Table C-10. Trending: Item-Level Average Percent Positive Response by Teaching Status and Ownership and Control

Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report

Survey Items by CompositeDatabase YearTeachingNonteachingGovernmentNongovernment
# HospitalsBoth Years227423140510
# RespondentsMost Recent194,831154,70565,752283,784
Previous165,377141,48760,126246,738
1. Teamwork Within Units
A1. People support one another in this unit.Most Recent85%87%84%86%
Previous85%86%83%86%
Change0%1%1%0%
A3. When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent85%87%84%87%
Previous84%86%84%86%
Change1%1%0%1%
A4. In this unit, people treat each other with respect.Most Recent77%79%77%79%
Previous77%79%76%79%
Change0%0%1%0%
A11. When one area in this unit gets really busy, others help out.Most Recent68%71%67%71%
Previous68%69%65%69%
Change0%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 Recent71%75%73%74%
Previous71%73%71%73%
Change0%2%2%1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent75%77%76%77%
Previous75%77%75%77%
Change0%0%1%0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent72%76%75%74%
Previous72%74%74%74%
Change0%2%1%0%
B4R. My supv/mgr overlooks patient safety problems that happen over and over.Most Recent75%77%76%77%
Previous75%77%75%77%
Change0%0%1%0%
3. Organizational Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety.Most Recent83%85%83%84%
Previous83%84%82%84%
Change0%1%1%0%
A9. Mistakes have led to positive changes here.Most Recent63%65%64%65%
Previous63%64%62%64%
Change0%1%2%1%
A13. After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent68%71%69%70%
Previous68%70%68%70%
Change0%1%1%0%
4. Management Support for Patient Safety
F1. Hospital mgmt provides a work climate that promotes patient safety.Most Recent79%82%83%81%
Previous79%81%81%81%
Change0%1%2%0%
F8. The actions of hospital mgmt show that patient safety is a top priority.Most Recent74%77%76%75%
Previous73%75%74%74%
Change1%2%2%1%
F9R. Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent58%63%62%61%
Previous58%62%60%61%
Change0%1%2%0%
5. Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here.Most Recent60%64%62%63%
Previous60%63%60%62%
Change0%1%2%1%
A15. Patient safety is never sacrificed to get more work done.Most Recent63%67%69%64%
Previous62%66%67%64%
Change1%1%2%0%
A17R. We have patient safety problems in this unit.Most Recent62%67%66%65%
Previous61%65%65%64%
Change1%2%1%1%
A18. Our procedures and systems are good at preventing errors from happening.Most Recent71%74%72%73%
Previous70%73%70%72%
Change1%1%2%1%
6. Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports.Most Recent56%58%55%58%
Previous55%57%53%57%
Change1%1%2%1%
C3. We are informed about errors that happen in this unit.Most Recent64%67%68%66%
Previous62%66%67%64%
Change2%1%1%2%
C5. In this unit, we discuss ways to prevent errors from happening again.Most Recent70%73%72%72%
Previous70%72%71%71%
Change0%1%1%1%
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 Recent55%59%57%58%
Previous54%57%55%56%
Change1%2%2%2%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent57%62%59%60%
Previous56%60%58%59%
Change1%2%1%1%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent72%76%74%75%
Previous72%75%73%74%
Change0%1%1%1%
8. Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care.Most Recent74%76%74%76%
Previous74%76%74%76%
Change0%0%0%0%
C4. Staff feel free to question the decisions or actions of those with more authority.Most Recent47%48%47%47%
Previous47%47%47%47%
Change0%1%0%0%
C6R. Staff are afraid to ask questions when something does not seem right.Most Recent62%64%63%63%
Previous62%63%63%63%
Change0%1%0%0%
9. Teamwork Across Units
F2R. Hospital units do not coordinate well with each other.Most Recent42%48%46%46%
Previous42%47%45%45%
Change0%1%1%1%
F4. There is good cooperation among hospital units that need to work together.Most Recent57%62%61%60%
Previous56%61%60%59%
Change1%1%1%1%
F6R. It is often unpleasant to work with staff from other hospital units.Most Recent57%61%57%60%
Previous57%60%57%59%
Change0%1%0%1%
F10. Hospital units work well together to provide the best care for patients.Most Recent66%71%69%69%
Previous65%69%68%68%
Change1%2%1%1%
10. Staffing
A2. We have enough staff to handle the workload.Most Recent53%58%57%56%
Previous52%57%54%56%
Change1%1%3%0%
A5R. Staff in this unit work longer hours than is best for patient care.Most Recent50%55%51%54%
Previous50%54%49%54%
Change0%1%2%0%
A7R. We use more agency/temporary staff than is best for patient care.Most Recent66%69%65%69%
Previous66%67%63%68%
Change0%2%2%1%
A14R. We work in “crisis mode” trying to do too much, too quickly.Most Recent47%52%52%50%
Previous46%51%50%49%
Change1%1%2%1%
11. Handoffs & Transitions
F3R. Things "fall between the cracks” when transferring patients from one unit to another.Most Recent38%44%45%41%
Previous37%43%44%40%
Change1%1%1%1%
F5R. Important patient care information is often lost during shift changes.Most Recent50%52%51%51%
Previous49%51%51%50%
Change1%1%0%1%
F7R. Problems often occur in the exchange of information across hospital units.Most Recent40%46%45%44%
Previous40%45%44%43%
Change0%1%1%1%
F11R. Shift changes are problematic for patients in this hospital.Most Recent43%48%47%46%
Previous42%46%46%44%
Change1%2%1%2%
12. Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them.Most Recent48%52%49%51%
Previous48%52%49%51%
Change0%0%0%0%
A12R. When an event is reported, it feels like the person is being written up, not the problem.Most Recent45%48%45%48%
Previous44%47%44%46%
Change1%1%1%2%
A16R. Staff worry that mistakes they make are kept in their personnel file.Most Recent34%37%37%35%
Previous33%36%37%35%
Change1%1%0%0%

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 December 2012
Internet Citation: Table C-10. Trending: Item-Level Average Percent Positive Response by Teaching Status and Ownership and Control: Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2012/hosp12tabc10.html