Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit

2011 User Comparative Database Report

Survey Items by CompositeDatabase YearWork Area/Unit
Anesthes- iologyEmer- gencyICU (any type)LabMed- icineObstet- ricsPediat- ricsPhar- macyPsych/ Mental HlthRadiol- ogyRehabili- tationSur- gery
# HospitalsBoth Years61348289324374244139254140328264343
# RespondentsMost Recent1,18411,92815,34010,09025,90210,2298,0916,0824,61311,7877,57519,085
Previous2,56510,54513,0418,99418,9708,5986,9765,2393,54510,7976,52616,851
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent88%84%89%81%85%86%88%81%82%85%91%83%
Previous88%83%88%81%84%84%87%81%82%85%89%83%
Change0%1%1%0%1%2%1%0%0%0%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 Recent87%85%90%82%81%88%87%81%82%87%89%85%
Previous85%86%89%83%81%86%85%81%84%86%87%85%
Change2%-1%1%-1%0%2%2%0%-2%1%2%0%
A4 In this unit, people treat each other with respect.Most Recent81%73%80%73%78%76%81%73%76%77%86%73%
Previous79%72%79%72%77%75%80%73%78%77%85%72%
Change2%1%1%1%1%1%1%0%-2%0%1%1%
A11 When one area in this unit gets really busy, others help out.Most Recent67%69%78%65%64%69%73%67%69%66%75%65%
Previous68%66%76%66%64%66%69%65%69%65%74%64%
Change-1%3%2%-1%0%3%4%2%0%1%1%1%
2. Suprvr/ 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 Recent70%69%72%69%73%69%71%72%74%72%79%70%
Previous70%68%71%69%71%69%68%69%74%70%78%71%
Change0%1%1%0%2%0%3%3%0%2%1%-1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent74%72%75%73%76%71%77%77%77%77%84%75%
Previous79%71%75%74%75%73%75%75%77%76%84%75%
Change-5%1%0%-1%1%-2%2%2%0%1%0%0%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent75%68%74%80%72%71%75%77%73%76%80%70%
Previous74%68%72%78%72%69%76%76%74%74%79%70%
Change1%0%2%2%0%2%-1%1%-1%2%1%0%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent80%72%74%78%75%74%77%76%77%79%83%75%
Previous75%71%74%77%74%74%77%77%78%77%83%75%
Change5%1%0%1%1%0%0%-1%-1%2%0%0%
3. Mgmt Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent79%73%75%83%77%78%82%77%78%85%86%78%
Previous78%70%71%82%75%77%80%77%77%83%85%78%
Change1%3%4%1%2%1%2%0%1%2%1%0%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent71%67%69%78%72%72%75%74%72%78%80%72%
Previous72%63%65%76%69%70%73%73%71%75%78%72%
Change-1%4%4%2%3%2%2%1%1%3%2%0%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent56%51%55%64%58%58%60%58%59%62%67%57%
Previous56%49%52%62%56%56%58%58%57%61%66%58%
Change0%2%3%2%2%2%2%0%2%1%1%-1%
4. Org Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent88%80%87%83%85%82%87%87%82%85%89%86%
Previous85%77%84%80%83%83%85%86%83%83%88%87%
Change3%3%3%3%2%-1%2%1%-1%2%1%-1%
A9 Mistakes have led to positive changes here.Most Recent65%58%64%67%63%64%64%75%61%64%64%65%
Previous66%56%60%65%60%64%64%72%63%62%62%64%
Change-1%2%4%2%3%0%0%3%-2%2%2%1%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent66%65%73%68%72%70%71%66%69%69%75%71%
Previous64%62%69%66%70%69%69%65%69%67%74%70%
Change2%3%4%2%2%1%2%1%0%2%1%1%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent64%53%62%63%57%61%66%60%61%70%73%62%
Previous58%52%57%61%56%58%63%60%61%68%71%62%
Change6%1%5%2%1%3%3%0%0%2%2%0%
A15 Patient safety is never sacrificed to get more work done.Most Recent63%55%58%71%57%58%65%62%63%75%76%62%
Previous62%54%54%69%55%57%64%61%64%72%76%62%
Change1%1%4%2%2%1%1%1%-1%3%0%0%
A17R We have patient safety problems in this unit.Most Recent61%52%60%70%54%63%66%59%52%76%75%65%
Previous61%49%56%68%53%60%65%60%53%72%73%64%
Change0%3%4%2%1%3%1%-1%-1%4%2%1%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent74%64%70%77%68%72%75%72%69%77%81%75%
Previous72%61%67%76%65%71%75%71%69%76%78%74%
Change2%3%3%1%3%1%0%1%0%1%3%1%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent54%53%56%55%55%56%56%56%60%56%64%55%
Previous52%50%53%53%53%53%51%54%60%54%61%54%
Change2%3%3%2%2%3%5%2%0%2%3%1%
C3 We are informed about errors that happen in this unit.Most Recent68%58%59%67%61%61%62%72%66%69%71%65%
Previous65%57%57%66%60%60%62%70%66%67%69%64%
Change3%1%2%1%1%1%0%2%0%2%2%1%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent73%63%70%71%69%69%73%73%72%72%79%72%
