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

Table D-14. Trending: Item-Level Average Percent Positive Response by Tenure in Current Work Area/Unit—2014 Database Hospitals

Survey Items by Composite Database Year Tenure in Current Work Area/Unit
Less
than
1 year
1 to 5
years
6 to 10
years
11 to1 5
years
16 to 20
years
21
years or more
# Hospitals Both Years 335 348 341 320 286 293
# Respondents Most Recent 34,062 91,636 50,656 28,226 14,021 19,540
Previous 27,177 86,317 42,815 21,642 12,302 16,484
Teamwork Within Units
A1. People support one another in this unit. Most Recent 90% 86% 86% 87% 88% 89%
Previous 89% 85% 85% 86% 88% 89%
Change 1% 1% 1% 1% 0% 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 89% 87% 87% 88% 89% 89%
Previous 89% 86% 86% 87% 88% 90%
Change 0% 1% 1% 1% 1% -1%
A4. In this unit, people treat each other with respect. Most Recent 85% 79% 79% 80% 81% 83%
Previous 83% 78% 78% 79% 80% 82%
Change 2% 1% 1% 1% 1% 1%
A11. When one area in this unit gets really busy, others help out. Most Recent 78% 71% 71% 72% 73% 74%
Previous 76% 70% 69% 70% 71% 73%
Change 2% 1% 2% 2% 2% 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 82% 75% 74% 75% 76% 77%
Previous 81% 74% 72% 73% 74% 76%
Change 1% 1% 2% 2% 2% 1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 83% 76% 76% 77% 78% 80%
Previous 82% 76% 75% 77% 78% 80%
Change 1% 0% 1% 0% 0% 0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 80% 74% 74% 74% 75% 76%
Previous 78% 74% 73% 73% 73% 76%
Change 2% 0% 1% 1% 2% 0%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 80% 77% 77% 77% 78% 80%
Previous 79% 76% 76% 77% 77% 80%
Change 1% 1% 1% 0% 1% 0%
Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 87% 84% 84% 85% 86% 87%
Previous 86% 84% 84% 85% 85% 86%
Change 1% 0% 0% 0% 1% 1%
A9. Mistakes have led to positive changes here. Most Recent 63% 64% 66% 67% 69% 71%
Previous 62% 64% 65% 67% 68% 71%
Change 1% 0% 1% 0% 1% 0%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 74% 70% 71% 72% 73% 75%
Previous 73% 70% 70% 71% 72% 74%
Change 1% 0% 1% 1% 1% 1%
Management Support for Patient Safety
F1. Hospital management provides a work climate that promotes patient safety. Most Recent 87% 80% 79% 81% 81% 84%
Previous 86% 80% 80% 81% 82% 84%
Change 1% 0% -1% 0% -1% 0%
F8. The actions of hospital management show that patient safety is a top priority. Most Recent 81% 74% 74% 76% 77% 80%
Previous 81% 75% 74% 76% 77% 80%
Change 0% -1% 0% 0% 0% 0%
F9R. Hospital management seems interested in patient safety only after an adverse event happens. Most Recent 65% 59% 60% 61% 63% 68%
Previous 65% 60% 61% 63% 64% 68%
Change 0% -1% -1% -2% -1% 0%
Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 68% 59% 59% 60% 61% 64%
Previous 66% 57% 57% 58% 58% 62%
Change 2% 2% 2% 2% 3% 2%
C3. We are informed about errors that happen in this unit. Most Recent 74% 67% 66% 67% 67% 68%
Previous 72% 65% 64% 65% 64% 66%
Change 2% 2% 2% 2% 3% 2%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 79% 73% 73% 74% 74% 76%
Previous 77% 71% 71% 73% 72% 75%
Change 2% 2% 2% 1% 2% 1%
Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. Most Recent 67% 63% 63% 63% 64% 66%
Previous 66% 63% 63% 63% 64% 65%
Change 1% 0% 0% 0% 0% 1%
A15. Patient safety is never sacrificed to get more work done. Most Recent 70% 62% 63% 63% 64% 66%
Previous 69% 64% 63% 64% 63% 66%
Change 1% -2% 0% -1% 1% 0%
A17R. We have patient safety problems in this unit. Most Recent 71% 65% 66% 66% 66% 67%
Previous 69% 65% 65% 64% 64% 67%
