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

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

Survey Items by Composite Database Year 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 Both Years 19 41 59 87 64 34 21 34
# Respondents Most Recent 1,698 7,025 16,644 41,721 53,151 37,806 29,926 65,737
Previous 1,711 5,821 14,588 36,827 45,430 29,671 29,085 57,260
Teamwork Within Units
A1. People support one another in this unit. Most Recent 89% 88% 88% 88% 86% 85% 87% 84%
Previous 87% 87% 87% 87% 85% 85% 85% 84%
Change 2% 1% 1% 1% 1% 0% 2% 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 90% 89% 88% 88% 86% 85% 87% 84%
Previous 90% 88% 87% 87% 86% 85% 86% 84%
Change 0% 1% 1% 1% 0% 0% 1% 0%
A4. In this unit, people treat each other with respect. Most Recent 82% 83% 82% 82% 79% 78% 79% 76%
Previous 82% 81% 81% 80% 78% 78% 76% 76%
Change 0% 2% 1% 2% 1% 0% 3% 0%
A11. When one area in this unit gets really busy, others help out. Most Recent 76% 74% 72% 73% 71% 69% 71% 69%
Previous 75% 73% 71% 72% 69% 67% 70% 68%
Change 1% 1% 1% 1% 2% 2% 1% 1%
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 79% 79% 77% 77% 74% 73% 75% 72%
Previous 77% 77% 76% 75% 72% 71% 72% 71%
Change 2% 2% 1% 2% 2% 2% 3% 1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 80% 81% 79% 78% 76% 75% 76% 75%
Previous 79% 80% 79% 77% 75% 74% 76% 74%
Change 1% 1% 0% 1% 1% 1% 0% 1%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 80% 78% 78% 76% 72% 71% 72% 72%
Previous 81% 78% 77% 75% 71% 70% 72% 71%
Change -1% 0% 1% 1% 1% 1% 0% 1%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 81% 80% 80% 78% 76% 74% 76% 74%
Previous 79% 80% 79% 77% 75% 74% 76% 75%
Change 2% 0% 1% 1% 1% 0% 0% -1%
Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 87% 87% 86% 85% 84% 84% 83% 83%
Previous 87% 87% 85% 84% 83% 83% 83% 84%
Change 0% 0% 1% 1% 1% 1% 0% -1%
A9. Mistakes have led to positive changes here. Most Recent 66% 68% 65% 65% 63% 64% 64% 63%
Previous 67% 67% 66% 64% 62% 64% 64% 64%
Change -1% 1% -1% 1% 1% 0% 0% -1%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 76% 74% 72% 72% 69% 70% 70% 69%
Previous 71% 73% 72% 70% 69% 70% 70% 70%
Change 5% 1% 0% 2% 0% 0% 0% -1%
Management Support for Patient Safety
F1. Hospital management provides a work climate that promotes patient safety. Most Recent 86% 84% 83% 82% 79% 80% 78% 77%
Previous 88% 84% 84% 81% 79% 79% 80% 78%
Change -2% 0% -1% 1% 0% 1% -2% -1%
F8. The actions of hospital management show that patient safety is a top priority. Most Recent 81% 80% 78% 77% 73% 76% 73% 72%
Previous 85% 79% 78% 76% 73% 75% 75% 74%
Change -4% 1% 0% 1% 0% 1% -2% -2%
F9R. Hospital management seems interested in patient safety only after an adverse event happens. Most Recent 71% 67% 64% 63% 58% 59% 57% 55%
Previous 70% 67% 65% 62% 58% 59% 59% 57%
Change 1% 0% -1% 1% 0% 0% -2% -2%
Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 63% 64% 61% 62% 59% 58% 61% 58%
Previous 60% 61% 61% 58% 57% 56% 60% 57%
Change 3% 3% 0% 4% 2% 2% 1% 1%
C3. We are informed about errors that happen in this unit. Most Recent 72% 71% 68% 69% 65% 66% 67% 64%
Previous 70% 70% 67% 67% 63% 64% 65% 63%
Change 2% 1% 1% 2% 2% 2% 2% 1%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 78% 78% 75% 75% 72% 72% 72% 70%
Previous 74% 75% 74% 72% 70% 71% 71% 70%
Change 4% 3% 1% 3% 2% 1% 1% 0%
Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. Most Recent 71% 69% 66% 64% 61% 59% 61% 58%
Previous 71% 68% 66% 63% 60% 59% 61% 59%
Change 0% 1% 0% 1% 1% 0% 0% -1%
A15. Patient safety is never sacrificed to get more work done. Most Recent 73% 68% 66% 65% 61% 61% 60% 60%
Previous 75% 70% 66% 65% 61% 61% 62% 60%
Change -2% -2% 0% 0% 0% 0% -2% 0%
A17R. We have patient safety problems in this unit. Most Recent 74% 71% 68% 67% 63% 62% 63% 60%
Previous 74% 70% 68% 66% 62% 61% 62% 59%
