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

Table D-2. Trending: Item-Level Average Percent Positive Response by Work Area/Unit—2014 Database Hospitals

Survey Items by Composite Database Year Work Area/Unit
Anesthesiology Emergency ICU
(any
type)
Lab Medicine Obstetrics Pediatrics Pharmacy Psych/
Mentl
Hlth
Radiology Rehabilitation Surgery
# Hospitals Both Years 53 277 232 259 262 186 97 218 115 267 223 272
# Respondents Most Recent 1,140 13,204 16,178 10,101 27,498 8,758 7,651 6,237 5,778 12,273 7,450 22,648
Previous 1,140 12,059 14,313 9,222 24,068 8,195 6,274 5,442 5,770 11,452 6,620 19,669
Teamwork Within Units
A1. People support one another in this unit. Most Recent 87% 85% 90% 81% 87% 89% 89% 84% 83% 87% 93% 85%
Previous 87% 84% 90% 81% 85% 88% 88% 83% 84% 87% 94% 84%
Change 0% 1% 0% 0% 2% 1% 1% 1% -1% 0% -1% 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 88% 86% 90% 83% 84% 91% 90% 83% 83% 89% 91% 87%
Previous 86% 85% 91% 82% 81% 90% 89% 82% 83% 88% 92% 87%
Change 2% 1% -1% 1% 3% 1% 1% 1% 0% 1% -1% 0%
A4. In this unit, people treat each other with respect. Most Recent 81% 75% 82% 73% 81% 80% 83% 75% 77% 80% 89% 75%
Previous 79% 73% 80% 72% 79% 78% 81% 74% 76% 79% 90% 75%
Change 2% 2% 2% 1% 2% 2% 2% 1% 1% 1% -1% 0%
A11. When one area in this unit gets really busy, others help out. Most Recent 70% 70% 78% 67% 68% 73% 75% 71% 70% 68% 79% 67%
Previous 69% 66% 78% 66% 66% 73% 75% 68% 69% 67% 79% 67%
Change 1% 4% 0% 1% 2% 0% 0% 3% 1% 1% 0% 0%
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 75% 73% 71% 70% 74% 74% 73% 75% 75% 72% 81% 73%
Previous 75% 69% 70% 68% 73% 71% 74% 71% 75% 71% 80% 72%
Change 0% 4% 1% 2% 1% 3% -1% 4% 0% 1% 1% 1%
B2. My supv/mgr seriously considers staff suggestions for improving patient safety. Most Recent 78% 73% 74% 73% 76% 74% 78% 78% 76% 75% 86% 75%
Previous 78% 70% 73% 72% 75% 73% 78% 77% 75% 76% 86% 75%
Change 0% 3% 1% 1% 1% 1% 0% 1% 1% -1% 0% 0%
B3R. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. Most Recent 74% 69% 72% 78% 73% 73% 74% 79% 73% 75% 81% 71%
Previous 71% 68% 72% 77% 73% 71% 75% 77% 71% 75% 82% 71%
Change 3% 1% 0% 1% 0% 2% -1% 2% 2% 0% -1% 0%
B4R. My supv/mgr overlooks patient safety problems that happen over and over. Most Recent 79% 73% 74% 78% 75% 75% 78% 78% 77% 79% 85% 76%
Previous 80% 72% 74% 77% 76% 76% 78% 77% 76% 79% 84% 77%
Change -1% 1% 0% 1% -1% -1% 0% 1% 1% 0% 1% -1%
Org Learning—Continuous Improvement
A6. We are actively doing things to improve patient safety. Most Recent 85% 80% 85% 82% 86% 85% 88% 88% 83% 85% 91% 86%
Previous 84% 78% 86% 81% 85% 84% 87% 88% 85% 85% 91% 86%
Change 1% 2% -1% 1% 1% 1% 1% 0% -2% 0% 0% 0%
A9. Mistakes have led to positive changes here. Most Recent 68% 58% 62% 66% 64% 65% 66% 77% 61% 64% 66% 66%
