Table D-6. Item-Level Average Percent Positive Response by Staff Position

2010 User Comparative Database Report

#Staff Position
Admin/ MgmtAttending/ Physician/ Resident/ PA or NPDietitianPat. Care Asst/ Aide/ Care PartnerPharmacistRN/ LVN/ LPNTech (EKG, Lab, Radiol)Therapist (Respir, Phys, Occup, Speech)Unit Asst/ Clerk/ Secretary
No. of Hospitals Both Years234923116883313233179209
No. of Most Recent Respondents7,9374,1243616,5761,30442,81411,9114,8007,223
No. of Previous Respondents7,3294,0533125,6451,20039,6729,8714,6686,486

 

Survey Items by CompositeSurveyStaff Position
Admin/ MgmtAttending/ Physician/ Resident/ PA or NPDietitianPat. Care Asst/ Aide/ Care PartnerPharmacistRN/ LVN/ LPNTech (EKG, Lab, Radiol)Therapist (Respir, Phys, Occup, Speech)Unit Asst/ Clerk/ Secretary
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent95%89%89%78%84%86%82%90%83%
Previous90%89%89%75%80%84%80%87%78%
Change5%0%0%3%4%2%2%3%5%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent94%86%90%76%82%87%84%87%84%
Previous92%85%88%74%76%85%82%86%80%
Change2%1%2%2%6%2%2%1%4%
A4 In this unit, people treat each other with respect.Most Recent89%87%81%71%73%78%74%84%74%
Previous85%85%83%67%73%76%72%82%72%
Change4%2%-2%4%0%2%2%2%2%
A11 When one area in this unit gets really busy, others help out.Most Recent79%69%71%62%65%67%66%75%67%
Previous76%68%75%61%61%66%64%74%65%
Change3%1%-4%1%4%1%2%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 Recent85%67%81%72%68%71%69%76%74%
Previous80%67%80%69%63%68%67%72%71%
Change5%0%1%3%5%3%2%4%3%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent90%75%84%75%75%75%75%81%77%
Previous86%74%81%73%71%73%73%77%73%
Change4%1%3%2%4%2%2%4%4%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent84%65%73%72%73%72%74%73%74%
Previous82%65%73%72%71%71%74%71%74%
Change2%0%0%0%2%1%0%2%0%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent87%74%81%74%76%75%76%78%77%
Previous82%73%78%72%72%74%75%74%75%
Change5%1%3%2%4%1%1%4%2%
3. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent92%76%84%80%68%74%82%81%84%
Previous87%76%87%78%64%71%78%77%80%
Change5%0%-3%2%4%3%4%4%4%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most88%71%78%74%65%67%74%74%78%
Previous82%68%79%72%62%64%71%67%74%
Change6%3%-1%2%3%3%3%7%4%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent77%58%63%56%53%55%58%60%62%
Previous72%54%59%56%50%54%57%55%60%
Change5%4%4%0%3%1%1%5%2%
4. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent90%82%85%83%84%83%81%83%82%
Previous86%79%84%81%79%81%78%79%79%
Change4%3%1%2%5%2%3%4%3%
A9 Mistakes have led to positive changes here.Most Recent82%68%60%58%74%62%63%59%62%
Previous79%64%64%56%68%58%61%58%57%
Change3%4%-4%2%6%4%2%1%5%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent80%63%68%72%54%70%66%69%70%
Previous75%60%64%71%49%67%63%65%68%
Change5%3%4%1%5%3%3%4%2%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent74%65%63%52%54%60%62%68%58%
Previous68%59%61%49%50%57%60%61%54%
Change6%6%2%3%4%3%2%7%4%
A15 Patient safety is never sacrificed to get more work done.Most Recent75%59%64%63%47%57%70%66%69%
Previous70%58%65%60%45%54%67%62%66%
Change5%1%-1%3%2%3%3%4%3%
A17R We have patient safety problems in this unit.Most Recent74%56%65%57%49%57%69%68%66%
Previous67%54%60%55%45%55%65%62%61%
Change7%2%5%2%4%2%4%6%5%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent81%69%67%69%64%68%76%73%72%
Previous76%66%68%67%61%65%73%69%70%
Change5%3%-1%2%3%3%3%4%2%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent70%50%63%58%53%52%53%59%58%
Previous63%50%64%54%46%49%50%55%55%
Change7%0%-1%4%7%3%3%4%3%
C3 We are informed about errors that happen in this unit.Most Recent79%56%66%67%64%58%66%65%68%
