Table C-14. Trending: Item-Level Average Percent Positive Response by Geographic Region

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

Survey Items by CompositeDatabase YearGeographic Region
Mid- Atlantic/ New EnglandSouth Atlantic/ Associated AreasEast
North
Central
East
South
Central
West
North
Central
West
South
Central
MountainPacific/ Associated Areas
# HospitalsBoth Years511121675370885257
# RespondentsMost Recent43,44271,39886,93919,66820,07339,07931,24737,690
Previous33,19763,78277,12820,03318,21236,69825,23532,579
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent84%85%86%87%87%87%84%86%
Previous85%84%86%86%85%86%85%86%
Change-1%1%0%1%2%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%85%87%88%88%87%85%84%
Previous85%84%86%88%87%86%86%84%
Change0%1%1%0%1%1%-1%0%
A4 In this unit, people treat each other with respect.Most Recent76%78%78%81%79%80%77%79%
Previous76%77%78%79%77%79%78%79%
Change0%1%0%2%2%1%-1%0%
A11 When one area in this unit gets really busy, others help out.Most Recent67%69%70%73%70%71%70%69%
Previous66%68%68%72%68%69%70%68%
Change1%1%2%1%2%2%0%1%
2. Supervisor/ 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%75%73%77%71%77%72%73%
Previous72%74%71%75%69%76%74%71%
Change-2%1%2%2%2%1%-2%2%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent73%77%76%79%77%79%75%75%
Previous75%77%75%78%75%78%77%75%
Change-2%0%1%1%2%1%-2%0%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent71%75%73%77%78%76%75%72%
Previous72%74%72%76%75%75%75%71%
Change-1%1%1%1%3%1%0%1%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent74%78%76%81%78%77%74%73%
Previous75%78%75%82%77%78%74%72%
Change-1%0%1%-1%1%-1%0%1%
3. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent82%85%84%86%85%84%81%82%
Previous82%84%82%85%84%85%83%82%
Change0%1%2%1%1%-1%-2%0%
A9 Mistakes have led to positive changes here.Most Recent62%66%63%67%67%65%63%64%
Previous62%65%62%67%65%65%64%62%
Change0%1%1%0%2%0%-1%2%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent68%73%69%76%70%71%66%67%
Previous68%71%68%75%69%72%67%66%
Change0%2%1%1%1%-1%-1%1%
4. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent77%82%80%85%85%83%79%79%
Previous78%80%79%84%82%84%82%79%
Change-1%2%1%1%3%-1%-3%0%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent72%77%74%79%79%77%72%74%
Previous72%75%72%77%75%77%74%73%
Change0%2%2%2%4%0%-2%1%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent57%62%60%65%66%63%59%58%
Previous58%61%59%65%63%62%60%56%
Change-1%1%1%0%3%1%-1%2%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent59%60%63%66%68%64%64%59%
Previous59%60%61%65%66%63%64%57%
Change0%0%2%1%2%1%0%2%
A15 Patient safety is never sacrificed to get more work done.Most Recent63%64%63%69%67%69%65%64%
Previous62%64%62%68%66%67%66%64%
Change1%0%1%1%1%2%-1%0%
A17R We have patient safety problems in this unit.Most Recent60%64%65%69%69%68%65%62%
Previous59%63%63%69%68%66%66%60%
Change1%1%2%0%1%2%-1%2%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent70%73%73%75%75%75%70%69%
Previous70%72%71%75%72%73%71%69%
Change0%1%2%0%3%2%-1%0%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent54%59%57%62%55%60%54%56%
Previous54%60%55%60%51%60%57%54%
Change0%-1%2%2%4%0%-3%2%
C3 We are informed about errors that happen in this unit.Most Recent64%67%64%72%65%69%64%64%
Previous64%67%62%69%63%69%65%63%
Change0%0%2%3%2%0%-1%1%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent69%72%71%74%73%74%73%71%
Previous70%73%69%73%70%74%73%70%
Change-1%-1%2%1%3%0%0%1%
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 Recent56%60%54%63%55%62%58%58%
Previous55%58%53%61%52%61%57%56%
Change1%2%1%2%3%1%1%2%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent59%61%57%65%58%63%60%59%