Previous73%62%67%69%65%69%71%72%73%70%78%72%
Change0%1%3%2%4%0%2%1%-1%2%1%0%
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 Recent51%49%53%64%55%54%56%50%61%54%62%60%
Previous48%47%50%61%53%56%56%48%58%51%58%57%
Change3%2%3%3%2%-2%0%2%3%3%4%3%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent47%54%58%64%60%59%60%56%62%55%60%62%
Previous47%53%55%60%58%59%61%51%58%52%57%60%
Change0%1%3%4%2%0%-1%5%4%3%3%2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent66%69%72%82%74%74%77%75%75%74%76%76%
Previous66%69%71%79%72%76%78%72%74%72%73%74%
Change0%0%1%3%2%-2%-1%3%1%2%3%2%
8. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent78%71%76%74%72%75%79%74%74%77%84%77%
Previous78%71%75%73%71%74%76%75%76%76%82%78%
Change0%0%1%1%1%1%3%-1%-2%1%2%-1%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent56%45%49%44%44%46%50%52%47%46%56%46%
Previous52%45%46%44%43%46%46%52%50%46%55%47%
Change4%0%3%0%1%0%4%0%-3%0%1%-1%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent71%60%64%64%60%60%66%67%62%64%72%61%
Previous65%59%63%62%60%61%63%68%63%64%70%61%
Change6%1%1%2%0%-1%3%-1%-1%0%2%0%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent36%37%44%43%45%45%45%41%41%45%48%41%
Previous39%35%40%42%43%41%42%40%38%44%47%40%
Change-3%2%4%1%2%4%3%1%3%1%1%1%
F4 There is good cooperation among hospital units that need to work together.Most Recent53%49%58%56%59%59%60%53%55%60%62%55%
Previous56%45%54%58%57%56%58%53%53%58%61%55%
Change-3%4%4%-2%2%3%2%0%2%2%1%0%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent52%50%63%54%61%59%59%55%60%57%64%55%
Previous54%48%61%54%61%55%57%54%59%55%62%55%
Change-2%2%2%0%0%4%2%1%1%2%2%0%
F10 Hospital units work well together to provide the best care for patients.Most Recent62%58%67%67%67%68%68%64%62%68%72%64%
Previous64%56%63%66%66%65%65%62%61%67%70%64%
Change-2%2%4%1%1%3%3%2%1%1%2%0%
10. StaffingA2 We have enough staff to handle the workload.Most Recent58%42%60%51%48%58%56%49%47%62%59%54%
Previous51%40%54%49%44%51%55%45%54%60%57%53%
Change7%2%6%2%4%7%1%4%-7%2%2%1%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent42%48%55%57%51%57%54%53%53%61%60%47%
Previous39%47%52%54%48%50%52%53%55%59%58%46%
Change3%1%3%3%3%7%2%0%-2%2%2%1%
A7R We use more agency/temporary staff than is best for patient care.Most Recent66%66%74%68%69%77%73%68%71%74%73%73%
Previous61%62%66%65%64%73%70%68%70%72%70%69%
Change5%4%8%3%5%4%3%0%1%2%3%4%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent52%38%51%47%44%51%54%44%48%57%62%46%
Previous49%36%48%45%43%45%49%44%53%54%60%45%
Change3%2%3%2%1%6%5%0%-5%3%2%1%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent38%47%42%29%41%49%46%22%37%43%39%38%
Previous40%44%38%29%42%43%40%22%33%41%37%39%
Change-2%3%4%0%-1%6%6%0%4%2%2%-1%
F5R Important patient care information is often lost during shift changes.Most Recent45%59%62%45%52%65%61%37%51%49%46%48%
Previous47%58%59%45%51%59%56%37%51%47%45%48%
Change-2%1%3%0%1%6%5%0%0%2%1%0%
F7R Problems often occur in the exchange of information across hospital units.Most Recent38%46%46%37%44%49%47%30%40%43%43%41%
Previous36%43%42%36%44%44%43%30%37%40%41%40%
Change2%3%4%1%0%5%4%0%3%3%2%1%
F11R Shift changes are problematic for patients in this hospital.Most Recent33%46%59%41%45%60%52%34%43%44%38%38%
Previous39%44%56%38%44%55%50%33%43%40%36%37%
Change-6%2%3%3%1%5%2%1%0%4%2%1%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent49%43%46%46%48%47%53%57%51%50%64%48%
Previous47%42%45%46%48%49%47%57%54%50%64%48%
Change2%1%1%0%0%-2%6%0%-3%0%0%0%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent43%39%43%43%45%44%48%55%51%47%61%46%
Previous43%36%41%41%43%44%43%52%51%46%59%45%
Change0%3%2%2%2%0%5%3%0%1%2%1%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent42%28%32%30%32%32%37%44%38%37%51%34%
Previous39%27%30%30%33%33%31%44%39%36%49%33%
Change3%1%2%0%-1%-1%6%0%-1%1%2%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

Current as of April 2011
Internet Citation: Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit: 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/hosp11tabd2.html