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

Table C-10. Trending: Item-Level Average Percent Positive Response by Geographic Region—2014 Database Hospitals

Survey Items by Composite Database Year Geographic Region
Mid- Atlantic / New England South Atlantic East
North
Central
East
South
Central
West
North
Central
West
South
Central
Mountain Pacific
# Hospitals Both Years 48 71 115 40 11 37 13 24
# Respondents Most Recent 52,806 54,061 79,951 17,354 8,044 16,025 9,924 15,543
Previous 51,283 41,930 68,640 17,164 4,927 13,267 8,067 15,115
Teamwork Within Units
A1. People support one another in this unit. Most Recent 84% 89% 87% 87% 88% 87% 86% 88%
Previous 83% 88% 85% 87% 86% 87% 87% 88%
Change 1% 1% 2% 0% 2% 0% -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 Recent 83% 89% 88% 88% 87% 87% 87% 87%
Previous 83% 88% 86% 88% 87% 87% 86% 87%
Change 0% 1% 2% 0% 0% 0% 1% 0%
A4. In this unit, people treat each other with respect. Most Recent 75% 83% 79% 82% 81% 82% 80% 82%
Previous 76% 81% 76% 81% 81% 81% 80% 81%
Change -1% 2% 3% 1% 0% 1% 0% 1%
A11. When one area in this unit gets really busy, others help out. Most Recent 66% 75% 72% 74% 71% 73% 72% 73%
Previous 65% 73% 69% 74% 69% 73% 73% 71%
Change 1% 2% 3% 0% 2% 0% -1% 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 71% 79% 75% 79% 75% 78% 76% 73%
Previous 70% 78% 71% 78% 72% 78% 72% 72%
Change 1% 1% 4% 1% 3% 0% 4% 1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 74% 80% 77% 81% 76% 80% 76% 75%
Previous 73% 80% 74% 81% 76% 79% 76% 75%
Change 1% 0% 3% 0% 0% 1% 0% 0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 71% 78% 73% 79% 77% 76% 76% 72%
Previous 70% 78% 72% 79% 75% 76% 74% 72%
Change 1% 0% 1% 0% 2% 0% 2% 0%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 73% 80% 77% 83% 79% 78% 76% 73%
Previous 73% 80% 75% 82% 76% 77% 76% 73%
Change 0% 0% 2% 1% 3% 1% 0% 0%
Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 83% 88% 83% 88% 84% 86% 84% 84%
Previous 83% 88% 82% 89% 85% 85% 83% 83%
Change 0% 0% 1% -1% -1% 1% 1% 1%
A9. Mistakes have led to positive changes here. Most Recent 62% 69% 62% 67% 66% 66% 64% 65%
Previous 62% 68% 61% 68% 64% 66% 65% 64%
Change 0% 1% 1% -1% 2% 0% -1% 1%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 69% 77% 68% 79% 71% 75% 65% 66%
Previous 69% 76% 66% 77% 70% 73% 65% 65%
Change 0% 1% 2% 2% 1% 2% 0% 1%
Management Support for Patient Safety
F1. Hospital management provides a work climate that promotes patient safety. Most Recent 79% 85% 79% 85% 81% 83% 80% 79%
Previous 79% 85% 78% 85% 81% 84% 80% 81%
Change 0% 0% 1% 0% 0% -1% 0% -2%
F8. The actions of hospital management show that patient safety is a top priority. Most Recent 76% 80% 73% 80% 74% 78% 74% 74%
Previous 75% 81% 72% 81% 75% 78% 73% 75%
Change 1% -1% 1% -1% -1% 0% 1% -1%
F9R. Hospital management seems interested in patient safety only after an adverse event happens. Most Recent 59% 67% 58% 68% 61% 63% 59% 57%
Previous 59% 67% 58% 69% 61% 63% 60% 59%
Change 0% 0% 0% -1% 0% 0% -1% -2%
Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 55% 66% 59% 66% 57% 63% 56% 58%
Previous 54% 64% 55% 64% 58% 62% 54% 56%
Change 1% 2% 4% 2% -1% 1% 2% 2%
C3. We are informed about errors that happen in this unit. Most Recent 64% 71% 65% 73% 62% 74% 62% 63%
Previous 63% 70% 62% 73% 62% 72% 60% 60%
Change 1% 1% 3% 0% 0% 2% 2% 3%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 71% 78% 72% 76% 71% 76% 70% 73%
Previous 69% 76% 69% 75% 72% 76% 71% 70%
Change 2% 2% 3% 1% -1% 0% -1% 3%
Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. Most Recent 58% 66% 64% 67% 64% 63% 65% 62%
Previous 58% 66% 62% 68% 64% 61% 66% 63%
Change 0% 0% 2% -1% 0% 2% -1% -1%
A15. Patient safety is never sacrificed to get more work done. Most Recent 63% 68% 62% 70% 65% 57% 63% 63%
Previous 63% 69% 61% 70% 62% 68% 65% 62%
Change 0% -1% 1% 0% 3% -11% -2% 1%
A17R. We have patient safety problems in this unit. Most Recent 60% 69% 66% 70% 64% 67% 67% 63%
Previous 59% 68% 64% 70% 66% 67% 66% 63%
