Table C-10. Trending: Item-Level Average Percent Positive Response by Teaching Status and Ownership and Control

2011 User Comparative Database Report

Patient Safety Culture CompositesDatabase YearTeachingNonteachingGovernmentNongovernment
# HospitalsBoth Years159353129383
# RespondentsMost Recent130,459120,24752,002198,704
Previous118,069107,08447,314177,839
1. Teamwork Within Units
A1 People support one another in this unit.Most Recent84%86%83%86%
Previous83%85%83%85%
Change1%1%0%1%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent84%87%84%86%
Previous83%86%84%85%
Change1%1%0%1%
A4 In this unit, people treat each other with respect.Most Recent77%79%77%79%
Previous76%78%77%78%
Change1%1%0%1%
A11 When one area in this unit gets really busy, others help out.Most Recent67%70%66%71%
Previous66%69%66%69%
Change1%1%0%2%
2. Supervisor/Manager Expectations & Actions Promoting Patient Safety
B1 My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.Most Recent72%75%72%74%
Previous71%73%71%72%
Change1%2%1%2%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent75%78%76%77%
Previous75%76%75%76%
Change0%2%1%1%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent73%76%76%74%
Previous71%74%75%73%
Change2%2%1%1%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent75%78%77%77%
Previous74%76%76%76%
Change1%2%1%1%
3. Management Support for Patient Safety
F1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent79%83%83%81%
Previous78%81%81%79%
Change1%2%2%2%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent74%76%76%75%
Previous71%74%73%73%
Change3%2%3%2%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent58%63%62%61%
Previous57%63%62%61%
Change1%2%2%2%
4. Organizational Learning—Continuous Improvement
A6 We are actively doing things to improve patient safety.Most Recent83%84%83%84%
Previous81%83%81%83%
Change2%1%2%1%
A9 Mistakes have led to positive changes here.Most Recent63%66%63%65%
Previous61%63%61%63%
Change2%3%2%2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent69%71%69%71%
Previous67%70%68%69%
Change2%1%1%2%
5. Overall Perceptions of Patient Safety
A10R It is just by chance that more serious mistakes don't happen around here.Most Recent59%64%61%63%
Previous58%61%59%60%
Change1%3%2%3%
A15 Patient safety is never sacrificed to get more work done.Most Recent64%67%70%65%
Previous61%65%67%63%
Change3%2%3%2%
A17R We have patient safety problems in this unit.Most Recent61%67%67%65%
Previous59%64%64%62%
Change2%3%3%3%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent70%74%71%73%
Previous69%71%70%71%
Change1%3%1%2%
6. Feedback and Communication About Error
C1 We are given feedback about changes put into place based on event reports.Most Recent55%58%53%58%
Previous53%55%51%56%
Change2%3%2%2%
C3 We are informed about errors that happen in this unit.Most Recent64%68%68%66%
Previous62%66%66%64%
Change2%2%2%2%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent70%73%71%72%
Previous68%71%70%70%
Change2%2%1%2%
7. Frequency of Events Reported
D1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent56%59%57%58%
Previous53%56%54%55%
Change3%3%3%3%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent57%61%59%60%
Previous54%59%57%58%
Change3%2%2%2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent72%76%74%75%
Previous70%74%73%73%
Change2%2%1%2%
8. Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent74%77%74%76%
Previous73%76%74%75%
Change1%1%0%1%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent47%48%47%48%
Previous47%47%47%47%
Change0%1%0%1%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent62%64%63%64%
Previous61%63%63%62%
Change1%1%1%1%
9. Teamwork Across Units
>F2R Hospital units do not coordinate well with each other.Most Recent42%49%48%47%
Previous41%47%46%45%
Change1%2%2%2%
F4 There is good cooperation among hospital units that need to work together.Most Recent57%62%63%60%
Previous55%61%61%58%
Change2%1%2%2%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent57%61%59%60%
Previous55%59%58%58%
Change2%2%1%2%
F10 Hospital units work well together to provide the best care for patients.Most Recent66%71%71%69%
Previous64%69%69%67%
Change2%2%2%2%
10. Staffing
A2 We have enough staff to handle the workload.Most Recent52%58%55%56%
Previous49%56%54%54%
Change3%2%1%2%
A5R Staff in this unit work longer hours than is best for patient care.��Most Recent49%55%50%54%
Previous47%53%49%52%
Change2%2%1%2%
A7R We use more agency/temporary staff than is best for patient care.Most Recent65%69%63%69%
Previous62%65%62%65%
Change3%4%1%4%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent47%53%52%50%
Previous44%50%50%47%
Change3%3%2%3%
11. Handoffs & Transitions
F3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent38%45%48%41%
Previous36%44%47%40%
Change2%1%1%1%
F5R Important patient care information is often lost during shift changes.Most Recent49%52%52%51%
Previous48%51%51%49%
Change1%1%1%2%
F7R Problems often occur in the exchange of information across hospital units.Most Recent40%47%47%44%
Previous39%44%45%42%
Change1%3%2%2%
F11R Shift changes are problematic for patients in this hospital.Most Recent42%48%49%46%
Previous40%46%47%43%
Change2%2%2%3%
12. Nonpunitive Response to Error
A8R Staff feel like their mistakes are held against them.Most Recent48%52%51%51%
Previous47%52%50%50%
Change1%0%1%1%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent45%48%46%47%
Previous43%46%44%45%
Change2%2%2%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent34%37%39%35%
Previous33%36%38%34%
Change1%1%1%1%

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 C

Page last reviewed April 2011
Internet Citation: Table C-10. Trending: Item-Level Average Percent Positive Response by Teaching Status and Ownership and Control: 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/hosp11tabc10.html