2011 User Comparative Database Report

Table C-6. Trending: Item-Level Average Percent Positive Response by Bed Size

Survey Items by Composite Database Year Bed Size
6-24 beds 25-49 beds 50-99 beds 100-199 beds 200-299 beds 300-399 beds 400-499 beds 500+ beds
# Hospitals Both Years 45 84 92 105 79 40 27 40
# Respondents Most Recent 3,779 11,806 24,554 40,773 58,537 28,327 25,638 57,292
Previous 4,201 10,783 23,017 36,285 49,714 24,526 22,602 54,025
1. Teamwork Within Units A1 People support one another in this unit. Most Recent 88% 87% 85% 85% 85% 85% 84% 84%
Previous 87% 85% 84% 83% 84% 85% 84% 83%
Change 1% 2% 1% 2% 1% 0% 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 Recent 89% 88% 85% 85% 85% 85% 84% 83%
Previous 89% 87% 84% 84% 84% 84% 84% 83%
Change 0% 1% 1% 1% 1% 1% 0% 0%
A4 In this unit, people treat each other with respect. Most Recent 80% 80% 78% 78% 78% 79% 76% 76%
Previous 82% 79% 78% 76% 77% 78% 76% 75%
Change -2% 1% 0% 2% 1% 1% 0% 1%
A11 When one area in this unit gets really busy, others help out. Most Recent 73% 71% 70% 68% 69% 70% 68% 68%
Previous 72% 70% 68% 67% 67% 68% 66% 66%
Change 1% 1% 2% 1% 2% 2% 2% 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 75% 75% 75% 74% 73% 73% 72% 71%
Previous 71% 73% 72% 72% 72% 72% 72% 69%
Change 4% 2% 3% 2% 1% 1% 0% 2%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 79% 78% 79% 77% 76% 76% 74% 74%
Previous 77% 78% 76% 75% 75% 75% 75% 73%
Change 2% 0% 3% 2% 1% 1% -1% 1%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 80% 78% 77% 74% 72% 72% 71% 71%
Previous 78% 77% 75% 72% 70% 71% 69% 69%
Change 2% 1% 2% 2% 2% 1% 2% 2%
B4R My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 79% 79% 78% 77% 75% 75% 73% 75%
Previous 77% 78% 77% 75% 74% 74% 73% 74%
Change 2% 1% 1% 2% 1% 1% 0% 1%
3. Management Support for Patient Safety F1 Hospital mgmt provides a work climate that promotes patient safety. Most Recent 87% 85% 83% 81% 79% 79% 78% 77%
Previous 85% 84% 80% 79% 78% 78% 76% 76%
Change 2% 1% 3% 2% 1% 1% 2% 1%
F8 The actions of hospital mgmt show that patient safety is a top priority. Most Recent 79% 77% 77% 75% 74% 75% 73% 72%
Previous 76% 76% 74% 72% 72% 73% 70% 69%
Change 3% 1% 3% 3% 2% 2% 3% 3%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 69% 66% 64% 60% 58% 59% 58% 55%
Previous 65% 64% 61% 58% 59% 58% 54% 53%
Change 4% 2% 3% 2% -1% 1% 4% 2%
4. Organizational Learning—Continuous Improvement A6 We are actively doing things to improve patient safety. Most Recent 84% 85% 85% 84% 83% 85% 83% 82%
Previous 83% 84% 83% 82% 81% 83% 82% 81%
Change 1% 1% 2% 2% 2% 2% 1% 1%
A9 Mistakes have led to positive changes here. Most Recent 68% 66% 65% 65% 64% 65% 63% 63%
Previous 65% 64% 62% 62% 62% 63% 61% 62%
Change 3% 2% 3% 3% 2% 2% 2% 1%
A13 After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 71% 72% 71% 70% 70% 72% 69% 68%
Previous 70% 71% 69% 68% 68% 69% 67% 65%
Change 1% 1% 2% 2% 2% 3% 2% 3%
5. Overall Perceptions of Patient Safety A10R It is just by chance that more serious mistakes don't happen around here. Most Recent 69% 66% 65% 61% 60% 60% 59% 58%
Previous 65% 63% 61% 59% 59% 58% 56% 55%
Change 4% 3% 4% 2% 1% 2% 3% 3%
A15 Patient safety is never sacrificed to get more work done. Most Recent 76% 71% 68% 64% 63% 61% 60% 59%
Previous 73% 68% 65% 62% 61% 60% 59% 58%
Change 3% 3% 3% 2% 2% 1% 1% 1%
A17R We have patient safety problems in this unit. Most Recent 74% 71% 68% 64% 62% 60% 59% 58%
Previous 71% 67% 64% 61% 60% 59% 57% 56%
Change 3% 4% 4% 3% 2% 1% 2% 2%
A18 Our procedures and systems are good at preventing errors from happening. Most Recent 75% 74% 74% 72% 72% 72% 71% 69%
Previous 73% 72% 71% 70% 70% 70% 68% 68%
Change 2% 2% 3% 2% 2% 2% 3% 1%
6. Feedback & Communication About Error C1 We are given feedback about changes put into place based on event reports. Most Recent 57% 55% 57% 57% 57% 58% 58% 57%
Previous 53% 53% 55% 55% 54% 57% 57% 54%
Change 4% 2% 2% 2% 3% 1% 1% 3%
C3 We are informed about errors that happen in this unit. Most Recent 70% 68% 68% 66% 65% 65% 65% 63%
Previous 69% 66% 66% 64% 63% 63% 62% 61%
Change 1% 2% 2% 2% 2% 2% 3% 2%
C5 In this unit, we discuss ways to prevent errors from happening again. Most Recent 75% 74% 73% 72% 71% 72% 70% 69%
