Table A-2. Item-Level Average Percent Positive Response by Bed Size

2011 User Comparative Database Report

Survey Items by CompositeBed Size
6-24 beds25-49 beds50-99 beds100-199 beds200-299 beds300-399 beds400-499 beds500+ beds
# Hospitals69163185231170826072
# Respondents5,29022,29541,04680,674107,51960,81157,75397,009
1Teamwork Within Units
A1People support one another in this unit.87%87%86%85%85%84%85%84%
A3When a lot of work needs to be done quickly, we work together as a team to get the work done.89%88%86%86%85%84%84%84%
A4In this unit, people treat each other with respect.79%80%79%78%77%77%76%76%
A11When one area in this unit gets really busy, others help out.72%71%70%68%68%67%67%67%
2Supervisor/Manager Expectations & Actions Promoting Patient Safety
B1My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.74%75%74%73%72%72%71%71%
B2My supv/mgr seriously considers staff suggestions for improving patient safety.78%79%78%76%75%75%74%74%
B3RWhenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.79%79%75%73%71%70%70%69%
B4RMy supv/mgr overlooks patient safety problems that happen over and over.78%80%78%76%74%74%73%74%
3Management Support for Patient Safety
F1Hospital mgmt provides a work climate that promotes patient safety.86%86%83%80%79%77%78%77%
F8The actions of hospital mgmt show that patient safety is a top priority.78%79%76%74%73%73%72%72%
F9RHospital mgmt seems interested in patient safety only after an adverse event happens.67%68%64%60%58%57%56%55%
4Org Learning—Continuous Improvement
A6We are actively doing things to improve patient safety.84%86%84%83%82%83%82%82%
A9Mistakes have led to positive changes here.66%67%64%64%63%63%63%63%
A13After we make changes to improve patient safety, we evaluate their effectiveness.69%72%70%69%68%68%67%68%
5Overall Perceptions of Patient Safety
A10RIt is just by chance that more serious mistakes don't happen around here.68%68%64%61%59%58%58%58%
A15Patient safety is never sacrificed to get more work done.74%71%68%63%61%60%59%59%
A17RWe have patient safety problems in this unit.72%71%67%64%61%60%58%58%
A18Our procedures and systems are good at preventing errors from happening.74%75%73%72%71%70%70%69%
6Feedback & Communication About Error
C1We are given feedback about changes put into place based on event reports.56%56%56%56%56%56%55%57%
C3We are informed about errors that happen in this unit.69%68%67%65%63%64%62%62%
C5In this unit, we discuss ways to prevent errors from happening again.74%75%72%71%69%70%68%69%
7Frequency of Events Reported
D1When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?57%58%56%56%55%56%53%54%
D2When a mistake is made, but has no potential to harm the patient, how often is this reported?61%62%59%59%57%58%55%56%
D3When a mistake is made that could harm the patient, but does not, how often is this reported?75%77%75%74%72%72%70%70%
8Communication Openness
C2Staff will freely speak up if they see something that may negatively affect patient care.78%78%77%76%74%73%73%73%
C4Staff feel free to question the decisions or actions of those with more authority.51%49%48%47%46%46%47%46%
C6RStaff are afraid to ask questions when something does not seem right.66%66%64%63%61%60%61%61%
9Teamwork Across Units
F2RHospital units do not coordinate well with each other.54%53%48%44%41%41%39%39%
F4There is good cooperation among hospital units that need to work together.68%66%61%58%56%55%54%54%
F6RIt is often unpleasant to work with staff from other hospital units.66%65%61%58%56%56%55%54%
F10Hospital units work well together to provide the best care for patients.78%75%70%67%64%64%63%63%
10Staffing
A2We have enough staff to handle the workload.63%63%58%55%52%51%52%51%
A5RStaff in this unit work longer hours than is best for patient care.58%57%55%53%51%49%49%51%
A7RWe use more agency/temporary staff than is best for patient care.68%70%68%68%66%65%66%66%
A14RWe work in "crisis mode" trying to do too much, too quickly.58%58%54%49%45%43%44%44%
11Handoffs & Transitions
F3RThings "fall between the cracks" when transferring patients from one unit to another.54%50%45%39%35%35%32%34%
F5RImportant patient care information is often lost during shift changes.56%55%52%49%47%47%46%47%
F7RProblems often occur in the exchange of information across hospital units.54%51%47%42%39%38%36%37%
F11RShift changes are problematic for patients in this hospital.57%53%47%43%40%41%38%39%
12Nonpunitive Response to Error
A8RStaff feel like their mistakes are held against them.56%55%53%49%48%46%46%45%
A12RWhen an event is reported, it feels like the person is being written up, not the problem.51%50%48%45%44%44%43%42%
A16RStaff worry that mistakes they make are kept in their personnel file.43%41%38%34%32%31%31%29%

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 A

Current as of April 2011
Internet Citation: Table A-2. Item-Level Average Percent Positive Response by Bed Size: 2011 User Comparative Database Report. April 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11taba2.html