPharmacyPsych/-
Mental Hlth
RadiologyRehabili-
tation
Surgery
1. Teamwork Within UnitsA1—1. People support one another in this unit.Most Recent90%84%86%85%84%88%81%85%82%83%89%85%
Previous83%82%84%81%79%78%80%82%74%82%88%80%
Change7%2%2%4%5%10%1%3%8%1%1%5%
A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent89%86%89%86%82%89%83%84%83%88%90%88%
Previous79%83%87%84%80%84%82%80%77%88%85%84%
Change10%3%2%2%2%5%1%4%6%0%5%4%
A4—3. In this unit, people treat each other with respect.Most Recent83%75%77%77%74%78%75%79%75%75%87%76%
Previous78%74%78%76%71%72%76%74%72%75%83%73%
Change5%1%-1%1%3%6%-1%5%3%0%4%3%
A11—4. When one area in this unit gets really busy, others help out.Most Recent70%69%75%71%61%68%67%65%68%68%77%66%
Previous69%67%70%70%59%63%69%63%61%66%72%62%
Change1%2%5%1%2%5%-2%2%7%2%5%4%
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 Recent71%68%65%69%68%72%71%70%75%70%78%73%
Previous63%69%66%67%66%65%66%69%62%70%73%69%
Change8%-1%-1%2%2%7%5%1%13%0%5%4%
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent77%73%72%74%73%75%81%77%77%77%84%77%
Previous74%72%70%75%70%70%74%72%69%74%81%75%
Change3%1%2%-1%3%5%7%5%8%3%3%2%
B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent71%70%70%80%72%73%79%79%76%79%82%71%
Previous68%73%69%78%72%72%73%78%77%76%79%72%
Change3%-3%1%2%0%1%6%1%-1%3%3%-1%
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent79%74%72%76%74%75%81%79%78%82%86%78%
Previous71%72%71%74%74%71%67%77%72%77%79%75%
Change8%2%1%2%0%4%14%2%6%5%7%3%
3. Organizational Learning—Continuous ImprovementA6—1. We are actively doing things to improve patient safety.Most Recent89%77%84%81%82%84%86%86%78%82%88%87%
Previous81%72%81%76%77%77%79%84%76%78%84%84%
Change8%5%3%5%5%7%7%2%2%4%4%3%
A9—2. Mistakes have led to positive changes here.Most Recent62%56%56%70%61%63%64%72%61%63%62%65%
Previous61%56%56%65%59%61%54%73%56%59%58%62%
Change1%0%0%5%2%2%10%-1%5%4%4%3%
A13—3. After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent61%63%68%67%69%69%69%67%71%67%74%73%
Previous71%60%66%64%63%65%63%67%65%63%71%68%
Change-10%3%2%3%6%4%6%0%6%4%3%5%
4. Management Support for Patient SafetyF1—1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent73%71%68%82%74%77%77%76%72%84%81%79%
Previous81%71%68%81%73%74%76%74%69%81%83%76%
Change-8%0%0%1%1%3%1%2%3%3%-2%3%
F8—2. The actions of hospital mgmt show that patient safety is a top priority.Most Recent66%64%60%74%67%71%68%70%68%74%77%70%
Previous70%59%59%73%63%65%61%71%62%70%75%68%
Change-4%5%1%1%4%6%7%-1%6%4%2%2%
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent53%53%49%60%54%58%54%60%56%63%64%57%
Previous58%49%49%59%53%53%58%60%52%58%63%57%
Change-5%4%0%1%1%5%-4%0%4%5%1%0%
5. Overall Perceptions of Patient SafetyA10R—1. It is just by chance that more serious mistakes don't happen around here.Most Recent58%52%54%65%53%60%60%60%55%67%72%63%
Previous61%52%55%65%54%56%64%62%57%63%70%60%
Change-3%0%-1%0%-1%4%-4%-2%-2%4%2%3%
A15—2. Patient safety is never sacrificed to get more work done.Most Recent52%55%54%73%55%59%62%65%61%76%75%66%
Previous56%55%50%70%51%55%60%61%63%73%74%64%
Change-4%0%4%3%4%4%2%4%-2%3%1%2%
A17R—3. We have patient safety problems in this unit.Most Recent57%50%55%68%50%59%62%60%48%73%71%66%
Previous57%52%51%70%49%57%60%61%48%71%71%65%
Change0%-2%4%-2%1%2%2%-1%0%2%0%1%
A18—4. Our procedures and systems are good at preventing errors from happening.Most Recent70%60%63%78%64%70%73%73%66%76%79%76%
Previous71%59%63%78%60%65%66%71%61%72%77%71%
Change-1%1%0%0%4%5%7%2%5%4%2%5%
6. Feedback and Communication About ErrorC1—1. We are given feedback about changes put into place based on event reports.Most Recent59%47%45%52%49%56%54%50%59%52%61%54%
Previous46%48%47%51%49%53%52%50%48%53%59%49%
Change13%-1%-2%1%0%3%2%0%11%-1%2%5%
C3—2. We are informed about errors that happen in this unit.Most Recent61%55%54%71%55%61%63%71%71%70%72%66%
Previous60%56%51%68%56%57%61%66%58%69%69%66%
Change1%-1%3%3%-1%4%2%5%13%1%3%0%
C5—3. In this unit, we discuss ways to prevent errors from happening again.Most Recent78%62%63%73%65%69%68%73%73%70%80%74%
Previous76%62%62%71%62%65%67%72%67%69%76%72%
Change2%0%1%2%3%4%1%1%6%1%4%2%
7. Communication OpennessC2—1. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent71%72%75%77%70%78%78%78%78%77%84%79%
