2012 User Comparative Database Report

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

Survey Items by Composite Database
Year
Work Area/Unit
Anes-
thesi-
ology
Emer-
gency
ICU
(any
type)
Lab Med-
icine
Obstet-
rics
Pedia-
trics
Phar-
macy
Psych/
Mentl
Hlth
Radi-
ology
Reha-
bili-
tation
Surg-
ery
# Hospitals Both Years 75 446 392 415 476 315 176 345 180 434 353 455
# Respondents Most Recent 1,646 17,629 22,370 14,201 38,021 13,427 10,501 8,204 6,817 16,255 9,750 28,433
Previous 2,721 14,486 19,550 12,177 28,629 11,708 9,623 7,263 5,536 14,735 9,192 24,749
1. Teamwork Within Units
A1. People support one another in this unit. Most Recent 87% 84% 89% 82% 85% 87% 88% 81% 84% 85% 92% 84%
Previous 87% 83% 89% 82% 84% 86% 88% 81% 83% 85% 90% 83%
Change 0% 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 Recent 87% 86% 90% 83% 82% 89% 88% 81% 84% 87% 90% 86%
Previous 86% 86% 90% 84% 80% 87% 87% 81% 85% 87% 89% 86%
Change 1% 0% 0% -1% 2% 2% 1% 0% -1% 0% 1% 0%
A4. In this unit, people treat each other with respect. Most Recent 78% 73% 80% 73% 78% 77% 82% 73% 78% 77% 88% 74%
Previous 79% 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 Recent 69% 68% 78% 65% 66% 70% 74% 68% 71% 66% 78% 67%
Previous 67% 68% 77% 67% 63% 69% 72% 65% 70% 64% 75% 65%
Change 2% 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 Recent 72% 69% 71% 69% 73% 70% 70% 71% 77% 71% 79% 70%
Previous 72% 68% 71% 70% 71% 70% 71% 70% 75% 70% 78% 70%
Change 0% 1% 0% -1% 2% 0% -1% 1% 2% 1% 1% 0%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 77% 71% 74% 74% 75% 72% 76% 76% 77% 76% 85% 74%
Previous 79% 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 Recent 76% 68% 73% 79% 73% 71% 75% 78% 73% 76% 81% 70%
Previous 74% 67% 73% 79% 72% 71% 76% 76% 75% 75% 79% 70%
Change 2% 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 Recent 80% 72% 75% 77% 75% 74% 77% 77% 77% 79% 84% 75%
Previous 78% 71% 74% 77% 75% 75% 78% 77% 77% 78% 82% 76%
Change 2% 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 Recent 87% 80% 85% 83% 85% 83% 87% 87% 84% 85% 90% 86%
Previous 85% 79% 85% 82% 85% 84% 87% 86% 83% 84% 88% 86%
Change 2% 1% 0% 1% 0% -1% 0% 1% 1% 1% 2% 0%
A9. Mistakes have led to positive changes here. Most Recent 66% 58% 62% 67% 63% 64% 65% 75% 64% 64% 66% 65%
Previous 67% 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 Recent 70% 64% 71% 67% 72% 70% 72% 67% 71% 69% 77% 71%
Previous 66% 63% 71% 67% 71% 70% 71% 65% 69% 67% 74% 70%
Change 4% 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 Recent 79% 73% 73% 82% 77% 78% 82% 78% 78% 85% 87% 80%
Previous 76% 72% 73% 83% 76% 77% 81% 77% 77% 83% 86% 79%
Change 3% 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 Recent 71% 67% 68% 78% 73% 73% 75% 74% 74% 78% 81% 73%
Previous 72% 65% 67% 77% 71% 71% 75% 75% 72% 76% 79% 72%
Change -1% %2 %1 1% 2% 2% 0% -1% 2% 2% 2% 1%
F9R. Hospital mgmt seems interested in patient safety only after an adverse event happens. Most Recent 55% 51% 54% 63% 58% 59% 60% 60% 61% 63% 69% 58%
Previous 55% 50% 53% 63% 57% 58% 59% 58% 58% 61% 66% 57%
Change 0% 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 Recent 66% 55% 61% 62% 58% 63% 68% 60% 61% 71% 75% 63%
Previous 62% 52% 59% 64% 58% 61% 64% 60% 62% 68% 72% 62%
Change 4% 3% 2% -2% 0% 2% 4% 0% -1% 3% 3% 1%
A15. Patient safety is never sacrificed to get more work done. Most Recent 62% 54% 56% 71% 57% 58% 66% 62% 64% 75% 78% 62%
Previous 62% 54% 55% 70% 56% 58% 67% 62% 64% 73% 75% 62%
Change 0% 0% 1% 1% 1% 0% -1% 0% 0% 2% 3% 0%
A17R. We have patient safety problems in this unit. Most Recent 61% 52% 58% 69% 55% 63% 67% 61% 54% 76% 76% 66%
Previous 62% 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 Recent 74% 65% 70% 78% 68% 72% 77% 73% 70% 78% 82% 75%
Previous 73% 62% 68% 77% 67% 73% 76% 72% 69% 76% 78% 74%
