Table D-10. Trending: Item-Level Average Percent Positive Response by Interaction With Patients

2011 User Comparative Database Report

Survey Items by CompositeDatabase YearInteraction With Patients
WITH
direct interaction
WITHOUT
direct interaction
# HospitalsBoth Years504460
# RespondentsMost Recent179,32257,283
Previous159,48952,201
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent85%86%
Previous84%85%
Change1%1%
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent86%87%
Previous85%86%
Change1%1%
A4 In this unit, people treat each other with respect.Most Recent78%80%
Previous77%79%
Change1%1%
A11 When one area in this unit gets really busy, others help out.Most Recent70%70%
Previous68%69%
Change2%1%
2. Supervisor/ Manager Expectations & Actions Promoting Patient SafetyB1 My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.Most Recent73%76%
Previous71%75%
Change2%1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent77%79%
Previous76%78%
Change1%1%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent75%76%
Previous73%74%
Change2%2%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent77%77%
Previous76%76%
Change1%1%
3. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent81%86%
Previous79%85%
Change2%1%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent74%81%
Previous72%79%
Change2%2%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent60%66%
Previous58%65%
Change2%1%
4. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent85%82%
Previous83%80%
Change2%2%
A9 Mistakes have led to positive changes here.Most Recent64%69%
Previous62%67%
Change2%2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent71%70%
Previous69%67%
Change2%3%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent63%62%
Previous61%59%
Change2%3%
A15 Patient safety is never sacrificed to get more work done.Most Recent66%69%
Previous64%66%
Change2%3%
A17R We have patient safety problems in this unit.Most Recent65%67%
Previous62%64%
Change3%3%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent73%74%
Previous70%72%
Change3%2%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent56%61%
Previous54%58%
Change2%3%
C3 We are informed about errors that happen in this unit.Most Recent65%71%
Previous64%69%
Change1%2%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent72%76%
Previous70%74%
Change2%2%
7. Frequency of Events ReportedD1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?Most Recent57%62%
Previous54%59%
Change3%3%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent60%61%
Previous57%59%
Change3%2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent75%75%
Previous73%73%
Change2%2%
8. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent76%76%
Previous75%76%
Change1%0%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent47%52%
Previous46%51%
Change1%1%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent63%65%
Previous62%65%
Change1%0%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent47%49%
Previous45%47%
Change2%2%
F4 There is good cooperation among hospital units that need to work together.Most Recent60%62%
Previous58%60%
Change2%2%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent61%58%
Previous58%56%
Change3%2%
F10 Hospital units work well together to provide the best care for patients.Most Recent69%72%
Previous67%70%
Change2%2%
10. StaffingA2 We have enough staff to handle the workload.Most Recent56%58%
Previous53%56%
Change3%2%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent55%49%
Previous52%46%
Change3%3%
A7R We use more agency/temporary staff than is best for patient care.Most Recent70%59%
Previous67%56%
Change3%3%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent52%49%
Previous49%46%
Change3%3%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent44%37%
Previous43%36%
Change1%1%
F5R Important patient care information is often lost during shift changes.Most Recent53%44%
Previous52%43%
Change1%1%
F7R Problems often occur in the exchange of information across hospital units.Most Recent46%40%
Previous43%38%
Change3%2%
F11R Shift changes are problematic for patients in this hospital.Most Recent48%41%
Previous46%39%
Change2%2%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent51%53%
Previous50%53%
Change1%0%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent47%49%
Previous45%47%
Change2%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent36%37%
Previous35%36%
Change1%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 D

Page last reviewed April 2011
Internet Citation: Table D-10. Trending: Item-Level Average Percent Positive Response by Interaction With Patients: 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/hosp11tabd10.html