Previous81%70%70%74%69%75%74%77%70%74%81%78%
Change-10%2%5%3%1%3%4%1%8%3%3%1%
C4—2. Staff feel free to question the decisions or actions of those with more authority.Most Recent48%48%45%46%40%48%52%57%54%46%58%48%
Previous58%45%48%45%40%49%52%52%49%47%53%50%
Change-10%3%-3%1%0%-1%0%5%5%-1%5%-2%
C6R—3. Staff are afraid to ask questions when something does not seem right.Most Recent68%61%61%64%55%64%62%71%67%66%70%64%
Previous71%59%61%66%55%61%65%69%59%62%67%64%
Change-3%2%0%-2%0%3%-3%2%8%4%3%0%
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%48%45%57%52%55%52%48%58%47%54%57%
Previous33%45%46%55%50%46%46%46%50%44%56%53%
Change22%3%-1%2%2%9%6%2%8%3%-2%4%
D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent57%53%54%61%60%57%58%57%60%50%57%61%
Previous44%56%53%59%57%54%54%53%52%47%56%57%
Change13%-3%1%2%3%3%4%4%8%3%1%4%
D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent65%71%70%80%75%74%75%75%77%70%73%77%
Previous59%71%71%78%71%75%71%72%70%66%72%75%
Change6%0%-1%2%4%-1%4%3%7%4%1%2%
9. Teamwork Across UnitsF2R—1. Hospital units do not coordinate well with each other.Most Recent32%36%36%44%44%38%38%41%35%45%45%41%
Previous39%41%37%43%44%38%41%42%31%43%46%39%
Change-7%-5%-1%1%0%0%-3%-1%4%2%-1%2%
F4—2. There is good cooperation among hospital units that need to work together.Most Recent50%47%51%60%57%57%56%52%50%59%61%55%
Previous54%48%52%57%54%54%51%56%44%57%60%51%
Change-4%-1%-1%3%3%3%5%-4%6%2%1%4%
F6R—3. It is often unpleasant to work with staff from other hospital units.Most Recent53%48%59%57%60%58%55%56%59%56%63%53%
Previous61%47%53%56%60%54%56%53%56%55%60%56%
Change-8%1%6%1%0%4%-1%3%3%1%3%-3%
F10—4. Hospital units work well together to provide the best care for patients.Most Recent64%56%62%68%65%65%63%63%59%68%70%64%
Previous63%59%57%64%64%61%55%64%55%65%65%61%
Change1%-3%5%4%1%4%8%-1%4%3%5%3%
10. StaffingA2—1. We have enough staff to handle the workload.Most Recent59%41%50%49%46%54%59%47%48%64%54%54%
Previous49%44%49%54%46%43%53%48%45%60%54%53%
Change10%-3%1%-5%0%11%6%-1%3%4%0%1%
A5R—2. Staff in this unit work longer hours than is best for patient care.Most Recent38%50%54%53%49%53%54%54%49%61%59%48%
Previous33%49%53%51%50%48%53%54%49%60%58%49%
Change5%1%1%2%-1%5%1%0%0%1%1%-1%
A7R—3. We use more agency/temporary staff than is best for patient care.Most Recent69%60%65%67%63%75%73%67%65%73%69%69%
Previous57%59%61%65%64%69%76%61%64%69%70%69%
Change12%1%4%2%-1%6%-3%6%1%4%-1%0%
A14R—4. We work in "crisis mode" trying to do too much, too quickly.Most Recent46%38%45%48%47%51%53%49%51%58%61%50%
Previous44%43%46%46%44%44%56%45%44%59%59%50%
Change2%-5%-1%2%3%7%-3%4%7%-1%2%0%
11. Handoffs & TransitionsF3R—1.Things "fall between the cracks" when transferring patients from one unit to another.Most Recent35%44%35%31%46%46%43%26%36%43%36%39%
Previous34%48%38%29%44%43%37%24%26%42%39%40%
Change1%-4%-3%2%2%3%6%2%10%1%-3%-1%
F5R—2. Important patient care information is often lost during shift changes.Most Recent42%55%57%43%52%65%59%33%48%47%41%46%
Previous40%55%58%44%50%58%53%32%45%46%46%47%
Change2%0%-1%-1%2%7%6%1%3%1%-5%-1%
F7R—3. Problems often occur in the exchange of information across hospital units.Most Recent37%44%39%38%46%47%39%31%34%43%39%40%
Previous37%45%39%36%43%40%42%30%34%38%42%40%
Change0%-1%0%2%3%7%-3%1%0%5%-3%0%
F11R—4. Shift changes are problematic for patients in this hospital.Most Recent36%44%53%41%52%61%46%34%41%42%37%37%
Previous33%45%56%41%50%56%48%37%45%43%41%38%
Change3%-1%-3%0%2%5%-2%-3%-4%-1%-4%-1%
12. Nonpunitive Response to ErrorA8R—1.Staff feel like their mistakes are held against them.Most Recent55%44%46%54%47%49%54%61%56%51%64%52%
Previous48%41%45%51%47%44%57%59%46%50%63%52%
Change7%3%1%3%0%5%-3%2%10%1%1%0%
A12R—2.When an event is reported, it feels like the person is being written up, not the problem.Most Recent38%40%40%44%43%44%47%55%57%46%55%48%
Previous44%37%40%43%42%38%45%52%41%45%55%49%
Change-6%3%0%1%1%6%2%3%16%1%0%-1%
A16R—3.Staff worry that mistakes they make are kept in their personnel file.Most Recent37%29%29%35%32%33%28%46%41%37%52%38%
Previous25%27%30%34%31%30%34%44%31%36%49%36%
Change12%2%-1%1%1%3%-6%2%10%1%3%2%

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 D

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