Table D-6

Trending: Item-Level Average Percent Positive Response by Staff Position

2009 Comparative Database Report

Patient Safety Culture CompositesStaff Position
Admin/
Mgmt
Attending
/Physician/
Resident/
PA or NP
Dieti-
cian
Pat Care Asst/
Aide/
Care Partner
Pharm-
acist
RN/
LVN/
LPN
Tech-
nician (EKG, Lab, Radiology)
Ther-
apist (Respir-
atory, Phys, Occup, Speech)
Unit Asst/
Clerk/
Secre-
tary
187 Hospitals Both Years120 Hospitals Both Years80 Hospitals Both Years158 Hospitals Both Years116 Hospitals Both Years201 Hospitals Both Years165 Hospitals Both Years162 Hospitals Both Years179 Hospitals Both Years
4,881 Most Recent Respon-
dents
2,869 Most Recent Respon-
dents
365 Most Recent Respon-
dents
3,755 Most Recent Respon-
dents
985 Most Recent Respon-
dents
22,584 Most Recent Respon-
dents
5,948 Most Recent Respon-
dents
2,831 Most Recent Respon-
dents
3,700 Most Recent Respon-
dents
4,608 Previous Respon-
dents
2,492 Previous Respon-
dents
371 Previous Respon-
dents
3,512 Previous Respon-
dents
909 Previous Respon-
dents
20,928 Previous Respon-
dents
5,322 Previous Respon-
dents
2,675 Previous Respon-
dents
3,741 Previous Respon-
dents
1. Teamwork Within UnitsA1—1. People support one another in this unit.Most Recent94%89%88%77%87%86%82%88%83%
Previous89%87%85%74%80%83%77%85%81%
Change5%2%3%3%7%3%5%3%2%
A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent94%86%88%78%84%87%85%85%84%
Previous90%86%85%77%80%85%82%85%82%
Change4%0%3%1%4%2%3%0%2%
A4—3. In this unit, people treat each other with respect.Most Recent89%86%86%72%81%77%74%82%73%
Previous83%85%81%66%71%76%71%81%74%
Change6%1%5%6%10%1%3%1%-1%
A11—4. When one area in this unit gets really busy, others help out.Most Recent79%69%74%64%67%67%67%74%69%
Previous73%67%72%60%61%66%64%72%68%
Change6%2%2%4%6%1%3%2%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 Recent84%71%81%72%70%69%70%76%74%
Previous78%60%78%68%65%68%66%70%72%
Change6%11%3%4%5%1%4%6%2%
B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent89%76%85%77%76%74%76%82%76%
Previous86%70%77%70%75%73%73%77%79%
Change3%6%8%7%1%1%3%5%-3%
B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent85%67%76%74%78%72%78%77%78%
Previous81%66%68%71%75%72%74%74%79%
Change4%1%8%3%3%0%4%3%-1%
B4R—4. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent87%74%85%76%80%75%79%77%78%
Previous81%71%74%71%73%73%73%75%79%
Change6%3%11%5%7%2%6%2%-1%
3. Organizational Learning- Continuous ImprovementA6—1. We are actively doing things to improve patient safety.Most Recent90%81%84%86%83%83%81%83%83%
Previous85%79%81%80%83%81%77%80%80%
Change5%2%3%6%0%2%4%3%3%
A9—2.Mistakes have led to positive changes here.Most Recent83%68%65%60%72%61%65%61%62%
Previous78%62%66%56%68%60%59%58%59%
Change5%6%-1%4%4%1%6%3%3%
A13—3.After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent79%65%68%71%61%70%66%68%70%
Previous75%59%71%68%57%65%62%68%69%
Change4%6%-3%3%4%5%4%0%1%
4. Management Support for Patient SafetyF1—1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent90%75%84%82%73%73%83%81%85%
Previous88%76%86%78%68%73%79%79%83%
Change2%-1%-2%4%5%0%4%2%2%
F8—2. The actions of hospital mgmt show that patient safety is a top priority.Most Recent85%71%81%78%68%66%73%73%79%
Previous80%63%76%73%67%63%71%68%75%
Change5%8%5%5%1%3%2%5%4%
F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent74%60%60%60%60%55%59%60%63%
Previous72%56%59%56%58%54%58%54%62%
Change2%4%1%4%2%1%1%6%1%
5. Overall Perceptions of Patient SafetyA10R—1. It is just by chance that more serious mistakes don't happen around here.Most Recent72%58%64%55%59%59%63%66%55%
Previous70%62%67%52%55%58%61%65%58%
Change2%-4%-3%3%4%1%2%1%-3%
A15—2. Patient safety is never sacrificed to get more work done.Most Recent73%63%63%64%55%57%72%67%72%
Previous69%59%63%62%53%54%68%68%70%
Change4%4%0%2%2%3%4%-1%2%
A17R—3. We have patient safety problems in this unit.Most Recent68%59%66%59%55%57%69%65%64%
Previous67%55%60%55%55%55%69%65%67%
Change1%4%6%4%0%2%0%0%-3%
A18—4. Our procedures and systems are good at preventing errors from happening.Most Recent79%66%78%69%71%67%76%74%74%
Previous75%62%73%66%67%63%73%70%71%
Change4%4%5%3%4%4%3%4%3%
6. Feedback and Communi-
cation About Error
C1—1. We are given feedback about changes put into place based on event reports.Most Recent65%52%64%55%50%50%51%59%53%
