2011 User Comparative Database Report

Table 7-8. Types of Patient Safety Actions Taken by the Trending Hospitals Between Previous and Most Recent Survey Administration

Type of Action Taken Trending Hospitals*
Number Percent
Improved fall prevention program 254 56%
Conducted root cause analysis 235 52%
Implemented SBAR (Situation-Background-Assessment-Recommendation) communication 233 51%
Improved compliance with Joint Commission National Patient Safety Goals 226 50%
Held education/patient safety fair for staff 216 47%
Made changes to policies/procedures 210 46%
Implemented patient safety walkarounds 202 44%
Purchased new hospital equipment 189 41%
Conducted chart audits 188 41%
Conducted training 187 41%
Improved error reporting system 184 40%
Implemented initiatives to address Nonpunitive Response to Error/"Just" Culture* 124 40%
Created rapid response teams* 83 27%
Conducted followup interviews/focus groups 109 24%
Implemented patient safety briefings 108 24%
Formed a committee 103 23%
Implemented "Ticket to Ride" communication tool to reduce handoff risk 94 21%
Implemented patient safety bulletin board/suggestion box/hotline 84 18%
Implemented TeamSTEPPS 80 18%
Took other action 78 17%
Participated in the Comprehensive Unit-based Safety Program (CUSP)* 36 12%
Developed action plans but have not implemented them yet 40 9%
Implemented Crew Resource Management* 14 5%

Note: Only 456 of the 512 trending hospitals provided information about patient safety actions they had taken.
* Actions with an asterisk were added to the list in 2010. These percentages were calculated among 308 of the 512 trending hospitals.

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Page last reviewed October 2014
Internet Citation: Table 7-8. Types of Patient Safety Actions Taken by the Trending Hospitals Between Previous and Most Recent Survey Administration. Content last updated October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11tab7-8.html