Previous 66% 57% 62% 67% 63% 63% 65% 75% 62% 64% 66% 66%
Change 2% 1% 0% -1% 1% 2% 1% 2% -1% 0% 0% 0%
A13. After we make changes to improve patient safety, we evaluate their effectiveness. Most Recent 67% 66% 70% 67% 74% 72% 73% 67% 69% 69% 77% 71%
Previous 68% 64% 71% 66% 72% 71% 72% 67% 70% 69% 76% 71%
Change -1% 2% -1% 1% 2% 1% 1% 0% -1% 0% 1% 0%
Management Support for Patient Safety
F1. Hospital management provides a work climate that promotes patient safety. Most Recent 71% 72% 71% 82% 76% 78% 80% 79% 77% 83% 86% 79%
Previous 75% 71% 72% 82% 76% 79% 81% 79% 76% 85% 88% 80%
Change -4% 1% -1% 0% 0% -1% -1% 0% 1% -2% -2% -1%
F8. The actions of hospital management show that patient safety is a top priority. Most Recent 68% 67% 66% 77% 73% 73% 75% 76% 72% 76% 80% 74%
Previous 68% 64% 67% 77% 72% 73% 75% 76% 73% 78% 81% 74%
Change 0% 3% -1% 0% 1% 0% 0% 0% -1% -2% -1% 0%
F9R. Hospital management seems interested in patient safety only after an adverse event happens. Most Recent 51% 52% 53% 62% 57% 58% 59% 61% 56% 61% 66% 59%
Previous 53% 51% 53% 62% 58% 59% 60% 61% 59% 63% 68% 59%
Change -2% 1% 0% 0% -1% -1% -1% 0% -3% -2% -2% 0%
Feedback & Communication About Error
C1. We are given feedback about changes put into place based on event reports. Most Recent 61% 56% 57% 56% 60% 59% 58% 61% 59% 60% 68% 58%
Previous 57% 52% 55% 53% 57% 57% 58% 56% 58% 58% 67% 56%
Change 4% 4% 2% 3% 3% 2% 0% 5% 1% 2% 1% 2%
C3. We are informed about errors that happen in this unit. Most Recent 67% 60% 62% 67% 64% 64% 64% 71% 65% 69% 72% 67%
Previous 66% 57% 59% 65% 61% 62% 63% 68% 65% 68% 72% 65%
Change 1% 3% 3% 2% 3% 2% 1% 3% 0% 1% 0% 2%
C5. In this unit, we discuss ways to prevent errors from happening again. Most Recent 76% 66% 70% 70% 72% 73% 74% 77% 71% 71% 81% 74%
Previous 72% 62% 68% 68% 69% 72% 75% 75% 73% 71% 81% 73%
Change 4% 4% 2% 2% 3% 1% -1% 2% -2% 0% 0% 1%
Overall Perceptions of Patient Safety
A10R. It is just by chance that more serious mistakes don't happen around here. Most Recent 64% 55% 61% 63% 59% 63% 66% 63% 60% 70% 77% 64%
Previous 66% 54% 61% 62% 58% 62% 69% 61% 60% 71% 77% 64%
Change -2% 1% 0% 1% 1% 1% -3% 2% 0% -1% 0% 0%
A15. Patient safety is never sacrificed to get more work done. Most Recent 55% 53% 52% 67% 58% 58% 64% 63% 62% 70% 74% 61%
Previous 58% 53% 53% 68% 55% 58% 63% 63% 63% 73% 78% 62%
Change -3% 0% -1% -1% 3% 0% 1% 0% -1% -3% -4% -1%
A17R. We have patient safety problems in this unit. Most Recent 66% 53% 58% 71% 56% 65% 68% 65% 52% 75% 77% 66%
Previous 61% 51% 58% 68% 55% 64% 70% 61% 51% 76% 77% 67%
Change 5% 2% 0% 3% 1% 1% -2% 4% 1% -1% 0% -1%
A18. Our procedures and systems are good at preventing errors from happening. Most Recent 74% 65% 71% 78% 71% 75% 77% 75% 70% 77% 82% 74%