Change 2% 0% 1% 2% 2% 0%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 77% 73% 74% 75% 77% 78%
Previous 76% 72% 74% 74% 75% 78%
Change 1% 1% 0% 1% 2% 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 64% 59% 61% 62% 62% 63%
Previous 61% 58% 58% 58% 57% 59%
Change 3% 1% 3% 4% 5% 4%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 64% 61% 63% 64% 64% 64%
Previous 62% 61% 60% 61% 60% 62%
Change 2% 0% 3% 3% 4% 2%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 77% 74% 76% 76% 76% 78%
Previous 76% 74% 74% 75% 75% 76%
Change 1% 0% 2% 1% 1% 2%
Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 80% 75% 76% 77% 78% 79%
Previous 79% 74% 75% 77% 77% 78%
Change 1% 1% 1% 0% 1% 1%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 53% 46% 47% 49% 50% 54%
Previous 51% 45% 46% 49% 49% 52%
Change 2% 1% 1% 0% 1% 2%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 71% 63% 62% 61% 62% 65%
Previous 69% 62% 61% 62% 62% 63%
Change 2% 1% 1% -1% 0% 2%
Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 55% 47% 48% 49% 50% 54%
Previous 52% 46% 47% 47% 48% 53%
Change 3% 1% 1% 2% 2% 1%
F4. There is good cooperation among hospital units that need to work together. Most Recent 67% 60% 60% 63% 63% 67%
Previous 66% 59% 60% 61% 61% 66%
Change 1% 1% 0% 2% 2% 1%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 67% 61% 61% 62% 63% 66%
Previous 65% 60% 59% 60% 61% 64%
Change 2% 1% 2% 2% 2% 2%
F10. Hospital units work well together to provide the best care for patients. Most Recent 77% 69% 70% 71% 71% 76%
Previous 74% 68% 68% 70% 70% 75%
Change 3% 1% 2% 1% 1% 1%
Staffing
A2. We have enough staff to handle the workload. Most Recent 60% 51% 54% 55% 56% 57%
Previous 60% 53% 56% 56% 57% 59%
Change 0% -2% -2% -1% -1% -2%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 53% 53% 54% 54% 55% 55%
Previous 53% 54% 55% 55% 54% 54%
Change 0% -1% -1% -1% 1% 1%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 64% 67% 70% 70% 69% 70%
Previous 65% 69% 71% 71% 71% 71%
Change -1% -2% -1% -1% -2% -1%
A14R. We work in "crisis mode," trying to do too much, too quickly. Most Recent 57% 50% 49% 49% 49% 51%
Previous 56% 49% 50% 49% 47% 50%
Change 1% 1% -1% 0% 2% 1%
Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 49% 42% 42% 43% 42% 44%
Previous 47% 41% 41% 41% 41% 43%
Change 2% 1% 1% 2% 1% 1%
F5R. Important patient care information is often lost during shift changes. Most Recent 60% 52% 52% 52% 52% 54%
Previous 58% 52% 51% 50% 50% 54%
Change 2% 0% 1% 2% 2% 0%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 51% 46% 46% 47% 46% 48%
Previous 49% 44% 44% 44% 44% 47%
Change 2% 2% 2% 3% 2% 1%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 54% 47% 46% 46% 46% 49%
Previous 51% 46% 44% 44% 44% 47%
Change 3% 1% 2% 2% 2% 2%
Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 54% 50% 51% 52% 53% 54%
Previous 51% 49% 50% 52% 50% 52%
Change 3% 1% 1% 0% 3% 2%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 47% 48% 50% 51% 52% 53%
Previous 44% 46% 48% 49% 49% 51%
Change 3% 2% 2% 2% 3% 2%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 37% 37% 36% 37% 37% 37%
Previous 35% 35% 36% 35% 34% 35%
Change 2% 2% 0% 2% 3% 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 D

Current as of March 2014
Internet Citation: Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Table D-14. Trending: Item-Level Average Percent Positive Response by Tenure in Current Work Area/Unit—2014 Database Hospitals. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hosp14tabled-14.html