2011 User Comparative Database Report

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

Survey Items by Composite Database Year Work Area/Unit
Anesthes- iology Emer- gency ICU (any type) Lab Med- icine Obstet- rics Pediat- rics Phar- macy Psych/ Mental Hlth Radiol- ogy Rehabili- tation Sur- gery
# Hospitals Both Years 61 348 289 324 374 244 139 254 140 328 264 343
# Respondents Most Recent 1,184 11,928 15,340 10,090 25,902 10,229 8,091 6,082 4,613 11,787 7,575 19,085
Previous 2,565 10,545 13,041 8,994 18,970 8,598 6,976 5,239 3,545 10,797 6,526 16,851
1. Teamwork Within Units A1 People support one another in this unit. Most Recent 88% 84% 89% 81% 85% 86% 88% 81% 82% 85% 91% 83%
Previous 88% 83% 88% 81% 84% 84% 87% 81% 82% 85% 89% 83%
Change 0% 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 Recent 87% 85% 90% 82% 81% 88% 87% 81% 82% 87% 89% 85%
Previous 85% 86% 89% 83% 81% 86% 85% 81% 84% 86% 87% 85%
Change 2% -1% 1% -1% 0% 2% 2% 0% -2% 1% 2% 0%
A4 In this unit, people treat each other with respect. Most Recent 81% 73% 80% 73% 78% 76% 81% 73% 76% 77% 86% 73%
Previous 79% 72% 79% 72% 77% 75% 80% 73% 78% 77% 85% 72%
Change 2% 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 Recent 67% 69% 78% 65% 64% 69% 73% 67% 69% 66% 75% 65%
Previous 68% 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 Safety B1 My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. Most Recent 70% 69% 72% 69% 73% 69% 71% 72% 74% 72% 79% 70%
Previous 70% 68% 71% 69% 71% 69% 68% 69% 74% 70% 78% 71%
Change 0% 1% 1% 0% 2% 0% 3% 3% 0% 2% 1% -1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 74% 72% 75% 73% 76% 71% 77% 77% 77% 77% 84% 75%
Previous 79% 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 Recent 75% 68% 74% 80% 72% 71% 75% 77% 73% 76% 80% 70%
Previous 74% 68% 72% 78% 72% 69% 76% 76% 74% 74% 79% 70%
Change 1% 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 Recent 80% 72% 74% 78% 75% 74% 77% 76% 77% 79% 83% 75%
Previous 75% 71% 74% 77% 74% 74% 77% 77% 78% 77% 83% 75%
Change 5% 1% 0% 1% 1% 0% 0% -1% -1% 2% 0% 0%
3. Mgmt Support for Patient Safety F1 Hospital mgmt provides a work climate that promotes patient safety. Most Recent 79% 73% 75% 83% 77% 78% 82% 77% 78% 85% 86% 78%
Previous 78% 70% 71% 82% 75% 77% 80% 77% 77% 83% 85% 78%
Change 1% 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 Recent 71% 67% 69% 78% 72% 72% 75% 74% 72% 78% 80% 72%
Previous 72% 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 Recent 56% 51% 55% 64% 58% 58% 60% 58% 59% 62% 67% 57%
Previous 56% 49% 52% 62% 56% 56% 58% 58% 57% 61% 66% 58%
Change 0% 2% 3% 2% 2% 2% 2% 0% 2% 1% 1% -1%
4. Org Learning—Continuous Improvement A6 We are actively doing things to improve patient safety. Most Recent 88% 80% 87% 83% 85% 82% 87% 87% 82% 85% 89% 86%
Previous 85% 77% 84% 80% 83% 83% 85% 86% 83% 83% 88% 87%
Change 3% 3% 3% 3% 2% -1% 2% 1% -1% 2% 1% -1%
A9 Mistakes have led to positive changes here. Most Recent 65% 58% 64% 67% 63% 64% 64% 75% 61% 64% 64% 65%
Previous 66% 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 Recent 66% 65% 73% 68% 72% 70% 71% 66% 69% 69% 75% 71%
Previous 64% 62% 69% 66% 70% 69% 69% 65% 69% 67% 74% 70%
Change 2% 3% 4% 2% 2% 1% 2% 1% 0% 2% 1% 1%
5. Overall Perceptions of Patient Safety A10R It is just by chance that more serious mistakes don't happen around here. Most Recent 64% 53% 62% 63% 57% 61% 66% 60% 61% 70% 73% 62%
Previous 58% 52% 57% 61% 56% 58% 63% 60% 61% 68% 71% 62%
Change 6% 1% 5% 2% 1% 3% 3% 0% 0% 2% 2% 0%
A15 Patient safety is never sacrificed to get more work done. Most Recent 63% 55% 58% 71% 57% 58% 65% 62% 63% 75% 76% 62%
Previous 62% 54% 54% 69% 55% 57% 64% 61% 64% 72% 76% 62%
Change 1% 1% 4% 2% 2% 1% 1% 1% -1% 3% 0% 0%
A17R We have patient safety problems in this unit. Most Recent 61% 52% 60% 70% 54% 63% 66% 59% 52% 76% 75% 65%
Previous 61% 49% 56% 68% 53% 60% 65% 60% 53% 72% 73% 64%
Change 0% 3% 4% 2% 1% 3% 1% -1% -1% 4% 2% 1%
A18 Our procedures and systems are good at preventing errors from happening. Most Recent 74% 64% 70% 77% 68% 72% 75% 72% 69% 77% 81% 75%
Previous 72% 61% 67% 76% 65% 71% 75% 71% 69% 76% 78% 74%
Change 2% 3% 3% 1% 3% 1% 0% 1% 0% 1% 3% 1%
6. Feedback & Communication About Error C1 We are given feedback about changes put into place based on event reports. Most Recent 54% 53% 56% 55% 55% 56% 56% 56% 60% 56% 64% 55%