Previous 74% 64% 69% 78% 69% 75% 78% 73% 68% 78% 82% 75%
Change 0% 1% 2% 0% 2% 0% -1% 2% 2% -1% 0% -1%
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 58% 54% 54% 66% 59% 60% 63% 50% 62% 57% 65% 63%
Previous 54% 50% 52% 63% 56% 57% 60% 47% 62% 54% 63% 60%
Change 4% 4% 2% 3% 3% 3% 3% 3% 0% 3% 2% 3%
D2. When a mistake is made, but has no potential to harm the patient, how often is this reported? Most Recent 56% 58% 57% 66% 63% 62% 66% 57% 62% 59% 64% 64%
Previous 53% 56% 57% 63% 61% 61% 63% 54% 62% 57% 61% 63%
Change 3% 2% 0% 3% 2% 1% 3% 3% 0% 2% 3% 1%
D3. When a mistake is made that could harm the patient, but does not, how often is this reported? Most Recent 72% 70% 71% 81% 76% 76% 78% 74% 73% 75% 78% 76%
Previous 67% 69% 73% 80% 75% 76% 77% 73% 77% 73% 76% 76%
Change 5% 1% -2% 1% 1% 0% 1% 1% -4% 2% 2% 0%
Communication Openness
C2. Staff will freely speak up if they see something that may negatively affect patient care. Most Recent 77% 70% 73% 72% 73% 78% 79% 76% 73% 77% 85% 78%
Previous 77% 69% 74% 71% 72% 75% 78% 74% 73% 77% 85% 77%
Change 0% 1% -1% 1% 1% 3% 1% 2% 0% 0% 0% 1%
C4. Staff feel free to question the decisions or actions of those with more authority. Most Recent 55% 45% 44% 43% 45% 46% 49% 53% 46% 44% 55% 48%
Previous 56% 43% 44% 41% 42% 46% 49% 52% 45% 44% 57% 46%
Change -1% 2% 0% 2% 3% 0% 0% 1% 1% 0% -2% 2%
C6R. Staff are afraid to ask questions when something does not seem right. Most Recent 68% 59% 62% 63% 61% 62% 65% 69% 60% 64% 73% 62%
Previous 68% 57% 62% 61% 60% 61% 66% 67% 58% 63% 75% 61%
Change 0% 2% 0% 2% 1% 1% -1% 2% 2% 1% -2% 1%
Teamwork Across Units
F2R. Hospital units do not coordinate well with each other. Most Recent 39% 41% 46% 46% 48% 48% 49% 48% 40% 49% 52% 45%
Previous 40% 39% 44% 44% 45% 47% 49% 43% 41% 47% 50% 44%
Change -1% 2% 2% 2% 3% 1% 0% 5% -1% 2% 2% 1%
F4. There is good cooperation among hospital units that need to work together. Most Recent 55% 51% 59% 60% 61% 61% 63% 59% 51% 62% 67% 59%
Previous 53% 48% 58% 58% 58% 61% 64% 56% 52% 61% 64% 58%
Change 2% 3% 1% 2% 3% 0% -1% 3% -1% 1% 3% 1%
F6R. It is often unpleasant to work with staff from other hospital units. Most Recent 55% 53% 66% 57% 65% 61% 64% 62% 59% 60% 68% 60%
Previous 56% 51% 63% 55% 63% 60% 63% 59% 61% 58% 66% 58%
Change -1% 2% 3% 2% 2% 1% 1% 3% -2% 2% 2% 2%
F10. Hospital units work well together to provide the best care for patients. Most Recent 61% 60% 69% 69% 70% 71% 73% 70% 61% 70% 75% 68%
Previous 62% 59% 67% 68% 67% 70% 72% 66% 62% 70% 74% 67%
Change -1% 1% 2% 1% 3% 1% 1% 4% -1% 0% 1% 1%
Staffing
A2. We have enough staff to handle the workload. Most Recent 58% 43% 51% 49% 47% 57% 58% 51% 49% 58% 60% 53%
Previous 52% 42% 55% 50% 45% 59% 63% 50% 47% 61% 61% 54%
