Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit

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

Survey Items by CompositeDatabase
Year
Work Area/Unit
Anes-
thesi-
ology
Emer-
gency
ICU
(any
type)
LabMed-
icine
Obstet-
rics
Pedia-
trics
Phar-
macy
Psych/
Mentl
Hlth
Radi-
ology
Reha-
bili-
tation
Surg-
ery
# HospitalsBoth Years75446392415476315176345180434353455
# RespondentsMost Recent1,64617,62922,37014,20138,02113,42710,5018,2046,81716,2559,75028,433
Previous2,72114,48619,55012,17728,62911,7089,6237,2635,53614,7359,19224,749
1.Teamwork Within Units
A1.People support one another in this unit.Most Recent87%84%89%82%85%87%88%81%84%85%92%84%
Previous87%83%89%82%84%86%88%81%83%85%90%83%
Change0%1%0%0%1%1%0%0%1%0%2%1%
A3.When a lot of work needs to be done quickly, we work together as a team to get the work done.Most Recent87%86%90%83%82%89%88%81%84%87%90%86%
Previous86%86%90%84%80%87%87%81%85%87%89%86%
Change1%0%0%-1%2%2%1%0%-1%0%1%0%
A4.In this unit, people treat each other with respect.Most Recent78%73%80%73%78%77%82%73%78%77%88%74%
Previous79%73%80%74%78%78%80%74%78%77%85%73%
Change-1%0%0%-1%0%-1%2%-1%0%0%3%1%
A11.When one area in this unit gets really busy, others help out.Most Recent69%68%78%65%66%70%74%68%71%66%78%67%
Previous67%68%77%67%63%69%72%65%70%64%75%65%
Change2%0%1%-2%3%1%2%3%1%2%3%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 Recent72%69%71%69%73%70%70%71%77%71%79%70%
Previous72%68%71%70%71%70%71%70%75%70%78%70%
Change0%1%0%-1%2%0%-1%1%2%1%1%0%
B2.My supv/mgr seriously considers staff suggestions for improving patient safety.Most Recent77%71%74%74%75%72%76%76%77%76%85%74%
Previous79%71%75%74%75%72%75%75%77%76%84%75%
Change-2%0%-1%0%0%0%1%1%0%0%1%-1%
B3R.Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.Most Recent76%68%73%79%73%71%75%78%73%76%81%70%
Previous74%67%73%79%72%71%76%76%75%75%79%70%
Change2%1%0%0%1%0%-1%2%-2%1%2%0%
B4R.My supv/mgr overlooks patient safety problems that happen over and over.Most Recent80%72%75%77%75%74%77%77%77%79%84%75%
Previous78%71%74%77%75%75%78%77%77%78%82%76%
Change2%1%1%0%0%-1%-1%0%0%1%2%-1%
3.Org Learning—Continuous Improvement
A6.We are actively doing things to improve patient safety.Most Recent87%80%85%83%85%83%87%87%84%85%90%86%
Previous85%79%85%82%85%84%87%86%83%84%88%86%
Change2%1%0%1%0%-1%0%1%1%1%2%0%
A9.Mistakes have led to positive changes here.Most Recent66%58%62%67%63%64%65%75%64%64%66%65%
Previous67%56%62%67%61%65%64%73%64%63%62%65%
Change-1%2%0%0%2%-1%1%2%0%1%4%0%
A13.After we make changes to improve patient safety, we evaluate their effectiveness.Most Recent70%64%71%67%72%70%72%67%71%69%77%71%
Previous66%63%71%67%71%70%71%65%69%67%74%70%
Change4%1%0%0%1%0%1%2%2%2%3%1%
4.Management Support for Patient Safety
F1.Hospital mgmt provides a work climate that promotes patient safety.Most Recent79%73%73%82%77%78%82%78%78%85%87%80%
Previous76%72%73%83%76%77%81%77%77%83%86%79%
Change3%1%0%-1%1%1%1%1%1%2%1%1%
F8.The actions of hospital mgmt show that patient safety is a top priority.Most Recent71%67%68%78%73%73%75%74%74%78%81%73%
Previous72%65%67%77%71%71%75%75%72%76%79%72%
