Part II-Appendixes A & B: Executive Summary

2011 User Comparative Database Report

Appendixes A and B present data tables that show average percent positive scores on the survey composites and items across database nursing homes broken down by the following nursing home and respondent characteristics:

Appendix A: Overall Results by Nursing Home Characteristics

  • Bed size.
  • Ownership.

Appendix B: Overall Results by Respondent Characteristics

  • Job title.
  • Work area.
  • Interaction with residents.
  • Shift worked most often.

Highlights from these results by nursing home and respondent characteristics are presented in the main body of the report, Part I: Comparative Database Report, at the end of Chapter 6 and are also shown below. Highlights are based on results for the 12 patient safety culture composites, willingness to recommend (that is, whether respondents would tell friends that this is a safe nursing home for their family), and overall rating on resident safety. In the bottom row of the composite-level tables, an overall average across composites is shown as a summary statistic when comparing across breakout categories.

You can compare your nursing home's percent positive scores on the patient safety culture composites and items against the averages shown in Appendix A for nursing homes with your same bed size and type of ownership. You can use a 5 percentage point difference as a rule of thumb for determining what differences to pay attention to.

To compare your nursing home's results against Appendix B, your nursing home will have to compute percent positive scores on the safety culture composites and items broken down by job title, work area, interaction with residents, and shift worked most often. You can then compare your nursing home's percent positive scores against the averages shown in the tables. Again, you can use a 5 percentage point difference as a rule of thumb.

Highlights from Appendix A: Overall Results by Nursing Home Characteristics

Bed Size (Tables A-1, A-3, A-4)

  • Small nursing homes (49 or fewer beds) had the highest average percent positive response on 10 of the 12 patient safety culture composites.
  • Small nursing homes (49 or fewer beds) had the highest percentage of respondents who indicated they would tell their friends that this is a safe nursing home for their family (88 percent for 49 or fewer beds versus 74 percent for 100-199 beds).
  • Small nursing homes (49 or fewer beds) had the highest percentage of respondents who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (77 percent for 49 or fewer beds versus 59 percent for 100-199 beds and 200 beds or more).

Ownership (Tables A-5, A-7, A-8)

  • Nonprofit/government nursing homes had a higher average percent positive response than for profit nursing homes on all 12 patient safety culture composites.
  • Nonprofit/government nursing homes had a higher percentage of respondents who indicated they would tell their friends that this is a safe nursing home for their family (80 percent) than for profit nursing homes (72 percent).
  • Nonprofit/government nursing homes had a higher percentage of respondents who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (66 percent) than for profit nursing homes (57 percent).

Highlights from Appendix B: Overall Results by Respondent Characteristics

Job Title (Tables B-1, B-3, B-4)

  • Administrators/Managers and Physicians had the highest average percent positive response across the patient safety culture composites (79 percent); Nursing Assistants/Aides had the lowest (63 percent).
  • Administrators/Managers had the highest percentage of respondents who indicated they would tell their friends that this is a safe nursing home for their family (93 percent); Nursing Assistants/Aides had the lowest (72 percent).
  • Administrators/Managers had the highest percentage of respondents who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (81 percent); Other Providers had the lowest (56 percent).

Work Area (Tables B-5, B-7, B-8)

  • The results for the patient safety culture composites and willingness to recommend were quite similar across work areas.
  • Respondents who indicated they worked in Many different areas in this nursing home/No specific area or unit had the highest percentage of respondents who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (63 percent); Alzheimer’s/Dementia Unit and Rehab Unit had the lowest (58 percent).

Interaction With Residents (Tables B-9, B-11, B-12)

  • Respondents without direct interaction with residents were more positive on 11 of the 12 patient safety composites than those with direct interaction with residents. The average response across all 12 composites was 73 percent positive for respondents without direct interaction with residents and 66 percent positive for respondents with direct interaction with residents.
  • Respondents without direct interaction with residents had a higher percentage of respondents who indicated they would tell their friends that this is a safe nursing home for their family (81 percent) than respondents with direct interaction with residents (75 percent).
  • Respondents without direct interaction with residents had a higher percentage of respondents who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (69 percent) than respondents with direct interaction with residents (60 percent).

Shift Worked Most Often (Tables B-13, B-15, B-16)

  • Respondents working day shifts had the highest average percent positive response on 11 of the 12 patient safety culture composites. The average response across all 12 composites was 69 percent positive for respondents working days versus 62 percent positive for respondents working nights.
  • Respondents working day shifts had the highest percentage who indicated they would tell their friends that this is a safe nursing home for their family (79 percent for respondents working days versus 74 percent for respondents working evenings and 70 percent for respondents working nights).
  • Respondents working day shifts had the highest percentage who gave their nursing home an overall rating on resident safety of "Excellent" or "Very Good" (65 percent for respondents working days versus 60 percent for respondents working evenings and 51 percent for respondents working nights).
Current as of August 2011
Internet Citation: Part II-Appendixes A & B: Executive Summary: 2011 User Comparative Database Report. August 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2011/nhsurv11apsum.html