Change 6% 1% -4% -1% 2% -2% -5% 1% 2% -3% -1% -1%
A5R. Staff in this unit work longer hours than is best for patient care. Most Recent 46% 51% 53% 57% 51% 56% 55% 60% 52% 65% 60% 49%
Previous 48% 50% 56% 60% 51% 58% 59% 59% 52% 64% 62% 50%
Change -2% 1% -3% -3% 0% -2% -4% 1% 0% 1% -2% -1%
A7R. We use more agency/temporary staff than is best for patient care. Most Recent 75% 66% 71% 69% 69% 76% 74% 71% 68% 76% 74% 71%
Previous 71% 67% 74% 69% 72% 78% 77% 70% 68% 77% 73% 74%
Change 4% -1% -3% 0% -3% -2% -3% 1% 0% -1% 1% -3%
A14R. We work in "crisis mode," trying to do too much, too quickly. Most Recent 52% 40% 48% 46% 44% 52% 57% 50% 49% 56% 65% 49%
Previous 49% 38% 49% 46% 43% 52% 57% 48% 48% 56% 65% 47%
Change 3% 2% -1% 0% 1% 0% 0% 2% 1% 0% 0% 2%
Handoffs & Transitions
F3R. Things "fall between the cracks" when transferring patients from one unit to another. Most Recent 35% 47% 43% 31% 42% 47% 47% 26% 35% 45% 40% 42%
Previous 35% 47% 42% 28% 41% 49% 47% 22% 37% 44% 38% 42%
Change 0% 0% 1% 3% 1% -2% 0% 4% -2% 1% 2% 0%
F5R. Important patient care information is often lost during shift changes. Most Recent 50% 60% 61% 48% 55% 64% 62% 40% 51% 53% 49% 51%
Previous 46% 58% 62% 46% 53% 66% 63% 36% 52% 50% 47% 51%
Change 4% 2% -1% 2% 2% -2% -1% 4% -1% 3% 2% 0%
F7R. Problems often occur in the exchange of information across hospital units. Most Recent 38% 49% 48% 40% 47% 50% 47% 36% 39% 47% 47% 44%
Previous 36% 46% 46% 38% 45% 50% 49% 31% 41% 45% 43% 44%
Change 2% 3% 2% 2% 2% 0% -2% 5% -2% 2% 4% 0%
F11R. Shift changes are problematic for patients in this hospital. Most Recent 40% 49% 58% 42% 48% 61% 58% 38% 46% 45% 43% 41%
Previous 31% 45% 59% 40% 47% 61% 58% 34% 44% 44% 40% 40%
Change 9% 4% -1% 2% 1% 0% 0% 4% 2% 1% 3% 1%
Nonpunitive Response to Error
A8R. Staff feel like their mistakes are held against them. Most Recent 50% 44% 45% 46% 48% 49% 52% 59% 49% 48% 66% 50%
Previous 49% 41% 45% 44% 48% 47% 50% 55% 50% 48% 66% 48%
Change 1% 3% 0% 2% 0% 2% 2% 4% -1% 0% 0% 2%
A12R. When an event is reported, it feels like the person is being written up, not the problem. Most Recent 50% 40% 45% 43% 46% 47% 50% 58% 49% 48% 63% 48%
Previous 43% 37% 42% 41% 45% 44% 48% 53% 50% 46% 64% 46%
Change 7% 3% 3% 2% 1% 3% 2% 5% -1% 2% -1% 2%
A16R. Staff worry that mistakes they make are kept in their personnel file. Most Recent 35% 30% 32% 29% 35% 35% 35% 44% 36% 34% 52% 36%
Previous 33% 27% 30% 27% 32% 30% 34% 42% 35% 32% 54% 34%
Change 2% 3% 2% 2% 3% 5% 1% 2% 1% 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 D

Current as of March 2014
Internet Citation: Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Table D-2. Trending: Item-Level Average Percent Positive Response by 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-2.html