Previous74%54%62%63%59%56%65%62%67%
Change5%2%4%4%5%2%1%3%1%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent85%67%70%71%68%68%69%71%72%
Previous80%64%75%67%60%64%66%68%69%
Change5%3%-5%4%8%4%3%3%3%
7. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent85%69%76%72%72%75%75%80%76%
Previous81%70%72%71%69%73%74%78%73%
Change4%-1%4%1%3%2%1%2%3%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent71%53%51%41%53%45%44%52%42%
Previous66%51%53%40%49%44%43%49%43%
Change5%2%-2%1%4%1%1%3%-1%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent75%61%60%56%65%61%61%64%61%
Previous70%59%63%56%64%60%62%65%60%
Change5%2%-3%0%1%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 Recent63%46%52%64%32%52%56%50%63%
Previous56%41%52%58%32%48%52%47%59%
Change7%5%0%6%0%4%4%3%4%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent65%46%53%61%41%60%57%50%62%
Previous60%41%49%56%42%57%52%47%58%
Change5%5%4%5%-1%3%5%3%4%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent81%64%65%71%64%75%75%67%74%
Previous76%60%70%68%66%74%72%65%72%
Change5%4%-5%3%-2%13%2%2%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent56%43%53%44%34%43%42%46%45%
Previous51%42%49%43%33%42%41%46%44%
Change5%1%4%1%1%1%1%0%1%
F4 There is good cooperation among hospital units that need to work together.Most Recent68%57%67%57%47%55%56%61%58%
Previous63%56%66%56%41%54%55%58%56%
Change5%1%1%1%6%1%1%3%2%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent65%62%64%56%53%59%53%64%55%
Previous61%61%68%54%51%57%51%62%56%
Change4%1%-4%2%2%2%2%2%-1%
F10 Hospital units work well together to provide the best care for patients.Most Recent75%66%70%68%55%64%66%68%69%
Previous72%63%72%66%51%62%63%66%66%
Change3%3%-2%2%4%2%3%2%3%
10. StaffingA2 We have enough staff to handle the workload.Most Recent71%58%57%41%41%55%54%56%52%
Previous68%51%60%38%34%50%52%52%47%
Change3%7%-3%3%7%5%2%4%5%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent60%47%47%43%57%55%55%56%48%
Previous55%44%50%41%53%52%52%54%46%
Change5%3%-3%2%4%3%3%2%2%
A7R We use more agency/temporary staff than is best for patient care.Most Recent70%57%56%62%70%72%69%69%62%
Previous66%54%57%60%65%68%64%63%57%
Change4%3%-1%2%5%4%5%6%5%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent58%50%52%44%38%47%48%55%49%
Previous52%45%57%42%33%44%46%49%46%
Change6%5%-5%2%5%3%2%6%3%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent41%36%37%45%16%43%33%32%42%
Previous41%38%34%44%13%42%33%33%42%
Change0%-2%3%1%3%1%0%-1%0%
F5R Important patient care information is often lost during shift changes.Most Recent50%45%40%55%31%53%43%44%50%
Previous47%44%42%54%27%53%44%44%51%
Change3%1%-2%1%4%0%-1%0%-1%
F7R Problems often occur in the exchange of information across hospital units.Most Recent45%40%39%42%26%45%37%40%42%
Previous42%38%41%41%24%43%35%39%43%
Change3%2%-2%1%2%2%2%1%-1%
F11R Shift changes are problematic for patients in this hospital.Most Recent45%36%36%45%26%49%39%39%43%
Previous45%39%35%45%27%48%39%37%44%
Change0%-3%1%0%-1%1%0%2%-1%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent71%47%51%41%58%51%48%56%44%
Previous66%43%50%41%55%50%47%53%45%
Change5%4%1%0%3%1%1%3%-1%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent71%45%42%36%58%48%42%52%39%
Previous66%38%45%34%52%44%41%46%37%
Change5%7%-3%2%6%4%1%6%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent51%28%36%27%42%35%33%40%29%
Previous47%27%34%27%39%32%33%39%29%
Change4%1%2%0%3%3%0%1%0%

Return to Appendix D

Current as of March 2010
Internet Citation: Table D-6. Item-Level Average Percent Positive Response by Staff Position: 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/tabd6.html