Previous63%49%60%53%49%49%48%54%58%
Change2%3%4%2%1%1%3%5%-5%
C3—2. We are informed about errors that happen in this unit.Most Recent78%59%69%65%67%57%68%65%69%
Previous74%57%65%64%60%57%66%62%69%
Change4%2%4%1%7%0%2%3%0%
C5—3. In this unit, we discuss ways to prevent errors from happening again.Most Recent85%69%80%69%71%66%69%73%73%
Previous81%64%74%65%66%65%67%72%72%
Change4%5%6%4%5%1%2%1%1%
7. Communi-
cation Openness
C2—1. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent84%72%75%71%78%75%76%80%75%
Previous81%72%77%73%76%74%73%80%74%
Change3%0%-2%-2%2%1%3%0%1%
C4—2. Staff feel free to question the decisions or actions of those with more authority.Most Recent69%56%56%40%60%44%45%52%43%
Previous65%53%56%39%57%45%42%50%47%
Change4%3%0%1%3%-1%3%2%-4%
C6R—3. Staff are afraid to ask questions when something does not seem right.Most Recent75%64%62%56%71%61%63%67%61%
Previous70%61%58%55%69%61%61%65%61%
Change5%3%4%1%2%0%2%2%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 Recent59%48%57%63%37%49%52%48%64%
Previous55%46%47%58%32%46%51%48%60%
Change4%2%10%5%5%3%1%0%4%
D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent64%49%52%60%50%60%54%47%62%
Previous59%50%46%56%41%57%54%48%58%
Change5%-1%6%4%9%3%0%-1%4%
D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent79%70%69%73%69%76%74%66%75%
Previous75%65%64%69%67%75%71%68%72%
Change4%5%5%4%2%1%3%-2%3%
9. Teamwork Across UnitsF2R—1. Hospital units do not coordinate well with each other.Most Recent53%46%49%44%42%43%42%50%47%
Previous50%42%51%47%39%42%42%47%45%
Change3%4%-2%-3%3%1%0%3%2%
F4—2. There is good cooperation among hospital units that need to work together.Most Recent66%57%61%60%53%56%56%64%61%
Previous61%55%64%60%53%54%56%58%60%
Change5%2%-3%0%0%2%0%6%1%
F6R—3. It is often unpleasant to work with staff from other hospital units.Most Recent63%61%61%57%57%59%53%65%56%
Previous59%59%65%58%55%57%53%59%56%
Change4%2%-4%-1%2%2%0%6%0%
F10—4. Hospital units work well together to provide the best care for patients.Most Recent75%65%70%71%63%64%66%69%72%
Previous72%65%72%69%57%62%64%64%70%
Change3%0%-2%2%6%2%2%5%2%
10. StaffingA2—1. We have enough staff to handle the workload.Most Recent68%54%60%43%48%53%54%55%49%
Previous67%53%63%42%44%52%53%52%48%
Change1%1%-3%1%4%1%1%3%1%
A5R—2. Staff in this unit work longer hours than is best for patient care.Most Recent60%50%53%45%58%54%54%57%48%
Previous54%49%53%44%57%54%53%55%51%
Change6%1%0%1%1%0%1%2%-3%
A7R—3. We use more agency/ temporary staff than is best for patient care.Most Recent69%61%55%61%69%69%68%71%60%
Previous65%58%59%58%57%67%64%69%59%
Change4%3%-4%3%12%2%4%2%1%
A14R—4. We work in "crisis mode" trying to do too much, too quickly.Most Recent59%51%55%49%47%47%51%56%53%
Previous54%53%54%44%43%47%47%54%51%
Change5%-2%1%5%4%0%4%2%2%
11. Handoffs & TransitionsF3R—1. Things "fall between the cracks" when transferring patients from one unit to another.Most Recent43%43%34%47%25%45%34%36%47%
Previous41%38%37%48%23%42%35%38%45%
Change2%5%-3%-1%2%3%-1%-2%2%
F5R—2. Important patient care information is often lost during shift changes.Most Recent50%47%44%55%30%55%44%44%53%
Previous47%45%47%55%33%53%44%46%50%
Change3%2%-3%0%-3%2%0%-2%3%
F7R—3. Problems often occur in the exchange of information across hospital units.Most Recent46%43%41%43%27%46%38%43%46%
Previous45%38%45%44%26%44%37%41%42%
Change1%5%-4%-1%1%2%1%2%4%
F11R—4. Shift changes are problematic for patients in this hospital.Most Recent49%41%38%51%29%51%40%40%48%
Previous49%37%43%48%30%49%41%38%47%
Change0%4%-5%3%-1%2%-1%2%1%
12. Nonpunitive Response to ErrorA8R—1. Staff feel like their mistakes are held against them.Most Recent68%47%53%44%63%51%50%59%45%
Previous65%49%50%41%58%49%46%58%50%
Change3%-2%3%3%5%2%4%1%-5%
A12R—2. When an event is reported, it feels like the person is being written up, not the problem.Most Recent69%43%50%38%64%47%43%53%37%
Previous65%43%43%34%58%44%41%47%40%
Change4%0%7%4%6%3%2%6%-3%
A16R—3. Staff worry that mistakes they make are kept in their personnel file.Most Recent52%30%37%28%53%35%35%44%33%
Previous47%31%38%26%47%33%33%41%32%
Change5%-1%-1%2%6%2%2%3%1%

Return to Appendix D

Current as of April 2009
Internet Citation: Table D-6: Trending: Item-Level Average Percent Positive Response by Staff Position. April 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tabd-6.html