Table D-10. Trending: Item-Level Average Percent Positive Response by Interaction With Patients

2010 User Comparative Database Report

Interaction With Patients
WITH direct interactionWITHOUT direct interaction
317 Hospitals Both Years276 Hospitals Both Years
90,036 Most Recent Respondents27,834 Most Recent Respondents
81,819 Previous Respondents24,445 Previous Respondents

 

Survey Items by CompositeSurveyInteraction With Patients
WITH direct interactionWITHOUT direct interaction
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent85%86%
Previous83%83%
Change2%3%
A3 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%85%
Change2%2%
A4 In this unit, people treat each other with respect.Most Recent78%80%
Previous76%77%
Change2%3%
A11 When one area in this unit gets really busy, others help out.Most Recent69%70%
Previous68%68%
Change1%2%
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 Recent73%76%
Previous70%73%
Change3%3%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent77%79%
Previous75%76%
Change2%3%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent75%75%
Previous73%74%
Change2%1%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent77%77%
Previous75%75%
Change2%2%
3. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent80%86%
Previous77%82%
Change3%4%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent73%80%
Previous69%76%
Change4%4%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent60%66%
Previous57%63%
Change3%3%
4. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent84%82%
Previous81%78%
Change3%4%
A9 Mistakes have led to positive changes here.Most Recent63%69%
Previous61%66%
Change2%3%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent70%69%
Previous68%66%
Change2%3%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent62%60%
Previous59%57%
Change3%3%
A15 Patient safety is never sacrificed to get more work done.Most Recent65%67%
Previous62%64%
Change3%3%
A17R We have patient safety problems in this unit.Most Recent64%65%
Previous60%61%
Change4%4%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent72%73%
Previous69%70%
Change3%3%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent55%59%
Previous52%55%
Change3%4%
C3 We are informed about errors that happen in this unit.Most Recent64%70%
Previous62%68%
Change2%2%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent70%75%
Previous68%72%
Change2%3%
7. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent76%75%
Previous74%74%
Change2%1%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent47%52%
Previous45%49%
Change2%3%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent62%64%
Previous61%62%
Change1%2%
8. Frequency of Events ReportedD1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent55%60%
Previous52%55%
Change3%5%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent59%60%
Previous56%55%
Change3%5%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent74%74%
Previous72%71%
Change2%3%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent46%48%
Previous44%46%
Change2%2%
F4 There is good cooperation among hospital units that need to work together.Most Recent59%61%
Previous57%58%
Change2%3%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent59%56%
Previous58%55%
Change1%1%
F10 Hospital units work well together to provide the best care for patients.Most Recent68%71%
Previous65%68%
Change3%3%
10. StaffingA2 We have enough staff to handle the workload.Most Recent55%59%
Previous52%54%
Change3%5%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent54%49%
Previous51%45%
Change3%4%
A7R We use more agency/temporary staff than is best for patient care.Most Recent69%57%
Previous65%54%
Change4%3%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent51%48%
Previous48%44%
Change3%4%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent43%34%
Previous43%34%
Change0%0%
F5R Important patient care information is often lost during shift changes.Most Recent51%42%
Previous51%42%
Change0%0%
F7R Problems often occur in the exchange of information across hospital units.Most Recent45%38%
Previous43%37%
Change2%1%
F11R Shift changes are problematic for patients in this hospital.Most Recent47%38%
Previous46%39%
Change1%-1%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent51%54%
Previous50%52%
Change1%2%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent47%48%
Previous44%46%
Change3%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent36%37%
Previous34%35%
Change2%2%

Return to Appendix D

Current as of March 2010
Internet Citation: Table D-10. Trending: 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/tabd10.html