Change 1% 1% 2% 0% -2% 0% 1% 0%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 71% 78% 72% 77% 73% 76% 72% 72%
Previous 71% 78% 71% 78% 73% 76% 72% 72%
Change 0% 0% 1% -1% 0% 0% 0% 0%
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 59% 67% 56% 66% 55% 66% 56% 59%
Previous 57% 65% 53% 65% 56% 63% 57% 58%
Change 2% 2% 3% 1% -1% 3% -1% 1%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 60% 68% 59% 66% 58% 67% 58% 61%
Previous 59% 66% 56% 65% 58% 64% 60% 60%
Change 1% 2% 3% 1% 0% 3% -2% 1%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 72% 78% 74% 78% 73% 78% 73% 74%
Previous 72% 78% 72% 77% 74% 77% 75% 75%
Change 0% 0% 2% 1% -1% 1% -2% -1%
Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 73% 79% 76% 77% 73% 78% 75% 75%
Previous 73% 78% 74% 77% 74% 78% 75% 74%
Change 0% 1% 2% 0% -1% 0% 0% 1%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 46% 51% 46% 51% 41% 52% 50% 49%
Previous 46% 51% 43% 49% 42% 51% 47% 47%
Change 0% 0% 3% 2% -1% 1% 3% 2%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 61% 66% 63% 65% 61% 65% 62% 61%
Previous 61% 66% 60% 66% 61% 63% 63% 62%
Change 0% 0% 3% -1% 0% 2% -1% -1%
Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 42% 55% 46% 56% 47% 53% 47% 47%
Previous 42% 52% 44% 56% 45% 53% 47% 44%
Change 0% 3% 2% 0% 2% 0% 0% 3%
F4. There is good cooperation among hospital units that need to work together. Most Recent 57% 68% 59% 70% 61% 65% 61% 61%
Previous 57% 65% 57% 69% 61% 65% 60% 59%
Change 0% 3% 2% 1% 0% 0% 1% 2%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 58% 66% 60% 68% 63% 65% 62% 64%
Previous 58% 64% 57% 66% 60% 63% 61% 64%
Change 0% 2% 3% 2% 3% 2% 1% 0%
F10. Hospital units work well together to provide the best care for patients. Most Recent 67% 76% 69% 76% 72% 75% 70% 70%
Previous 67% 74% 66% 75% 72% 74% 69% 69%
Change 0% 2% 3% 1% 0% 1% 1% 1%
Staffing
A2. We have enough staff to handle the workload. Most Recent 49% 55% 53% 57% 54% 56% 59% 54%
Previous 48% 57% 53% 58% 58% 60% 61% 59%
Change 1% -2% 0% -1% -4% -4% -2% -5%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 46% 54% 53% 59% 55% 53% 57% 53%
Previous 46% 55% 55% 60% 54% 52% 58% 54%
Change 0% -1% -2% -1% 1% 1% -1% -1%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 62% 68% 70% 72% 62% 65% 66% 64%
Previous 63% 70% 71% 74% 63% 67% 67% 65%
Change -1% -2% -1% -2% -1% -2% -1% -1%
A14R. We work in "crisis mode," trying to do too much, too quickly. Most Recent 45% 54% 49% 56% 50% 51% 54% 49%
Previous 43% 54% 47% 56% 49% 53% 55% 49%
Change 2% 0% 2% 0% 1% -2% -1% 0%
Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 39% 48% 40% 52% 42% 46% 39% 38%
Previous 39% 46% 38% 52% 39% 47% 39% 38%
Change 0% 2% 2% 0% 3% -1% 0% 0%
F5R. Important patient care information is often lost during shift changes. Most Recent 51% 58% 51% 61% 51% 55% 49% 50%
Previous 51% 55% 49% 60% 48% 56% 52% 49%
Change 0% 3% 2% 1% 3% -1% -3% 1%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 43% 51% 44% 55% 45% 50% 43% 43%
Previous 42% 48% 42% 55% 44% 50% 44% 42%
Change 1% 3% 2% 0% 1% 0% -1% 1%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 42% 52% 45% 56% 47% 51% 46% 44%
Previous 43% 49% 43% 55% 47% 50% 47% 43%
Change -1% 3% 2% 1% 0% 1% -1% 1%
Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 45% 53% 51% 56% 53% 52% 51% 49%
Previous 44% 52% 48% 57% 51% 51% 52% 48%
Change 1% 1% 3% -1% 2% 1% -1% 1%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 46% 51% 47% 54% 50% 47% 51% 48%
Previous 44% 49% 44% 54% 45% 46% 52% 44%
Change 2% 2% 3% 0% 5% 1% -1% 4%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 32% 39% 36% 43% 38% 30% 41% 35%
Previous 30% 37% 33% 41% 34% 36% 39% 32%
Change 2% 2% 3% 2% 4% -6% 2% 3%

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

Current as of March 2014
Internet Citation: Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Table C-10. Trending: Item-Level Average Percent Positive Response by Geographic Region—2014 Database Hospitals. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hosp14tablec-10.html