2011 User Comparative Database Report

Table D-6. Trending: Item-Level Average Percent Positive Response by Staff Position

Survey Items by Composite Database Year Staff Position
Admin/ Mgmt Attending Physician/ Resident/ PA or NP Dietitian Pat. Care Asst/ Aide/  Care Partner Pharmacist RN/ LVN/ LPN Tech (EKG, Lab, Radiol) Therapist (Respir, Phys, Occup, Speech) Unit Asst/ Clerk/ Secretary
# Hospitals Both Years 405 178 66 312 172 502 385 326 377
# Respondents Most Recent 18,495 11,987 709 11,896 3,178 83,722 23,345 10,268 14,881
Previous 17,233 13,399 766 11,902 2,464 71,922 19,730 8,698 12,253
1. Teamwork Within Units
A1 People support one another in this unit. Most Recent 94% 89% 84% 80% 85% 87% 82% 90% 83%
Previous 93% 85% 88% 77% 84% 86% 82% 90% 82%
Change 1% 4% -4% 3% 1% 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 94% 85% 86% 78% 83% 87% 84% 88% 84%
Previous 93% 84% 88% 76% 82% 86% 85% 87% 82%
Change 1% 1% -2% 2% 1% 1% -1% 1% 2%
A4 In this unit, people treat each other with respect. Most Recent 89% 87% 78% 72% 78% 79% 73% 83% 75%
Previous 87% 80% 83% 69% 77% 78% 73% 84% 74%
Change 2% 7% -5% 3% 1% 1% 0% -1% 1%
A11 When one area in this unit gets really busy, others help out. Most Recent 79% 69% 74% 64% 68% 69% 67% 75% 68%
Previous 77% 66% 73% 62% 67% 67% 65% 75% 65%
Change 2% 3% 1% 2% 1% 2% 2% 0% 3%
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 86% 70% 78% 73% 70% 72% 69% 76% 75%
Previous 83% 66% 79% 72% 69% 70% 69% 76% 74%
Change 3% 4% -1% 1% 1% 2% 0% 0% 1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 89% 77% 81% 76% 78% 75% 75% 81% 77%
Previous 87% 73% 83% 74% 77% 74% 74% 81% 77%
Change 3% 4% -1% 1% 1% 2% 0% 0% 1%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 84% 69% 70% 74% 75% 73% 76% 76% 76%
Previous 82% 67% 72% 72% 76% 71% 75% 75% 74%
Change 2% 2% -2% 2% -1% 2% 1% 1% 2%
B4R My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 86% 75% 79% 75% 77% 76% 77% 80% 77%
Previous 84% 73% 80% 73% 76% 74% 76% 78% 76%
Change 2% 2% -1% 2% 1% 2% 1% 2% 1%
3. Management Support for Patient Safety
F1 Hospital mgmt provides a work climate that promotes patient safety. Most Recent 92% 78% 85% 82% 74% 76% 83% 84% 85%
Previous 89% 79% 88% 81% 71% 74% 82% 82% 83%
Change 3% -1% -3% 1% 3% 2% 1% 2% 2%
F8 The actions of hospital mgmt show that patient safety is a top priority. Most 89% 73% 82% 77% 72% 70% 77% 77% 79%
Previous 85% 71% 83% 75% 69% 67% 74% 74% 77%
Change 4% 2% -1% 2% 3% 3% 3% 3% 2%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 77% 60% 62% 59% 57% 58% 60% 62% 64%
Previous 74% 56% 64% 58% 53% 55% 59% 60% 61%
Change 3% 4% -2% 1% 4% 3% 1% 2% 3%
4. Organizational Learning—Continuous Improvement
A6 We are actively doing things to improve patient safety. Most Recent 90% 84% 85% 86% 86% 85% 83% 86% 83%
Previous 88% 82% 86% 83% 86% 82% 82% 84% 82%
Change 2% 2% -1% 3% 0% 3% 1% 2% 1%
A9 Mistakes have led to positive changes here. Most Recent 82% 68% 61% 62% 77% 63% 64% 61% 62%
Previous 79% 63% 66% 58% 75% 61% 63% 60% 60%