Previous 73% 72% 71% 70% 69% 71% 68% 66%
Change 2% 2% 2% 2% 2% 1% 2% 3%
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 59% 59% 58% 58% 57% 58% 57% 55%
Previous 57% 55% 56% 55% 55% 57% 54% 52%
Change 2% 4% 2% 3% 2% 1% 3% 3%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 61% 63% 60% 60% 58% 60% 58% 56%
Previous 60% 59% 58% 57% 56% 58% 55% 54%
Change 1% 4% 2% 3% 2% 2% 3% 2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 76% 77% 76% 74% 73% 74% 71% 70%
Previous 77% 76% 74% 72% 72% 73% 69% 69%
Change -1% 1% 2% 2% 1% 1% 2% 1%
8. Communication Openness C2 Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 78% 77% 77% 76% 74% 74% 74% 72%
Previous 78% 76% 75% 75% 74% 74% 73% 73%
Change 0% 1% 2% 1% 0% 0% 1% -1%
C4 Staff feel free to question the decisions or actions of those with more authority. Most Recent 52% 47% 48% 48% 47% 47% 48% 46%
Previous 49% 47% 47% 46% 47% 47% 47% 46%
Change 3% 0% 1% 2% 0% 0% 1% 0%
C6R Staff are afraid to ask questions when something does not seem right. Most Recent 67% 65% 64% 63% 62% 61% 61% 60%
Previous 66% 64% 63% 62% 61% 61% 60% 59%
Change 1% 1% 1% 1% 1% 0% 1% 1%
9. Teamwork Across Units F2R Hospital units do not coordinate well with each other. Most Recent 56% 53% 50% 45% 43% 44% 42% 39%
Previous 56% 50% 47% 43% 41% 42% 39% 37%
Change 0% 3% 3% 2% 2% 2% 3% 2%
F4 There is good cooperation among hospital units that need to work together. Most Recent 71% 65% 63% 59% 57% 58% 55% 53%
Previous 69% 65% 61% 57% 55% 56% 52% 51%
Change 2% 0% 2% 2% 2% 2% 3% 2%
F6R It is often unpleasant to work with staff from other hospital units. Most Recent 66% 63% 61% 59% 57% 60% 55% 54%
Previous 65% 61% 59% 56% 55% 58% 54% 51%
Change 1% 2% 2% 3% 2% 2% 1% 3%
F10 Hospital units work well together to provide the best care for patients. Most Recent 79% 74% 72% 68% 66% 67% 64% 62%
Previous 77% 73% 69% 65% 65% 65% 61% 60%
Change 2% 1% 3% 3% 1% 2% 3% 2%
10. Staffing A2 We have enough staff to handle the workload. Most Recent 64% 61% 57% 55% 52% 53% 52% 51%
Previous 65% 58% 53% 51% 50% 54% 49% 48%
Change -1% 3% 4% 4% 2% -1% 3% 3%
A5R Staff in this unit work longer hours than is best for patient care. Most Recent 59% 56% 54% 52% 50% 51% 50% 52%
Previous 58% 55% 51% 50% 48% 50% 48% 48%
Change 1% 1% 3% 2% 2% 1% 2% 4%
A7R We use more agency/temporary staff than is best for patient care. Most Recent 70% 69% 67% 68% 66% 67% 68% 67%
Previous 68% 65% 64% 64% 62% 65% 63% 63%
Change 2% 4% 3% 4% 4% 2% 5% 4%
A14R We work in "crisis mode" trying to do too much, too quickly. Most Recent 61% 57% 54% 49% 46% 45% 45% 44%
Previous 59% 54% 50% 46% 44% 44% 41% 41%
Change 2% 3% 4% 3% 2% 1% 4% 3%
11. Handoffs & Transitions F3R Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 56% 50% 47% 40% 37% 38% 34% 33%
Previous 55% 50% 45% 38% 36% 36% 32% 31%
Change 1% 0% 2% 2% 1% 2% 2% 2%
F5R Important patient care information is often lost during shift changes. Most Recent 58% 55% 54% 49% 48% 50% 47% 47%
Previous 59% 53% 52% 48% 47% 48% 45% 45%
Change -1% 2% 2% 1% 1% 2% 2% 2%
F7R Problems often occur in the exchange of information across hospital units. Most Recent 56% 50% 48% 42% 40% 41% 39% 36%
Previous 53% 48% 46% 40% 39% 38% 35% 34%
Change 3% 2% 2% 2% 1% 3% 4% 2%
F11R Shift changes are problematic for patients in this hospital. Most Recent 59% 53% 49% 43% 42% 43% 40% 39%
Previous 58% 50% 46% 41% 40% 40% 38% 37%
Change 1% 3% 3% 2% 2% 3% 2% 2%
12. Nonpunitive Response to Error A8R Staff feel like their mistakes are held against them. Most Recent 57% 54% 54% 50% 49% 48% 47% 45%
Previous 56% 54% 52% 49% 48% 47% 46% 44%
Change 1% 0% 2% 1% 1% 1% 1% 1%
A12R When an event is reported, it feels like the person is being written up, not the problem. Most Recent 52% 49% 48% 46% 45% 46% 44% 43%
Previous 49% 47% 46% 44% 44% 43% 42% 41%
Change 3% 2% 2% 2% 1% 3% 2% 2%
A16R Staff worry that mistakes they make are kept in their personnel file. Most Recent 44% 41% 40% 34% 33% 32% 31% 30%
Previous 43% 39% 38% 33% 33% 30% 29% 28%
Change 1% 2% 2% 1% 0% 2% 2% 2%

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-6. Trending: Item-Level Average Percent Positive Response by Bed Size. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11tabc6.html