2011 User Comparative Database Report

Table C-14. Trending: Item-Level Average Percent Positive Response by Geographic Region

Survey Items by Composite Database Year Geographic Region
Mid-Atlantic/ New England South Atlantic/ Associated Areas East
North
Central
East
South
Central
West
North
Central
West
South
Central
Mountain Pacific/
Associated Areas
# Hospitals Both Years 37 92 128 40 58 67 47 43
# Respondents Most Recent 22,436 53,237 66,136 14,879 11,119 30,776 26,632 25,491
Previous 19,594 46,406 58,635 14,775 9,175 30,199 23,495 22,874
1. Teamwork Within Units A1 People support one another in this unit. Most Recent 84% 84% 86% 88% 86% 86% 83% 85%
Previous 83% 83% 84% 86% 84% 87% 85% 85%
Change 1% 1% 2% 2% 2% -1% -2% 0%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done. Most Recent 84% 84% 86% 89% 88% 87% 84% 83%
Previous 84% 83% 85% 87% 88% 87% 85% 83%
Change 0% 1% 1% 2% 0% 0% -1% 0%
A4 In this unit, people treat each other with respect. Most Recent 77% 77% 79% 82% 79% 79% 75% 78%
Previous 75% 76% 77% 80% 78% 79% 77% 79%
Change 2% 1% 2% 2% 1% 0% -2% -1%
A11 When one area in this unit gets really busy, others help out. Most Recent 66% 68% 70% 74% 70% 70% 69% 69%
Previous 65% 66% 67% 72% 69% 71% 69% 67%
Change 1% 2% 3% 2% 1% -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 Recent 71% 75% 73% 77% 72% 76% 71% 72%
Previous 72% 73% 70% 77% 67% 76% 72% 71%
Change -1% 2% 3% 0% 5% 0% -1% 1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 74% 78% 76% 80% 78% 78% 74% 76%
Previous 75% 76% 74% 81% 74% 78% 76% 74%
Change -1% 2% 2% -1% 4% 0% -2% 2%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 71% 76% 73% 79% 79% 75% 75% 71%
Previous 71% 73% 70% 78% 75% 76% 75% 70%
Change 0% 3% 3% 1% 4% -1% 0% 1%
B4R My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 74% 79% 75% 83% 80% 77% 73% 72%
Previous 73% 77% 74% 82% 77% 78% 73% 71%
Change 1% 2% 1% 1% 3% -1% 0% 1%
3. Management Support for Patient Safety F1 Hospital mgmt provides a work climate that promotes patient safety. Most Recent 77% 82% 80% 87% 86% 84% 78% 80%
Previous 76% 79% 78% 86% 81% 83% 80% 79%
Change 1% 3% 2% 1% 5% 1% -2% 1%
F8 The actions of hospital mgmt show that patient safety is a top priority. Most Recent 72% 77% 74% 80% 78% 78% 72% 75%
Previous 71% 73% 70% 80% 72% 76% 73% 73%
Change 1% 4% 4% 0% 6% 2% -1% 2%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 57% 62% 60% 68% 67% 63% 59% 58%
Previous 59% 58% 57% 68% 61% 62% 59% 56%
Change -2% 4% 3% 0% 6% 1% 0% 2%
4. Organizational Learning—Continuous Improvement A6 We are actively doing things to improve patient safety. Most Recent 82% 85% 83% 87% 85% 85% 81% 83%
Previous 81% 82% 81% 86% 82% 84% 82% 82%
Change 1% 3% 2% 1% 3% 1% -1% 1%
A9 Mistakes have led to positive changes here. Most Recent 61% 66% 63% 68% 67% 66% 63% 64%
Previous 61% 62% 61% 67% 64% 65% 62% 62%
Change 0% 4% 2% 1% 3% 1% 1% 2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 69% 73% 69% 78% 70% 72% 65% 68%
Previous 68% 70% 66% 76% 69% 71% 67% 66%
Change 1% 3% 3% 2% 1% 1% -2% 2%
5. Overall Perceptions of Patient Safety A10R It is just by chance that more serious mistakes don't happen around here. Most Recent 58% 59% 63% 68% 68% 63% 64% 58%
Previous 58% 57% 59% 66% 65% 62% 63% 57%
Change 0% 2% 4% 2% 3% 1% 1% 1%
A15 Patient safety is never sacrificed to get more work done. Most Recent 62% 65% 64% 72% 70% 69% 65% 66%
Previous 62% 63% 61% 68% 67% 67% 66% 64%
Change 0% 2% 3% 4% 3% 2% -1% 2%
A17R We have patient safety problems in this unit. Most Recent 58% 63% 64% 72% 71% 68% 65% 61%
Previous 58% 60% 61% 68% 66% 66% 65% 60%
Change 0% 3% 3% 4% 5% 2% 0% 1%
A18 Our procedures and systems are good at preventing errors from happening. Most Recent 69% 73% 73% 77% 74% 74% 70% 70%
Previous 69% 70% 69% 75% 72% 73% 71% 67%
Change 0% 3% 4% 2% 2% 1% -1% 3%
6. Feedback & Communication About Error C1 We are given feedback about changes put into place based on event reports. Most Recent 55% 58% 57% 61% 53% 59% 55% 55%
Previous 54% 55% 54% 61% 49% 57% 56% 53%
Change 1% 3% 3% 0% 4% 2% -1% 2%
C3 We are informed about errors that happen in this unit. Most Recent 64% 68% 64% 71% 66% 70% 66% 65%
Previous 65% 65% 62% 72% 62% 68% 65% 63%
Change -1% 3% 2% -1% 4% 2% 1% 2%
C5 In this unit, we discuss ways to prevent errors from happening again. Most Recent 69% 73% 71% 75% 72% 74% 73% 71%