Change 3% 5% -5% 4% 2% 2% 1% 1% 2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 81% 63% 72% 76% 62% 71% 68% 71% 72%
Previous 77% 62% 70% 72% 59% 69% 66% 70% 68%
Change 4% 1% 2% 4% 3% 2% 2% 1% 4%
5. Overall Perceptions of Patient Safety
A10R It is just by chance that more serious mistakes don't happen around here. Most Recent 74% 64% 63% 54% 59% 62% 65% 70% 60%
Previous 72% 63% 64% 52% 56% 59% 63% 68% 58%
Change 2% 1% -1% 2% 3% 3% 2% 2% 2%
A15 Patient safety is never sacrificed to get more work done. Most Recent 76% 61% 67% 66% 55% 58% 71% 70% 71%
Previous 72% 63% 63% 65% 51% 56% 69% 69% 65%
Change 4% -2% 4% 1% 4% 2% 2% 3% 2%
A17R We have patient safety problems in this unit. Most Recent 75% 61% 65% 61% 55% 59% 71% 72% 68%
Previous 70% 58% 63% 59% 52% 57% 69% 69% 65%
Change 5% 3% 2% 2% 3% 2% 2% 3% 3%
A18 Our procedures and systems are good at preventing errors from happening. Most Recent 80% 71% 70% 73% 70% 70% 77% 76% 73%
Previous 77% 69% 73% 70% 66% 67% 76% 74% 71%
Change 3% 2% -3% 3% 4% 3% 1% 2% 2%
6. Feedback & Communication About Error
C1 We are given feedback about changes put into place based on event reports. Most Recent 72% 52% 58% 61% 55% 54% 55% 60% 61%
Previous 68% 50% 62% 57% 53% 52% 53% 58% 57%
Change 4% 2% -4% 4% 2% 2% 2% 2% 4%
C3 We are informed about errors that happen in this unit. Most Recent 80% 60% 65% 69% 69% 60% 68% 67% 71%
Previous 77% 57% 66% 66% 64% 58% 67% 66% 67%
Change 3% 3% -1% 3% 5% 2% 1% 1% 4%
C5 In this unit, we discuss ways to prevent errors from happening again. Most Recent 85% 69% 70% 73% 72% 69% 71% 74% 74%
Previous 83% 65% 75% 70% 69% 67% 69% 73% 72%
Change 3% 4% -5% 3% 3% 2% 2% 1% 2%
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 66% 47% 51% 66% 39% 54% 58% 54% 66%
Previous 61% 48% 53% 63% 36% 52% 56% 52% 61%
Change 5% -1% -2% 3% 3% 2% 2% 2% 5%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 67% 47% 50% 64% 48% 62% 59% 53% 64%
Previous 64% 47% 53% 60% 43% 59% 56% 50% 60%
Change 2% 1% -6% 2% 5% 2% 1% 1% 2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 81% 67% 66% 73% 71% 76% 75% 69% 76%
Previous 79% 66% 72% 71% 66% 74% 74% 68% 74%
Change 2% 1% -6% 2% 5% 2 1% 1% 2%
8. Communication Openness
C2 Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 85% 72% 76% 72% 75% 75% 75% 81% 76%
Previous 83% 70% 73% 73% 73% 74% 75% 80% 75%
Change 2% 2% 3% -1% 2% 1% 0% 1% 1%
C4 Staff feel free to question the decisions or actions of those with more authority. Most Recent 70% 57% 48% 43% 53% 46% 44% 53% 44%
Previous 67% 50% 52% 41% 55% 45% 44% 53% 44%
Change 3% 7% -4% 2% -2% 1% 0% 0% 0%
C6R Staff are afraid to ask questions when something does not seem right. Most Recent 75% 65% 63% 57% 68% 62% 62% 68% 62%
Previous 73% 61% 66% 56% 68% 61% 62% 68% 62%
Change 2% 4% -3% 1% 0% 1% 0% 0% 0%
9. Teamwork Across Units
F2R Hospital units do not coordinate well with each other. Most Recent 58% 45% 51% 45% 39% 45% 43% 49% 47%
Previous 52% 42% 52% 44% 36% 42% 42% 48% 46%
Change 6% 3% -1% 1% 3% 3% 1% 1% 1%
