Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit

2010 User Comparative Database Report

#Work Area/Unit
Anesthes- iologyEmer- gencyICU (any type)LabMedicineObstet- ricsPediat- ricsPharmacyPsych/ Mental HlthRadiol- ogyRehabili- tationSurgery
No. of Hospitals Both Years171881641822261336012571196139203
Most Recent Respondents2805,8717,3905,24811,9864,7212,4782,6001,9696,4173,7789,647
Previous Respondents4345,4687,2294,65810,6154,2082,3132,3691,9645,2093,3699,782

 

Survey Items by CompositeSurveyWork Area/Unit
Anesthes- iologyEmer- gencyICU (any type)LabMedicineObstet- ricsPediat- ricsPhar- macyPsych/ Mental HlthRadiol- ogyRehabili- tationSurgery
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent91%84%88%82%84%87%90%81%79%86%90%83%
Previous84%82%84%82%81%83%87%79%77%82%87%80%
Change7%2%4%0%3%4%3%2%2%4%3%3%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent87%84%90%82%81%89%88%80%84%87%88%85%
Previous82%84%85%84%79%86%87%79%81%84%85%83%
Change5%0%5%-2%2%3%1%1%3%3%3%2%
A4 In this unit, people treat each other with respect.Most Recent76%73%79%74%76%77%81%72%74%77%84%72%
Previous77%71%75%73%73%73%81%72%74%75%82%71%
Change-1%2%4%1%3%4%0%0%0%2%2%1%
A11 When one area in this unit gets really busy, others help out.Most Recent65%66%76%67%62%70%74%67%67%66%74%64%
Previous73%66%72%67%62%65%73%63%65%62%73%62%
Change-8%0%4%0%0%5%1%4%2%4%1%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 Recent65%68%73%68%72%71%70%71%73%72%78%70%
Previous67%68%68%68%68%66%65%65%68%69%75%68%
Change-2%0%5%0%4%5%5%6%5%3%3%2%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent71%72%76%72%75%72%77%75%74%77%83%75%
Previous75%70%72%73%72%71%74%71%72%75%82%72%
Change-4%2%4%-1%3%1%3%4%2%2%1%3%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent71%67%73%77%72%71%74%77%71%75%77%70%
Previous73%69%71%78%71%6%75%73%73%75%79%68%
Change-2%-2%2%-1%1%3%-1%4%-2%0%-2%2%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent79%71%74%76%74%73%76%77%75%79%82%75%
Previous73%72%72%74%73%72%76%74%75%78%81%73%
Change6%-1%2%2%1%1%0%3%0%1%1%2%
3. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent77%70%71%82%73%77%81%75%75%84%83%78%
Previous73%67%67%79%72%73%74%71%73%80%83%75%
Change4%3%4%3%1%4%7%4%2%4%0%3%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent75%63%66%74%68%72%70%72%70%75%76%71%
Previous68%60%60%72%65%65%67%68%67%71%75%68%
Change7%3%6%2%3%7%3%4%3%4%1%3%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent57%49%51%61%54%58%57%58%55%61%65%57%
Previous51%49%50%59%53%52%54%53%53%57%62%56%
Change6%0%1%2%1%6%3%5%2%4%3%1%
4. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent86%78%84%79%84%83%87%86%80%83%87%86%
Previous81%73%80%79%80%79%82%82%80%78%85%83%
Change5%5%4%0%4%4%5%4%0%5%2%3%
A9 Mistakes have led to positive changes here.Most Recent67%56%62%66%60%65%63%74%61%63%61%65%
Previous70%53%56%67%56%60%58%70%58%60%61%63%
Change-3%3%6%-1%4%5%5%4%3%3%0%2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent61%64%71%64%69%70%71%63%67%66%72%71%
Previous65%60%67%64%66%66%64%58%66%64%71%68%
Change-4%4%4%0%3%4%7%5%1%2%1%3%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent58%51%59%61%54%62%63%58%60%69%70%62%
Previous58%49%53%60%51%55%62%52%56%63%67%57%
Change0%2%6%1%3%7%1%6%4%6%3%5%
A15 Patient safety is never sacrificed to get more work done.Most Recent61%53%55%68%54%59%62%59%60%74%73%62%
Previous48%52%50%68%51%53%61%54%62%70%74%59%
Change13%1%5%0%3%6%1%5%-2%4%-1%3%
A17R We have patient safety problems in this unit.Most Recent53%48%57%68%50%65%63%57%49%75%70%64%
Previous54%48%53%64%48%56%60%52%47%67%68%60%
Change-1%0%4%4%2%9%3%5%2%8%2%4%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent76%63%69%76%64%74%72%70%65%76%79%74%
Previous66%58%63%77%63%66%70%66%64%71%76%72%
Change10%5%6%-1%1%8%2%4%1%5%3%2%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent50%51%54%54%52%57%53%55%60%56%61%54%
Previous51%49%50%52%49%50%49%48%54%50%59%50%
Change-1%2%4%2%3%7%4%7%6%6%2%4%
C3 We are informed about errors that happen in this unit.Most Recent58%55%57%66%57%60%60%69%65%68%67%64%
Previous58%55%53%66%55%56%55%64%59%66%66%61%
