Table B-10. Item-Level Average Percent Positive Response by Interaction With Patients

2010 User Comparative Database Report

Survey Items by CompositeInteraction With Patients
WITH direct interactionWITHOUT direct interaction
874 Hospitals806 Hospitals
243,444 Respondents77,228 Respondents
1. Teamwork Within UnitsA1 People support one another in this unit.86%87%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done.86%87%
A4 In this unit, people treat each other with respect.78%80%
A11 When one area in this unit gets really busy, others help out.69%70%
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.72%76%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.77%79%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.74%76%
B4R My supv/mgr overlooks patient safety problems that happen over and over.77%77%
3. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.80%86%
F8 The actions of hospital mgmt show that patient safety is a top priority.72%80%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.59%66%
4. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.84%81%
A9 Mistakes have led to positive changes here.63%69%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.69%67%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.62%61%
A15 Patient safety is never sacrificed to get more work done.64%67%
A17R We have patient safety problems in this unit.63%65%
A18 Our procedures and systems are good at preventing errors from happening.71%73%
6. Feedback and Communication About ErrorC1 We are given feedback about changes put into place based on event reports.55%58%
C3 We are informed about errors that happen in this unit.64%69%
C5 In this unit, we discuss ways to prevent errors from happening again.70%75%
7. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.76%76%
C4 Staff feel free to question the decisions or actions of those with more authority.47%52%
C6R Staff are afraid to ask questions when something does not seem right.63%65%
8. Frequency of Events ReportedD1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?53%58%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?57%59%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?74%74%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.45%47%
F4 There is good cooperation among hospital units that need to work together.58%61%
F6R It is often unpleasant to work with staff from other hospital units.59%57%
F10 Hospital units work well together to provide the best care for patients.67%71%
10. StaffingA2 We have enough staff to handle the workload.55%58%
A5R Staff in this unit work longer hours than is best for patient care.54%49%
A7R We use more agency/temporary staff than is best for patient care.69%58%
A14R We work in "crisis mode" trying to do too much, too quickly.50%48%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.42%35%
F5R Important patient care information is often lost during shift changes.51%42%
F7R Problems often occur in the exchange of information across hospital units.44%38%
F11R Shift changes are problematic for patients in this hospital.46%39%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.50%54%
A12R When an event is reported, it feels like the person is being written up, not the problem.46%48%
A16R Staff worry that mistakes they make are kept in their personnel file.35%37%

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 B

Current as of March 2010
Internet Citation: Table B-10. Item-Level Average Percent Positive Response by Interaction With Patients: 2010 User Comparative Database Report. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2010/tabb10.html