Change 1% 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 Recent 56% 53% 56% 54% 57% 57% 57% 57% 61% 56% 66% 55%
Previous 54% 51% 55% 54% 55% 55% 53% 54% 61% 55% 63% 55%
Change 2% 2% 1% 0% 2% 2% 4% 3% 0% 1% 3% 0%
C3. We are informed about errors that happen in this unit. Most Recent 67% 58% 59% 67% 62% 61% 63% 71% 67% 68% 72% 66%
Previous 66% 56% 57% 66% 61% 61% 62% 70% 67% 68% 70% 65%
Change 1% 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 Recent 74% 63% 69% 70% 69% 71% 74% 74% 73% 72% 81% 73%
Previous 76% 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 Recent 52% 49% 52% 64% 56% 55% 57% 49% 61% 54% 63% 60%
Previous 52% 48% 51% 63% 55% 55% 57% 47% 60% 52% 58% 58%
Change 0% 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 Recent 51% 55% 57% 64% 61% 60% 61% 56% 62% 56% 61% 62%
Previous 49% 54% 56% 63% 59% 60% 62% 52% 60% 54% 58% 60%
Change 2% 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 Recent 67% 70% 72% 82% 75% 75% 78% 75% 77% 73% 77% 75%
Previous 69% 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 Recent 77% 70% 75% 73% 72% 76% 78% 74% 76% 77% 85% 78%
Previous 78% 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 Recent 55% 45% 46% 43% 43% 45% 49% 52% 48% 45% 57% 46%
Previous 54% 45% 46% 43% 43% 46% 46% 52% 49% 46% 54% 46%
Change 1% 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 Recent 67% 59% 63% 63% 61% 61% 66% 67% 62% 65% 74% 61%
Previous 65% 59% 64% 64% 60% 61% 64% 67% 64% 64% 71% 61%
Change 2% 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 Recent 38% 37% 44% 42% 45% 46% 46% 42% 42% 45% 49% 42%
Previous 40% 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 Recent 56% 48% 58% 57% 59% 59% 61% 55% 55% 60% 64% 56%
Previous 54% 46% 56% 57% 57% 58% 60% 54% 55% 58% 61% 56%
Change 2% 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 Recent 53% 51% 63% 54% 62% 60% 62% 57% 62% 57% 66% 56%
Previous 52% 49% 63% 54% 61% 57% 58% 56% 60% 55% 63% 56%
Change 1% 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 Recent 61% 58% 66% 67% 67% 68% 69% 65% 64% 68% 73% 66%
Previous 64% 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 Recent 58% 44% 57% 52% 47% 58% 59% 49% 49% 63% 59% 55%
Previous 55% 42% 58% 50% 46% 55% 60% 47% 51% 61% 57% 54%
Change 3% 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 Recent 44% 50% 54% 58% 50% 58% 57% 56% 54% 61% 60% 48%
Previous 45% 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 Recent 69% 67% 73% 68% 69% 78% 73% 68% 70% 75% 73% 73%
Previous 67% 64% 71% 68% 68% 75% 74% 69% 71% 74% 70% 72%
Change 2% 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 Recent 52% 39% 50% 47% 45% 53% 57% 45% 49% 58% 64% 47%
Previous 50% 37% 49% 47% 43% 48% 53% 45% 52% 55% 60% 46%
Change 2% 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 Recent 37% 46% 41% 28% 41% 49% 46% 22% 37% 42% 39% 40%
Previous 37% 44% 40% 29% 41% 44% 43% 23% 36% 40% 37% 39%
Change 0% 2% 1% -1% 0% 5% 3% -1% 1% 2% 2% 1%
F5R. Important patient care information is often lost during shift changes. Most Recent 46% 59% 61% 45% 51% 65% 61% 38% 52% 50% 47% 50%
Previous 49% 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 Recent 37% 46% 46% 37% 45% 50% 47% 31% 41% 44% 44% 43%
Previous 38% 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 Recent 34% 46% 58% 40% 46% 62% 54% 34% 44% 44% 40% 39%
Previous 37% 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 Recent 48% 44% 45% 45% 47% 48% 52% 55% 52% 49% 65% 48%
Previous 49% 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 Recent 43% 40% 43% 42% 45% 45% 50% 54% 51% 46% 64% 47%
Previous 44% 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 Recent 40% 29% 31% 30% 33% 32% 37% 42% 38% 35% 54% 34%
Previous 39% 27% 31% 29% 32% 33% 33% 43% 39% 35% 50% 33%
Change 1% 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. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2012/hosp12tabd2.html