F4 There is good cooperation among hospital units that need to work together. Most Recent 71% 61% 63% 60% 52% 57% 58% 62% 60%
Previous 65% 57% 67% 58% 49% 55% 57% 62% 59%
Change 6% 4% -4% 2% 3% 2% 1% 0% 1%
F6R It is often unpleasant to work with staff from other hospital units. Most Recent 67% 63% 61% 58% 57% 61% 55% 65% 57%
Previous 64% 59% 66% 56% 56% 57% 52% 63% 56%
Change 3% 4% -5% 2% 1% 4% 3% 2% 1%
F10 Hospital units work well together to provide the best care for patients. Most Recent 78% 68% 73% 70% 61% 66% 67% 71% 70%
Previous 74% 65% 72% 68% 58% 64% 67% 69% 69%
Change 4% 3% 1% 2% 3% 2% 0% 2% 1%
10. Staffing
A2 We have enough staff to handle the workload. Most Recent 69% 52% 50% 44% 47% 56% 55% 57% 53%
Previous 68% 53% 49% 42% 43% 52% 54% 54% 50%
Change 1% -1% 1% 2% 4% 4% 1% 3% 3%
A5R Staff in this unit work longer hours than is best for patient care. Most Recent 59% 47% 50% 44% 57% 56% 57% 58% 49%
Previous 57% 47% 50% 44% 57% 56% 57% 58% 49%
Change 2% 1% 4% 1% 0% 3% 3% 2% 2%
A7R We use more agency/temporary staff than is best for patient care. Most Recent 72% 60% 63% 63% 72% 75% 71% 73% 63%
Previous 70% 56% 58% 60% 71% 69% 67% 69% 61%
Change 2% 4% 5% 3% 1% 6% 4% 4% 2%
A14R We work in "crisis mode" trying to do too much, too quickly. Most Recent 59% 50% 50% 47% 42% 49% 50% 58% 51%
Previous 54% 48% 47% 44% 42% 45% 49% 54% 49%
Change 5% 2% 3% 3% 0% 4% 1% 4% 2%
11. Handoffs & Transitions
F3R Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 45% 40% 36% 46% 19% 44% 36% 37% 44%
Previous 42% 39% 37% 45% 17% 42% 35% 36% 43%
Change 3% 1% -1% 1% 2% 2% 1% 1% 1%
F5R Important patient care information is often lost during shift changes. Most Recent 53% 48% 39% 57% 35% 55% 46% 47% 51%
Previous 51% 47% 41% 55% 32% 53% 45% 45% 50%
Change 2% 1% -2% 2% 3% 2% 1% 2% 1%
F7R Problems often occur in the exchange of information across hospital units. Most Recent 48% 45% 36% 45% 29% 47% 39% 43% 45%
Previous 45% 40% 42% 43% 27% 44% 37% 42% 44%
Change 3% 5% -2% 2% 2% 3% 2% 1% 1%
F11R Shift changes are problematic for patients in this hospital. Most Recent 48% 41% 38% 47% 31% 50% 41% 41% 44%
Previous 46% 40% 37% 45% 30% 47% 39% 39% 41%
Change 2% 1% 1% 2% 1% 3% 2% 2% 3%
12. Nonpunitive Response to Error
A8R Staff feel like their mistakes are held against them. Most Recent 69% 47% 52% 43% 59% 51% 47% 57% 45%
Previous 67% 45% 57% 40% 56% 50% 47% 57% 47%
Change 2% 2% -5% 3% 3% 1% 0% 0% -2%
A12R When an event is reported, it feels like the person is being written up, not the problem. Most Recent 69% 45% 43% 38% 58% 48% 43% 53% 41%
Previous 67% 42% 50% 35% 56% 45% 41% 51% 40%
Change 2% 3% -7% 3% 2% 3% 2% 2% 1%
A16R Staff worry that mistakes they make are kept in their personnel file. Most Recent 51% 33% 37% 28% 42% 36% 33% 43% 31%
Previous 48% 31% 41% 27% 41% 34% 33% 43% 30%
Change 3% 2% -4% 1% 1% 2% 0% 0% 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-6. Trending: Item-Level Average Percent Positive Response by Staff Position. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2011/hosp11tabd6.html