Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report

Table A-2. Item-Level Average Percent Positive Response by Bed Size—2014 Database Hospitals

Survey Items by Composite Bed Size
6-24
beds
25-49
beds
50-99
beds
100-199
beds
200-299
beds
300-399
beds
400-499
beds
500+
beds
# Hospitals 37 96 112 148 98 63 35 64
# Respondents 3,582 15,168 31,911 64,451 74,418 60,370 44,001 111,380
Teamwork Within Units
A1. People support one another in this unit. 87% 86% 86% 87% 86% 86% 86% 84%
A3. When a lot of work needs to be done quickly, we work together as a team to get the work done. 88% 87% 87% 87% 85% 86% 86% 84%
A4. In this unit, people treat each other with respect. 81% 80% 80% 81% 78% 79% 78% 77%
A11. When one area in this unit gets really busy, others help out. 73% 74% 72% 72% 70% 70% 69% 69%
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. 76% 76% 77% 76% 74% 73% 73% 73%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. 78% 79% 79% 77% 76% 75% 74% 75%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. 79% 78% 77% 75% 73% 71% 70% 71%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. 80% 79% 78% 77% 75% 74% 74% 74%
Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. 85% 85% 85% 85% 84% 83% 82% 83%
A9. Mistakes have led to positive changes here. 66% 65% 64% 64% 63% 64% 62% 63%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. 75% 71% 71% 71% 69% 70% 69% 68%
Management Support for Patient Safety
F1. Hospital management provides a work climate that promotes patient safety. 85% 84% 83% 81% 79% 78% 76% 76%
F8. The actions of hospital management show that patient safety is a top priority. 79% 78% 77% 76% 74% 73% 72% 72%
F9R. Hospital management seems interested in patient safety only after an adverse event happens. 68% 66% 64% 61% 58% 57% 55% 55%
Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. 62% 60% 60% 60% 59% 58% 59% 58%
C3. We are informed about errors that happen in this unit. 70% 69% 68% 68% 65% 66% 65% 65%
C5. In this unit, we discuss ways to prevent errors from happening again. 77% 76% 74% 74% 72% 72% 71% 71%
Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. 68% 66% 65% 63% 60% 59% 58% 58%
A15. Patient safety is never sacrificed to get more work done. 71% 66% 66% 65% 62% 60% 59% 58%
A17R. We have patient safety problems in this unit. 72% 69% 68% 66% 62% 60% 60% 60%
A18. Our procedures and systems are good at preventing errors from happening. 74% 74% 74% 74% 72% 72% 70% 70%
Frequency of Events Reported
D1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? 64% 61% 61% 62% 58% 59% 59% 58%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? 67% 64% 62% 63% 60% 60% 60% 59%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? 80% 77% 76% 76% 74% 74% 74% 71%
Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. 78% 77% 77% 77% 75% 73% 73% 73%
C4. Staff feel free to question the decisions or actions of those with more authority. 51% 50% 49% 48% 47% 46% 46% 47%
C6R. Staff are afraid to ask questions when something does not seem right. 64% 65% 64% 64% 62% 60% 59% 60%
Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. 59% 55% 51% 48% 44% 44% 42% 42%
F4. There is good cooperation among hospital units that need to work together. 71% 68% 64% 62% 58% 59% 56% 56%
F6R. It is often unpleasant to work with staff from other hospital units. 69% 66% 63% 62% 59% 59% 58% 57%
F10. Hospital units work well together to provide the best care for patients. 78% 76% 72% 71% 67% 68% 66% 65%
Staffing
A2. We have enough staff to handle the workload. 62% 59% 56% 54% 51% 51% 51% 48%
A5R. Staff in this unit work longer hours than is best for patient care. 55% 56% 53% 52% 50% 49% 49% 48%
A7R. We use more agency/temporary staff than is best for patient care. 67% 67% 67% 67% 67% 64% 65% 63%
A14R. We work in "crisis mode," trying to do too much, too quickly. 60% 56% 52% 50% 46% 45% 44% 44%
Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. 56% 51% 46% 42% 38% 38% 36% 36%
F5R. Important patient care information is often lost during shift changes. 62% 57% 53% 53% 50% 51% 49% 49%
F7R. Problems often occur in the exchange of information across hospital units. 56% 53% 48% 46% 42% 42% 40% 40%
F11R. Shift changes are problematic for patients in this hospital. 61% 54% 49% 47% 43% 44% 42% 42%
Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. 56% 54% 53% 50% 48% 46% 46% 45%
A12R. When an event is reported, it feels like the person is being written up, not the problem. 51% 51% 49% 48% 46% 45% 44% 44%
A16R. Staff worry that mistakes they make are kept in their personnel file. 43% 39% 38% 36% 34% 31% 31% 30%

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 March 2014
Internet Citation: Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Table A-2. Item-Level Average Percent Positive Response by Bed Size—2014 Database Hospitals. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hosp14tablea-2.html