Previous 52% 50% 53% 53% 53% 53% 51% 54% 60% 54% 61% 54%
Change 2% 3% 3% 2% 2% 3% 5% 2% 0% 2% 3% 1%
C3 We are informed about errors that happen in this unit. Most Recent 68% 58% 59% 67% 61% 61% 62% 72% 66% 69% 71% 65%
Previous 65% 57% 57% 66% 60% 60% 62% 70% 66% 67% 69% 64%
Change 3% 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 Recent 73% 63% 70% 71% 69% 69% 73% 73% 72% 72% 79% 72%
Previous 73% 62% 67% 69% 65% 69% 71% 72% 73% 70% 78% 72%
Change 0% 1% 3% 2% 4% 0% 2% 1% -1% 2% 1% 0%
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 51% 49% 53% 64% 55% 54% 56% 50% 61% 54% 62% 60%
Previous 48% 47% 50% 61% 53% 56% 56% 48% 58% 51% 58% 57%
Change 3% 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 Recent 47% 54% 58% 64% 60% 59% 60% 56% 62% 55% 60% 62%
Previous 47% 53% 55% 60% 58% 59% 61% 51% 58% 52% 57% 60%
Change 0% 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 Recent 66% 69% 72% 82% 74% 74% 77% 75% 75% 74% 76% 76%
Previous 66% 69% 71% 79% 72% 76% 78% 72% 74% 72% 73% 74%
Change 0% 0% 1% 3% 2% -2% -1% 3% 1% 2% 3% 2%
8. Communication Openness C2 Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 78% 71% 76% 74% 72% 75% 79% 74% 74% 77% 84% 77%
Previous 78% 71% 75% 73% 71% 74% 76% 75% 76% 76% 82% 78%
Change 0% 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 Recent 56% 45% 49% 44% 44% 46% 50% 52% 47% 46% 56% 46%
Previous 52% 45% 46% 44% 43% 46% 46% 52% 50% 46% 55% 47%
Change 4% 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 Recent 71% 60% 64% 64% 60% 60% 66% 67% 62% 64% 72% 61%
Previous 65% 59% 63% 62% 60% 61% 63% 68% 63% 64% 70% 61%
Change 6% 1% 1% 2% 0% -1% 3% -1% -1% 0% 2% 0%
9. Teamwork Across Units F2R Hospital units do not coordinate well with each other. Most Recent 36% 37% 44% 43% 45% 45% 45% 41% 41% 45% 48% 41%
Previous 39% 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 Recent 53% 49% 58% 56% 59% 59% 60% 53% 55% 60% 62% 55%
Previous 56% 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 Recent 52% 50% 63% 54% 61% 59% 59% 55% 60% 57% 64% 55%
Previous 54% 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 Recent 62% 58% 67% 67% 67% 68% 68% 64% 62% 68% 72% 64%
Previous 64% 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. Staffing A2 We have enough staff to handle the workload. Most Recent 58% 42% 60% 51% 48% 58% 56% 49% 47% 62% 59% 54%
Previous 51% 40% 54% 49% 44% 51% 55% 45% 54% 60% 57% 53%
Change 7% 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 Recent 42% 48% 55% 57% 51% 57% 54% 53% 53% 61% 60% 47%
Previous 39% 47% 52% 54% 48% 50% 52% 53% 55% 59% 58% 46%
Change 3% 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 Recent 66% 66% 74% 68% 69% 77% 73% 68% 71% 74% 73% 73%
Previous 61% 62% 66% 65% 64% 73% 70% 68% 70% 72% 70% 69%
Change 5% 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 Recent 52% 38% 51% 47% 44% 51% 54% 44% 48% 57% 62% 46%
Previous 49% 36% 48% 45% 43% 45% 49% 44% 53% 54% 60% 45%
Change 3% 2% 3% 2% 1% 6% 5% 0% -5% 3% 2% 1%
11. Handoffs & Transitions F3R Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 38% 47% 42% 29% 41% 49% 46% 22% 37% 43% 39% 38%
Previous 40% 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 Recent 45% 59% 62% 45% 52% 65% 61% 37% 51% 49% 46% 48%
Previous 47% 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 Recent 38% 46% 46% 37% 44% 49% 47% 30% 40% 43% 43% 41%
Previous 36% 43% 42% 36% 44% 44% 43% 30% 37% 40% 41% 40%
Change 2% 3% 4% 1% 0% 5% 4% 0% 3% 3% 2% 1%
F11R Shift changes are problematic for patients in this hospital. Most Recent 33% 46% 59% 41% 45% 60% 52% 34% 43% 44% 38% 38%
Previous 39% 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 Error A8R Staff feel like their mistakes are held against them. Most Recent 49% 43% 46% 46% 48% 47% 53% 57% 51% 50% 64% 48%
Previous 47% 42% 45% 46% 48% 49% 47% 57% 54% 50% 64% 48%
Change 2% 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 Recent 43% 39% 43% 43% 45% 44% 48% 55% 51% 47% 61% 46%
Previous 43% 36% 41% 41% 43% 44% 43% 52% 51% 46% 59% 45%
Change 0% 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 Recent 42% 28% 32% 30% 32% 32% 37% 44% 38% 37% 51% 34%
Previous 39% 27% 30% 30% 33% 33% 31% 44% 39% 36% 49% 33%
Change 3% 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

Page last reviewed October 2014
Internet Citation: Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11tabd2.html