Table C-6. Trending: Item-Level Average Percent Positive Response by Bed Size

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

Survey Items by CompositeDatabase YearBed Size
6-24 beds25-49 beds50-99 beds100-199 beds200-299 beds300-399 beds400-499 beds500+ beds
# HospitalsBoth Years5287107148112543357
# RespondentsMost Recent5,17513,06630,50860,13477,86739,46239,71183,613
Previous5,24112,12827,52752,31272,06933,57833,79970,210
1. Teamwork Within UnitsA1 People support one another in this unit.Most Recent88%87%86%86%85%86%84%85%
Previous88%87%84%85%85%85%84%84%
Change0%0%2%1%0%1%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 Recent90%88%86%86%86%86%85%84%
Previous89%88%85%85%85%85%85%84%
Change1%0%1%1%1%1%0%0%
A4 In this unit, people treat each other with respect.Most Recent81%79%79%78%78%79%76%76%
Previous81%80%78%77%78%78%76%76%
Change0%-1%1%1%0%1%0%0%
A11 When one area in this unit gets really busy, others help out.Most Recent72%71%70%69%69%70%69%68%
Previous72%71%68%68%68%68%67%68%
Change0%0%2%1%1%2%2%0%
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 Recent75%75%76%74%72%73%71%71%
Previous73%75%73%73%72%72%71%70%
Change2%0%3%1%0%1%0%1%
B2 My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent79%78%79%76%75%76%74%74%
Previous78%79%77%76%75%76%74%74%
Change1%-1%2%0%0%0%0%0%
B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent79%78%77%74%72%72%71%71%
Previous78%78%75%74%71%71%70%71%
Change1%0%2%0%1%1%1%0%
B4R My supv/mgr overlooks patient safety problems that happen over and over.Most Recent79%79%78%76%75%76%74%75%
Previous78%79%77%76%75%74%73%74%
Change1%0%1%0%0%2%1%1%
3. Organizational Learning—Continuous ImprovementA6 We are actively doing things to improve patient safety.Most Recent85%86%85%83%83%84%83%83%
Previous84%85%83%83%83%84%82%82%
Change1%1%2%0%0%0%1%1%
A9 Mistakes have led to positive changes here.Most Recent68%66%64%64%64%65%63%63%
Previous67%65%63%64%63%64%63%63%
Change1%1%1%0%1%1%0%0%
A13 After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent71%73%71%70%69%71%70%68%
Previous71%72%69%70%69%69%68%68%
Change0%1%2%0%0%2%2%0%
4. Management Support for Patient SafetyF1 Hospital mgmt provides a work climate that promotes patient safety.Most Recent86%85%83%80%80%80%79%78%
Previous86%85%81%80%79%79%77%77%
Change0%0%2%0%1%1%2%1%
F8 The actions of hospital mgmt show that patient safety is a top priority.Most Recent79%78%77%75%74%75%74%72%
Previous78%78%74%74%73%73%72%71%
Change1%0%3%1%1%2%2%1%
F9R Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent68%67%63%61%59%60%57%55%
Previous67%66%62%60%59%58%56%54%
Change1%1%1%1%0%2%1%1%
5. Overall Perceptions of Patient SafetyA10R It is just by chance that more serious mistakes don't happen around here.Most Recent70%67%64%62%60%61%60%59%
Previous67%67%62%61%60%59%58%58%
Change3%0%2%1%0%2%2%1%
A15 Patient safety is never sacrificed to get more work done.Most Recent75%71%68%64%62%61%60%59%
Previous74%70%66%63%62%60%59%59%
Change1%1%2%1%0%1%1%0%
A17R We have patient safety problems in this unit.Most Recent72%71%68%64%62%62%59%59%
Previous71%71%65%64%61%60%59%58%
Change1%0%3%0%1%2%0%1%
A18 Our procedures and systems are good at preventing errors from happening.Most Recent75%75%73%72%72%73%71%70%
Previous73%75%72%71%71%71%70%69%
Change2%0%1%1%1%2%1%1%
6. Feedback & Communication About ErrorC1 We are given feedback about changes put into place based on event reports.Most Recent56%57%59%58%56%59%59%57%
Previous57%56%56%58%55%57%57%56%
Change-1%1%3%0%1%2%2%1%
C3 We are informed about errors that happen in this unit.Most Recent69%69%68%66%64%64%65%62%
Previous71%66%66%66%63%62%63%62%
Change-2%3%2%0%1%2%2%0%
C5 In this unit, we discuss ways to prevent errors from happening again.Most Recent75%74%74%72%71%73%71%69%
Previous76%74%71%72%69%71%69%69%
Change-1%0%3%0%2%2%2%0%