Change-1%%2%11%2%2%0%-1%2%2%2%1%
F9R.Hospital mgmt seems interested in patient safety only after an adverse event happens.Most Recent55%51%54%63%58%59%60%60%61%63%69%58%
Previous55%50%53%63%57%58%59%58%58%61%66%57%
Change0%1%1%0%1%1%1%2%3%2%3%1%
5.Overall Perceptions of Patient Safety
A10R.It is just by chance that more serious mistakes don't happen around here.Most Recent66%55%61%62%58%63%68%60%61%71%75%63%
Previous62%52%59%64%58%61%64%60%62%68%72%62%
Change4%3%2%-2%0%2%4%0%-1%3%3%1%
A15.Patient safety is never sacrificed to get more work done.Most Recent62%54%56%71%57%58%66%62%64%75%78%62%
Previous62%54%55%70%56%58%67%62%64%73%75%62%
Change0%0%1%1%1%0%-1%0%0%2%3%0%
A17R.We have patient safety problems in this unit.Most Recent61%52%58%69%55%63%67%61%54%76%76%66%
Previous62%50%58%69%54%62%68%61%54%74%74%66%
Change-1%2%0%0%1%1%-1%0%0%2%2%0%
A18.Our procedures and systems are good at preventing errors from happening.Most Recent74%65%70%78%68%72%77%73%70%78%82%75%
Previous73%62%68%77%67%73%76%72%69%76%78%74%
Change1%3%2%1%1%-1%1%1%1%2%4%1%
6.Feedback & Communication About Error
C1.We are given feedback about changes put into place based on event reports.Most Recent56%53%56%54%57%57%57%57%61%56%66%55%
Previous54%51%55%54%55%55%53%54%61%55%63%55%
Change2%2%1%0%2%2%4%3%0%1%3%0%
C3.We are informed about errors that happen in this unit.Most Recent67%58%59%67%62%61%63%71%67%68%72%66%
Previous66%56%57%66%61%61%62%70%67%68%70%65%
Change1%2%2%1%1%0%1%1%0%0%2%1%
C5.In this unit, we discuss ways to prevent errors from happening again.Most Recent74%63%69%70%69%71%74%74%73%72%81%73%
Previous76%63%68%70%68%70%71%72%73%71%78%72%
Change-2%0%1%0%1%1%3%2%0%1%3%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 Recent52%49%52%64%56%55%57%49%61%54%63%60%
Previous52%48%51%63%55%55%57%47%60%52%58%58%
Change0%1%1%1%1%0%0%2%1%2%5%2%
D2.When a mistake is made, but has no potential to harm the patient, how often is this reported?Most Recent51%55%57%64%61%60%61%56%62%56%61%62%
Previous49%54%56%63%59%60%62%52%60%54%58%60%
Change2%1%1%1%2%0%-1%4%2%2%3%2%
D3.When a mistake is made that could harm the patient, but does not, how often is this reported?Most Recent67%70%72%82%75%75%78%75%77%73%77%75%
Previous69%68%72%80%73%76%78%72%73%72%74%74%
Change-2%2%0%2%2%-1%0%3%4%1%3%1%
8.Communication Openness
C2.Staff will freely speak up if they see something that may negatively affect patient care.Most Recent77%70%75%73%72%76%78%74%76%77%85%78%
Previous78%70%76%74%72%75%75%74%76%77%82%77%
Change-1%0%-1%-1%0%1%3%0%0%0%3%1%
C4.Staff feel free to question the decisions or actions of those with more authority.Most Recent55%45%46%43%43%45%49%52%48%45%57%46%
Previous54%45%46%43%43%46%46%52%49%46%54%46%
Change1%0%0%0%0%-1%3%0%-1%-1%3%0%
C6R.Staff are afraid to ask questions when something does not seem right.Most Recent67%59%63%63%61%61%66%67%62%65%74%61%
Previous65%59%64%64%60%61%64%67%64%64%71%61%
Change2%0%-1%-1%1%0%2%0%-2%1%3%0%
9.Teamwork Across Units
F2R.Hospital units do not coordinate well with each other.Most Recent38%37%44%42%45%46%46%42%42%45%49%42%
Previous40%36%42%42%43%42%45%42%40%43%47%40%