Change 0% 1% 0% 1% 1% 1% 1% 1%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 76% 77% 75% 76% 72% 73% 73% 71%
Previous 79% 77% 75% 74% 72% 72% 72% 71%
Change -3% 0% 0% 2% 0% 1% 1% 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 65% 63% 62% 62% 59% 60% 61% 57%
Previous 64% 61% 60% 59% 56% 58% 57% 56%
Change 1% 2% 2% 3% 3% 2% 4% 1%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 68% 64% 63% 64% 60% 60% 62% 57%
Previous 66% 64% 62% 62% 58% 60% 59% 57%
Change 2% 0% 1% 2% 2% 0% 3% 0%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 82% 78% 77% 77% 74% 73% 75% 70%
Previous 79% 77% 76% 76% 73% 73% 72% 70%
Change 3% 1% 1% 1% 1% 0% 3% 0%
Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 79% 79% 77% 78% 75% 73% 76% 73%
Previous 78% 77% 77% 76% 74% 72% 74% 73%
Change 1% 2% 0% 2% 1% 1% 2% 0%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 52% 50% 49% 49% 46% 46% 48% 47%
Previous 48% 48% 48% 47% 45% 45% 46% 46%
Change 4% 2% 1% 2% 1% 1% 2% 1%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 67% 67% 64% 65% 62% 61% 61% 60%
Previous 67% 66% 63% 63% 61% 60% 61% 60%
Change 0% 1% 1% 2% 1% 1% 0% 0%
Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 62% 58% 52% 50% 45% 46% 45% 42%
Previous 61% 56% 50% 48% 43% 44% 44% 41%
Change 1% 2% 2% 2% 2% 2% 1% 1%
F4. There is good cooperation among hospital units that need to work together. Most Recent 74% 68% 64% 63% 59% 61% 58% 55%
Previous 74% 67% 63% 61% 57% 59% 58% 55%
Change 0% 1% 1% 2% 2% 2% 0% 0%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 73% 68% 65% 63% 60% 60% 59% 57%
Previous 71% 66% 64% 60% 58% 59% 57% 56%
Change 2% 2% 1% 3% 2% 1% 2% 1%
F10. Hospital units work well together to provide the best care for patients. Most Recent 82% 77% 73% 73% 67% 70% 68% 65%
Previous 82% 75% 72% 70% 66% 68% 67% 65%
Change 0% 2% 1% 3% 1% 2% 1% 0%
Staffing
A2. We have enough staff to handle the workload. Most Recent 61% 57% 56% 55% 51% 52% 53% 48%
Previous 66% 61% 59% 55% 52% 51% 54% 50%
Change -5% -4% -3% 0% -1% 1% -1% -2%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 59% 57% 55% 54% 51% 48% 52% 49%
Previous 65% 58% 55% 54% 52% 49% 52% 50%
Change -6% -1% 0% 0% -1% -1% 0% -1%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 72% 70% 68% 68% 68% 62% 67% 64%
Previous 74% 72% 69% 68% 70% 64% 68% 66%
Change -2% -2% -1% 0% -2% -2% -1% -2%
A14R. We work in "crisis mode," trying to do too much, too quickly. Most Recent 62% 57% 53% 52% 46% 45% 47% 44%
Previous 63% 57% 53% 50% 46% 45% 47% 45%
Change -1% 0% 0% 2% 0% 0% 0% -1%
Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 59% 51% 46% 44% 38% 40% 38% 36%
Previous 61% 52% 45% 42% 37% 39% 37% 34%
Change -2% -1% 1% 2% 1% 1% 1% 2%
F5R. Important patient care information is often lost during shift changes. Most Recent 66% 58% 54% 54% 51% 51% 50% 49%
Previous 63% 59% 54% 52% 49% 51% 49% 48%
Change 3% -1% 0% 2% 2% 0% 1% 1%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 62% 54% 49% 47% 43% 44% 42% 39%
Previous 62% 54% 48% 45% 41% 42% 41% 38%
Change 0% 0% 1% 2% 2% 2% 1% 1%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 65% 54% 49% 48% 44% 45% 44% 41%
Previous 62% 54% 49% 45% 42% 44% 42% 40%
Change 3% 0% 0% 3% 2% 1% 2% 1%
Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 58% 55% 54% 52% 49% 47% 49% 46%
Previous 56% 56% 52% 50% 47% 46% 47% 45%
Change 2% -1% 2% 2% 2% 1% 2% 1%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 55% 52% 51% 50% 48% 45% 47% 45%
Previous 52% 51% 48% 47% 44% 44% 45% 43%
Change 3% 1% 3% 3% 4% 1% 2% 2%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 45% 39% 38% 37% 35% 32% 34% 32%
Previous 40% 39% 36% 35% 32% 30% 32% 30%
Change 5% 0% 2% 2% 3% 2% 2% 2%

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 March 2014
Internet Citation: Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Table C-2. Trending: 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/hosp14tablec-2.html