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 Recent58%60%59%58%57%58%56%54%
Previous57%58%56%57%55%56%55%53%
Change1%2%3%1%2%2%1%1%
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent61%63%61%60%59%60%58%56%
Previous61%62%58%59%57%58%56%55%
Change0%1%3%1%2%2%2%1%
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent76%77%76%75%74%74%71%70%
Previous77%76%75%74%73%73%70%70%
Change-1%1%1%1%1%1%1%0%
8. Communication OpennessC2 Staff will freely speak up if they see something that may negatively affect patient care.Most Recent78%77%77%75%74%74%74%72%
Previous79%77%75%76%74%74%73%72%
Change-1%0%2%-1%0%0%1%0%
C4 Staff feel free to question the decisions or actions of those with more authority.Most Recent49%48%49%47%46%47%47%46%
Previous50%49%47%48%46%46%46%46%
Change-1-1%2%-1%0%1%1%0%
C6R Staff are afraid to ask questions when something does not seem right.Most Recent66%65%65%63%62%62%61%61%
Previous67%66%64%63%62%61%60%60%
Change-1%-1%1%0%0%1%1%1%
9. Teamwork Across UnitsF2R Hospital units do not coordinate well with each other.Most Recent53%53%49%45%43%44%42%40%
Previous56%52%47%45%42%42%40%38%
Change-3%1%2%0%1%2%2%2%
F4 There is good cooperation among hospital units that need to work together.Most Recent68%65%62%59%58%58%56%54%
Previous69%65%60%58%56%56%54%53%
Change-1%0%2%1%2%2%2%1%
F6R It is often unpleasant to work with staff from other hospital units.Most Recent66%63%61%59%57%60%56%55%
Previous65%62%60%58%57%58%55%53%
Change1%1%1%1%0%2%1%2%
F10 Hospital units work well together to provide the best care for patients.Most Recent76%74%71%68%66%68%65%64%
Previous77%74%68%67%66%65%63%62%
Change-1%0%3%1%0%3%2%2%
10. StaffingA2 We have enough staff to handle the workload.Most Recent66%61%58%55%52%55%53%50%
Previous66%61%55%54%52%55%51%51%
Change0%0%3%1%0%0%2%-1%
A5R Staff in this unit work longer hours than is best for patient care.Most Recent59%56%54%53%50%52%51%51%
Previous57%56%53%53%50%51%50%51%
Change2%0%1%0%0%1%1%0%
A7R We use more agency/temporary staff than is best for patient care.Most Recent71%70%67%68%67%67%67%67%
Previous68%69%64%67%65%68%67%66%
Change3%1%3%1%2%-1%0%1%
A14R We work in "crisis mode" trying to do too much, too quickly.Most Recent61%57%54%49%46%46%45%45%
Previous59%57%50%48%45%45%44%44%
Change2%0%4%1%1%1%1%1%
11. Handoffs & TransitionsF3R Things "fall between the cracks" when transferring patients from one unit to another.Most Recent54%50%46%40%37%37%35%34%
Previous55%51%44%39%36%35%33%33%
Change-1%-1%2%1%1%2%2%1%
F5R Important patient care information is often lost during shift changes.Most Recent58%55%54%50%49%50%47%49%
Previous60%54%51%49%48%48%45%48%
Change-2%1%3%1%1%2%2%1%
F7R Problems often occur in the exchange of information across hospital units.Most Recent54%51%47%42%41%42%39%38%
Previous53%50%45%41%39%39%37%37%
Change1%1%2%1%2%3%2%1%
F11R Shift changes are problematic for patients in this hospital.Most Recent58%52%48%43%42%44%40%40%
Previous56%52%46%43%41%41%38%39%
Change2%0%2%0%1%3%2%1%
12. Nonpunitive Response to ErrorA8R Staff feel like their mistakes are held against them.Most Recent55%54%53%49%48%49%48%45%
Previous57%55%53%49%48%48%47%45%
Change-2%-1%0%0%0%1%1%0%
A12R When an event is reported, it feels like the person is being written up, not the problem.Most Recent51%50%49%46%46%47%45%44%
Previous51%50%47%45%44%45%43%42%
Change0%0%2%1%2%2%2%2%
A16R Staff worry that mistakes they make are kept in their personnel file.Most Recent43%41%39%34%33%33%32%30%
Previous44%40%37%34%32%32%31%30%
Change-1%1%2%0%1%1%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).

Return to Appendix C

Page last reviewed December 2012
Internet Citation: Table C-6. Trending: Item-Level Average Percent Positive Response by Bed Size: 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/hosp12tabc6.html