Change-2%1%2%0%2%4%1%0%2%2%2%2%
F4.There is good cooperation among hospital units that need to work together.Most Recent56%48%58%57%59%59%61%55%55%60%64%56%
Previous54%46%56%57%57%58%60%54%55%58%61%56%
Change2%2%2%0%2%1%1%1%0%2%3%0%
F6R.It is often unpleasant to work with staff from other hospital units.Most Recent53%51%63%54%62%60%62%57%62%57%66%56%
Previous52%49%63%54%61%57%58%56%60%55%63%56%
Change1%2%0%0%1%3%4%1%2%2%3%0%
F10.Hospital units work well together to provide the best care for patients.Most Recent61%58%66%67%67%68%69%65%64%68%73%66%
Previous64%57%65%67%66%67%69%64%62%66%70%65%
Change-3%1%1%0%1%1%0%1%2%2%3%1%
10.Staffing
A2.We have enough staff to handle the workload.Most Recent58%44%57%52%47%58%59%49%49%63%59%55%
Previous55%42%58%50%46%55%60%47%51%61%57%54%
Change3%2%-1%2%1%3%-1%2%-2%2%2%1%
A5R.Staff in this unit work longer hours than is best for patient care.Most Recent44%50%54%58%50%58%57%56%54%61%60%48%
Previous45%48%55%56%50%55%55%55%56%61%60%48%
Change-1%2%-1%2%0%3%2%1%-2%0%0%0%
A7R.We use more agency/temporary staff than is best for patient care.Most Recent69%67%73%68%69%78%73%68%70%75%73%73%
Previous67%64%71%68%68%75%74%69%71%74%70%72%
Change2%3%2%0%1%3%-1%-1%-1%1%3%1%
A14R.We work in "crisis mode" trying to do too much, too quickly.Most Recent52%39%50%47%45%53%57%45%49%58%64%47%
Previous50%37%49%47%43%48%53%45%52%55%60%46%
Change2%2%1%0%2%5%4%0%-3%3%4%1%
11.Handoffs & Transitions
F3R.Things "fall between the cracks" when transferring patients from one unit to another.Most Recent37%46%41%28%41%49%46%22%37%42%39%40%
Previous37%44%40%29%41%44%43%23%36%40%37%39%
Change0%2%1%-1%0%5%3%-1%1%2%2%1%
F5R.Important patient care information is often lost during shift changes.Most Recent46%59%61%45%51%65%61%38%52%50%47%50%
Previous49%58%61%45%52%61%59%37%52%47%45%48%
Change-3%1%0%0%-1%4%2%1%0%3%2%2%
F7R.Problems often occur in the exchange of information across hospital units.Most Recent37%46%46%37%45%50%47%31%41%44%44%43%
Previous38%44%45%36%43%46%44%31%40%41%42%41%
Change-1%2%1%1%2%4%3%0%1%3%2%2%
F11R.Shift changes are problematic for patients in this hospital.Most Recent34%46%58%40%46%62%54%34%44%44%40%39%
Previous37%45%58%39%43%57%53%34%44%40%38%37%
Change-3%1%0%1%3%5%1%0%0%4%2%2%
12.Nonpunitive Response to Error
A8R.Staff feel like their mistakes are held against them.Most Recent48%44%45%45%47%48%52%55%52%49%65%48%
Previous49%42%46%46%47%48%49%57%52%50%63%49%
Change-1%2%-1%-1%0%0%3%-2%0%-1%2%-1%
A12R.When an event is reported, it feels like the person is being written up, not the problem.Most Recent43%40%43%42%45%45%50%54%51%46%64%47%
Previous44%37%42%43%44%45%46%53%51%45%60%46%
Change-1%3%1%-1%1%0%4%1%0%1%4%1%
A16R.Staff worry that mistakes they make are kept in their personnel file.Most Recent40%29%31%30%33%32%37%42%38%35%54%34%
Previous39%27%31%29%32%33%33%43%39%35%50%33%
Change1%2%0%1%1%-1%4%-1%-1%0%4%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 December 2012
Internet Citation: Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit: 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/hosp12tabd2.html