2012 User Comparative Database Report

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

Survey Items by Composite Database Year Teaching Nonteaching Government Nongovernment
# Hospitals Both Years 227 423 140 510
# Respondents Most Recent 194,831 154,705 65,752 283,784
Previous 165,377 141,487 60,126 246,738
1. Teamwork Within Units
A1. People support one another in this unit. Most Recent 85% 87% 84% 86%
Previous 85% 86% 83% 86%
Change 0% 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 Recent 85% 87% 84% 87%
Previous 84% 86% 84% 86%
Change 1% 1% 0% 1%
A4. In this unit, people treat each other with respect. Most Recent 77% 79% 77% 79%
Previous 77% 79% 76% 79%
Change 0% 0% 1% 0%
A11. When one area in this unit gets really busy, others help out. Most Recent 68% 71% 67% 71%
Previous 68% 69% 65% 69%
Change 0% 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 Recent 71% 75% 73% 74%
Previous 71% 73% 71% 73%
Change 0% 2% 2% 1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 75% 77% 76% 77%
Previous 75% 77% 75% 77%
Change 0% 0% 1% 0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 72% 76% 75% 74%
Previous 72% 74% 74% 74%
Change 0% 2% 1% 0%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 75% 77% 76% 77%
Previous 75% 77% 75% 77%
Change 0% 0% 1% 0%
3. Organizational Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 83% 85% 83% 84%
Previous 83% 84% 82% 84%
Change 0% 1% 1% 0%
A9. Mistakes have led to positive changes here. Most Recent 63% 65% 64% 65%
Previous 63% 64% 62% 64%
Change 0% 1% 2% 1%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 68% 71% 69% 70%
Previous 68% 70% 68% 70%
Change 0% 1% 1% 0%
4. Management Support for Patient Safety
F1. Hospital mgmt provides a work climate that promotes patient safety. Most Recent 79% 82% 83% 81%
Previous 79% 81% 81% 81%
Change 0% 1% 2% 0%
F8. The actions of hospital mgmt show that patient safety is a top priority. Most Recent 74% 77% 76% 75%
Previous 73% 75% 74% 74%
Change 1% 2% 2% 1%
F9R. Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 58% 63% 62% 61%
Previous 58% 62% 60% 61%
Change 0% 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 Recent 60% 64% 62% 63%
Previous 60% 63% 60% 62%
Change 0% 1% 2% 1%
A15. Patient safety is never sacrificed to get more work done. Most Recent 63% 67% 69% 64%
Previous 62% 66% 67% 64%
Change 1% 1% 2% 0%
A17R. We have patient safety problems in this unit. Most Recent 62% 67% 66% 65%
Previous 61% 65% 65% 64%
Change 1% 2% 1% 1%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 71% 74% 72% 73%
Previous 70% 73% 70% 72%
Change 1% 1% 2% 1%
6. Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 56% 58% 55% 58%
Previous 55% 57% 53% 57%
Change 1% 1% 2% 1%
C3. We are informed about errors that happen in this unit. Most Recent 64% 67% 68% 66%
Previous 62% 66% 67% 64%
Change 2% 1% 1% 2%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 70% 73% 72% 72%
Previous 70% 72% 71% 71%
Change 0% 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 Recent 55% 59% 57% 58%
Previous 54% 57% 55% 56%
Change 1% 2% 2% 2%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 57% 62% 59% 60%
Previous 56% 60% 58% 59%
Change 1% 2% 1% 1%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 72% 76% 74% 75%
Previous 72% 75% 73% 74%
Change 0% 1% 1% 1%
8. Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 74% 76% 74% 76%
Previous 74% 76% 74% 76%
Change 0% 0% 0% 0%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 47% 48% 47% 47%
Previous 47% 47% 47% 47%
Change 0% 1% 0% 0%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 62% 64% 63% 63%
Previous 62% 63% 63% 63%
Change 0% 1% 0% 0%
9. Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 42% 48% 46% 46%
Previous 42% 47% 45% 45%
Change 0% 1% 1% 1%
F4. There is good cooperation among hospital units that need to work together. Most Recent 57% 62% 61% 60%
Previous 56% 61% 60% 59%
Change 1% 1% 1% 1%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 57% 61% 57% 60%
Previous 57% 60% 57% 59%
Change 0% 1% 0% 1%
F10. Hospital units work well together to provide the best care for patients. Most Recent 66% 71% 69% 69%
Previous 65% 69% 68% 68%
Change 1% 2% 1% 1%
10. Staffing
A2. We have enough staff to handle the workload. Most Recent 53% 58% 57% 56%
Previous 52% 57% 54% 56%
Change 1% 1% 3% 0%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 50% 55% 51% 54%
Previous 50% 54% 49% 54%
Change 0% 1% 2% 0%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 66% 69% 65% 69%
Previous 66% 67% 63% 68%
Change 0% 2% 2% 1%
A14R. We work in “crisis mode” trying to do too much, too quickly. Most Recent 47% 52% 52% 50%
Previous 46% 51% 50% 49%
Change 1% 1% 2% 1%
11. Handoffs & Transitions
F3R. Things "fall between the cracks” when transferring patients from one unit to another. Most Recent 38% 44% 45% 41%
Previous 37% 43% 44% 40%
Change 1% 1% 1% 1%
F5R. Important patient care information is often lost during shift changes. Most Recent 50% 52% 51% 51%
Previous 49% 51% 51% 50%
Change 1% 1% 0% 1%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 40% 46% 45% 44%
Previous 40% 45% 44% 43%
Change 0% 1% 1% 1%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 43% 48% 47% 46%
Previous 42% 46% 46% 44%
Change 1% 2% 1% 2%
12. Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 48% 52% 49% 51%
Previous 48% 52% 49% 51%
Change 0% 0% 0% 0%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 45% 48% 45% 48%
Previous 44% 47% 44% 46%
Change 1% 1% 1% 2%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 34% 37% 37% 35%
Previous 33% 36% 37% 35%
Change 1% 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).

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Page last reviewed December 2012
Internet Citation: Table C-10. Trending: Item-Level Average Percent Positive Response by Teaching Status and Ownership and Control. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2012/hosp12tabc10.html