Change0%0%4%0%2%4%5%5%6%2%1%3%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent70%63%68%69%64%70%70%72%71%71%77%71%
Previous67%60%63%68%61%65%66%67%64%66%75%69%
Change3%3%5%1%3%5%4%5%7%5%2%2%
7. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent76%71%75%74%70%76%79%75%73%78%81%78%
Previous74%71%73%72%68%74%75%73%70%76%80%76%
Change2%0%2%2%2%2%4%2%3%2%1%2%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent52%45%49%44%41%47%50%54%46%47%53%45%
Previous51%45%45%43%39%45%47%49%44%45%52%46%
Change1%0%4%1%2%2%3%5%2%2%1%-1%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent65%59%64%63%56%61%64%67%58%63%68%60%
Previous66%58%61%62%56%60%63%65%57%62%69%59%
Change-1%1%3%1%0%1%1%2%1%1%-1%1%
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 Recent45%47%49%63%52%55%56%45%58%51%57%59%
Previous43%43%45%60%49%48%45%40%55%46%57%54%
Change2%4%4%3%3%7%11%5%3%5%0%5%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent42%52%55%62%57%57%61%51%61%52%58%62%
Previous42%50%50%60%55%53%52%47%57%47%59%57%
Change0%2%5%2%2%4%9%4%4%5%-1%5%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent60%68%70%80%71%74%77%72%73%72%73%76%
Previous57%67%68%79%71%74%73%70%71%69%74%73%
Change3%1%2%1%0%0%4%2%2%3%-1%3%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent32%35%39%41%43%43%39%36%37%44%44%39%
Previous35%35%38%42%44%40%39%36%34%42%46%38%
Change-3%0%1%-1%-1%3%0%0%3%2%-2%1%
F4 There is good cooperation among hospital units that need to work together.Most Recent53%45%54%56%55%57%58%50%49%58%58%53%
Previous49%44%50%56%55%53%52%46%48%55%61%52%
Change4%1%4%0%0%4%6%4%1%3%-3%1%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent56%49%62%53%59%57%55%52%57%55%61%54%
Previous55%47%58%52%59%53%57%50%55%55%64%53%
Change1%2%4%1%0%4%-2%2%2%0%-3%1%
F10 Hospital units work well together to provide the best care for patients.Most Recent65%56%63%66%63%66%64%61%59%67%68%63%
Previous63%53%59%64%63%63%60%58%56%63%70%62%
Change2%3%4%2%0%3%4%3%3%4%-2%1%
10. StaffingA2 We have enough staff to handle the workload.Most Recent61%40%56%50%45%61%62%47%52%64%55%54%
Previous48%40%47%49%44%51%57%38%52%57%53%50%
Change13%0%9%1%1%10%5%9%0%72%4%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent39%47%53%54%50%58%54%55%58%62%59%47%
Previous38%46%49%54%46%50%55%51%54%57%58%45%
Change1%1%4%0%4%8%-1%4%4%5%1%2%
A7R We use more agency/temporary staff than is best for patient care.Most Recent54%62%68%66%65%79%75%67%73%75%69%71%
Previous52%59%60%62%61%71%74%63%70%68%69%67%
Change2%3%8%4%4%8%1%4%3%7%0%4%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent41%35%48%45%41%51%52%43%51%55%59%44%
Previous42%33%43%43%42%44%50%35%48%53%57%44%
Change-1%2%5%2%-1%7%2%8%3%2%2%0%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent30%43%37%27%40%45%40%16%33%38%34%36%
Previous31%43%37%26%41%43%39%16%31%38%38%38%
Change-1%0%0%1%-1%2%1%0%2%0%-4%-2%
F5R Important patient care information is often lost during shift changes.Most Recent41%56%57%42%49%64%61%32%47%45%44%46%
Previous40%55%56%44%52%60%54%30%49%44%46%48%
Change1%1%1%-2%-3%4%7%2%-2%1%-2%-2%
F7R Problems often occur in the exchange of information across hospital units.Most Recent36%44%41%36%41%48%42%25%37%39%37%38%
Previous34%41%40%34%43%43%39%26%35%37%42%38%
Change2%3%1%2%-2%5%3%-1%2%2%-5%0%
F11R Shift changes are problematic for patients in this hospital.Most Recent30%42%55%38%44%58%51%29%40%41%36%37%
Previous34%42%54%37%47%55%49%31%44%40%38%37%
Change-4%0%1%1%-3%3%2%-2%-4%1%-2%0%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent44%42%47%46%46%48%50%59%53%50%62%47%
Previous50%41%46%47%45%46%48%57%52%51%61%47%
Change-6%1%1%-1%1%2%2%2%1%-1%1%0%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent39%38%43%42%43%45%44%54%52%48%59%46%
Previous43%34%40%41%41%39%46%52%50%45%56%44%
Change-4%4%3%1%2%6%-2%2%2%3%3%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent31%26%32%31%31%32%31%45%38%35%48%33%
Previous32%25%29%29%29%28%31%41%35%36%46%33%
Change-1%1%3%2%2%4%0%4%3%-1%2%0%

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 March 2010
Internet Citation: Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit: 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/tabd2.html