Previous58%59%56%63%58%62%60%57%
Change1%2%1%2%0%1%0%2%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent74%74%73%79%75%76%73%74%
Previous73%74%72%78%75%75%73%73%
Change1%0%1%1%0%1%0%1%
8. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent75%74%75%77%76%77%77%74%
Previous75%76%74%77%74%77%76%74%
Change0%-2%1%0%2%0%1%0%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent48%47%45%49%46%51%48%48%
Previous48%47%45%48%45%51%49%48%
Change0%0%0%1%1%0%-1%0%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent63%62%62%65%63%66%64%61%
Previous64%63%61%64%63%66%63%62%
Change-1%-1%1%1%0%0%1%-1%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent40%47%45%53%48%49%45%42%
Previous40%45%44%54%45%50%46%41%
Change0%2%1%-1%3%-1%-1%1%
F4 There is good cooperation among hospital units that need to work together.Most Recent55%61%58%66%62%63%59%59%
Previous54%59%57%66%60%62%61%57%
Change1%2%1%0%2%1%-2%2%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent56%61%59%63%62%60%60%58%
Previous57%58%57%61%60%60%61%57%
Change-1%3%2%2%2%0%-1%1%
F10 Hospital units work well together to provide the best care for patients.Most Recent64%70%67%74%72%72%68%67%
Previous63%67%66%74%69%71%69%66%
Change1%3%1%0%3%1%-1%1%
10. StaffingA2 We have enough staff to handle the workload.Most Recent49%53%56%58%65%59%55%53%
Previous50%51%55%57%64%57%57%54%
Change-1%2%1%1%1%2%-2%-1%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent50%51%53%59%58%54%53%47%
Previous49%52%53%58%58%52%53%46%
Change1%-1%0%1%0%2%0%1%
A7R We use more agency/temporary staff than is best for patient care.Most Recent66%67%71%73%70%67%65%61%
Previous65%67%69%71%71%65%63%58%
Change1%0%2%2%-1%2%2%3%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent45%49%48%55%56%54%52%46%
Previous45%48%47%54%54%52%52%45%
Change0%1%1%1%2%2%0%1%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent36%43%39%50%44%45%42%38%
Previous36%41%38%49%44%45%42%36%
Change0%2%1%1%0%0%0%2%
F5R Important patient care information is often lost during shift changes.Most Recent50%53%50%58%52%53%49%48%
Previous49%51%49%56%52%52%49%46%
Change1%2%1%2%0%1%0%2%
F7R Problems often occur in the exchange of information across hospital units.Most Recent40%45%43%51%45%47%43%40%
Previous39%42%41%50%44%47%44%38%
Change1%3%2%1%1%0%-1%2%
F11R Shift changes are problematic for patients in this hospital.Most Recent42%46%44%52%51%48%44%41%
Previous41%44%42%51%49%47%45%40%
Change1%2%2%1%2%1%-1%1%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent47%48%49%55%54%53%53%48%
Previous48%49%48%54%54%52%54%47%
Change-1%-1%1%1%0%1%-1%1%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent45%45%46%51%50%49%50%45%
Previous45%45%44%49%49%48%49%43%
Change0%0%2%2%1%1%1%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent32%34%33%39%40%38%40%33%
Previous32%33%32%39%40%38%39%33%
Change0%1%1%0%0%0%1%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).

Note: States and territories are categorized into AHA-defined regions as follows: Mid-Atlantic: NJ, NY, PA; New England: CT, MA, ME, NH, RI, VT; South Atlantic/Associated Territories: DC, DE, FL, GA, MD, NC, SC, VA, WV, Puerto Rico (PR), Virgin Islands (VI); East North Central: IL, IN, MI, OH, WI; East South Central: AL, KY, MS, TN; West North Central: IA, KS, MN, MO, ND, NE, SD; West South Central: AR, LA, OK, TX; Mountain: AZ, CO, ID, MT, NM, NV, UT, WY; Pacific/Associated Territories: AK, CA, HI, OR, WA, American Samoa, Guam, Marshall Islands, Northern Mariana Islands.

Return to Appendix C

Page last reviewed December 2012
Internet Citation: Table C-14. Trending: Item-Level Average Percent Positive Response by Geographic Region: 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/hosp12tabc14.html