Previous 69% 70% 68% 74% 69% 73% 72% 70%
Change 0% 3% 3% 1% 3% 1% 1% 1%
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 Recent 57% 58% 54% 63% 57% 62% 58% 58%
Previous 57% 55% 51% 62% 52% 59% 57% 55%
Change 0% 3% 3% 1% 5% 3% 1% 3%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 60% 61% 57% 66% 60% 62% 61% 59%
Previous 59% 57% 54% 64% 57% 60% 59% 57%
Change 1% 4% 3% 2% 3% 2% 2% 2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 73% 74% 73% 79% 76% 76% 74% 74%
Previous 73% 72% 71% 79% 75% 74% 73% 72%
Change 0% 2% 2% 0% 1% 2% 1% 2%
8. Communication Openness C2 Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 75% 75% 75% 79% 75% 77% 76% 74%
Previous 75% 74% 74% 79% 74% 76% 76% 74%
Change 0% 1% 1% 0% 1% 1% 0% 0%
C4 Staff feel free to question the decisions or actions of those with more authority. Most Recent 48% 48% 46% 50% 46% 51% 48% 49%
Previous 49% 46% 45% 51% 43% 50% 50% 49%
Change -1% 2% 1% -1% 3% 1% -2% 0%
C6R Staff are afraid to ask questions when something does not seem right. Most Recent 64% 63% 61% 65% 63% 66% 64% 62%
Previous 64% 60% 60% 66% 61% 66% 64% 63%
Change 0% 3% 1% -1% 2% 0% 0% -1%
9. Teamwork Across Units F2R Hospital units do not coordinate well with each other. Most Recent 41% 47% 45% 59% 52% 49% 45% 44%
Previous 41% 43% 42% 55% 49% 49% 46% 41%
Change 0% 4% 3% 4% 3% 0% -1% 3%
F4 There is good cooperation among hospital units that need to work together. Most Recent 55% 61% 58% 70% 65% 62% 59% 59%
Previous 53% 57% 55% 67% 63% 63% 60% 58%
Change 2% 4% 3% 3% 2% -1% -1% 1%
F6R It is often unpleasant to work with staff from other hospital units. Most Recent 56% 60% 58% 65% 64% 60% 60% 58%
Previous 56% 56% 55% 62% 61% 59% 60% 58%
Change 0% 4% 3% 3% 3% 1% 0% 0%
F10 Hospital units work well together to provide the best care for patients. Most Recent 63% 70% 67% 78% 74% 71% 68% 68%
Previous 62% 66% 64% 75% 72% 71% 68% 66%
Change 1% 4% 3% 3% 2% 0% 0% 2%
10. Staffing A2 We have enough staff to handle the workload. Most Recent 49% 52% 56% 60% 66% 58% 53% 53%
Previous 46% 49% 52% 57% 64% 55% 57% 53%
Change 3% 3% 4% 3% 2% 3% -4% 0%
A5R Staff in this unit work longer hours than is best for patient care. Most Recent 48% 52% 53% 60% 60% 54% 52% 46%
Previous 48% 48% 50% 57% 57% 51% 53% 45%
Change 0% 4% 3% 3% 3% 3% -1% 1%
A7R We use more agency/temporary staff than is best for patient care. Most Recent 65% 67% 70% 72% 71% 69% 63% 60%
Previous 62% 63% 65% 67% 70% 63% 62% 57%
Change 3% 4% 5% 5% 1% 6% 1% 3%
A14R We work in "crisis mode" trying to do too much, too quickly. Most Recent 44% 49% 48% 57% 59% 54% 52% 46%
Previous 44% 46% 44% 54% 56% 50% 52% 44%
Change 0% 3% 4% 3% 3% 4% 0% 2%
11. Handoffs & Transitions F3R Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 37% 43% 38% 53% 49% 45% 41% 39%
Previous 36% 40% 36% 52% 48% 45% 43% 38%
Change 1% 3% 2% 1% 1% 0% -2% 1%
F5R Important patient care information is often lost during shift changes. Most Recent 48% 53% 49% 60% 53% 52% 48% 48%
Previous 49% 48% 47% 58% 54% 52% 48% 48%
Change -1% 5% 2% 2% -1% 0% 0% 0%
F7R Problems often occur in the exchange of information across hospital units. Most Recent 40% 45% 42% 55% 48% 47% 43% 41%
Previous 40% 40% 39% 51% 47% 45% 44% 40%
Change 0% 5% 3% 4% 1% 2% -1% 1%
F11R Shift changes are problematic for patients in this hospital. Most Recent 41% 47% 43% 57% 54% 47% 44% 42%
Previous 41% 41% 40% 51% 52% 48% 46% 41%
Change 0% 6% 3% 6% 2% -1% -2% 1%
12. Nonpunitive Response to Error A8R Staff feel like their mistakes are held against them. Most Recent 47% 49% 49% 57% 56% 52% 53% 49%
Previous 48% 48% 47% 56% 55% 51% 54% 47%
Change -1% 1% 2% 1% 1% 1% -1% 2%
A12R When an event is reported, it feels like the person is being written up, not the problem. Most Recent 44% 45% 45% 52% 51% 48% 50% 46%
Previous 45% 43% 43% 50% 47% 46% 48% 43%
Change -1% 2% 2% 2% 4% 2% 2% 3%
A16R Staff worry that mistakes they make are kept in their personnel file. Most Recent 32% 35% 33% 42% 42% 38% 40% 35%
Previous 33% 33% 31% 40% 40% 37% 39% 34%
Change -1% 2% 2% 2% 2% 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 October 2014
Internet Citation: Table C-14. Trending: Item-Level Average Percent Positive Response by Geographic Region. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11tabc14.html