| Patient Safety Culture Composites |
Staff Position |
Admin/
Mgmt |
Attending/
Physician/
Resident/
PA or NP |
Dietician |
Pat Care
Asst/Aide/
Care Partner |
Pharmacist |
RN/LVN/
LPN |
Technician
(EKG,
Lab,
Radiology) |
Therapist
(Respiratory,
Phys,
Occup,
Speech) |
Unit Asst/
Clerk/
Secretary |
487
Hospi-
tals |
346
Hospi-
tals |
265
Hospi-
tals |
438
Hospi-
tals |
345
Hospi-
tals |
510
Hospi-
tals |
458
Hospi-
tals |
433
Hospi-
tals |
479
Hospi-
tals |
10,955
Respon-
dents |
7,345
Respon-
dents |
1,046
Respon-
dents |
8,663
Respon-
dents |
2,387
Respon-
dents |
55,119
Respon-
dents |
16,173
Respon-
dents |
7,258
Respon-
dents |
9,864
Respon-
dents |
| 1. Teamwork Within Units |
A1—People support one another in this unit. |
92% |
88% |
84% |
78% |
85% |
85% |
82% |
89% |
81% |
| A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. |
92% |
87% |
84% |
80% |
84% |
86% |
84% |
87% |
82% |
| A4—In this unit, people treat each other with respect. |
86% |
85% |
77% |
70% |
79% |
77% |
75% |
84% |
74% |
| A11—When one area in this unit gets really busy, others help out. |
76% |
69% |
71% |
64% |
67% |
66% |
67% |
75% |
67% |
| 2. Supv/Mgr 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. |
80% |
65% |
76% |
72% |
68% |
69% |
68% |
73% |
73% |
| B2—My supv/mgr seriously considers staff suggestions for improving patient safety. |
86% |
74% |
78% |
75% |
77% |
74% |
75% |
80% |
75% |
| B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. |
83% |
66% |
73% |
74% |
77% |
73% |
77% |
75% |
78% |
| B4—My supv/mgr overlooks patient safety problems that happen over and over. |
84% |
72% |
73% |
74% |
77% |
76% |
77% |
77% |
78% |
| 3. Mgmt Support for Patient Safety |
F1—Hospital mgmt provides a work climate that promotes patient safety. |
89% |
78% |
84% |
81% |
73% |
73% |
81% |
82% |
83% |
| F8—The actions of hospital mgmt show that patient safety is a top priority. |
83% |
70% |
78% |
77% |
68% |
64% |
72% |
70% |
75% |
| F9—Hospital mgmt seems interested in patient safety only after an adverse event happens. |
75% |
60% |
60% |
59% |
60% |
55% |
59% |
58% |
60% |
| 4. Organizational Learning—Continuous Improvement |
A6—We are actively doing things to improve patient safety. |
87% |
79% |
81% |
84% |
85% |
82% |
79% |
83% |
80% |
| A9—Mistakes have led to positive changes here. |
79% |
67% |
63% |
59% |
74% |
60% |
62% |
58% |
61% |
| A13—After we make changes to improve patient safety, we evaluate their effectiveness. |
75% |
65% |
64% |
72% |
61% |
67% |
64% |
68% |
66% |
| 5. Overall Perceptions of Patient Safety |
A10 R—It is just by chance that more serious mistakes don’t happen around here. |
72% |
62% |
57% |
52% |
62% |
59% |
64% |
67% |
58% |
| A15—Patient safety is never sacrificed to get more work done. |
72% |
61% |
64% |
64% |
58% |
57% |
70% |
70% |
70% |
| A17 R— We have patient safety problems in this unit. |
69% |
59% |
65% |
59% |
58% |
57% |
71% |
69% |
66% |
| A18—Our procedures and systems are good at preventing errors from happening. |
76% |
67% |
73% |
67% |
69% |
65% |
73% |
74% |
70% |
| 6. Feedback and Communication About Error |
C1—We are given feedback about changes put into place based on event reports. |
63% |
53% |
58% |
55% |
50% |
50% |
51% |
55% |
54% |
| C3—We are informed about errors that happen in this unit. |
76% |
62% |
66% |
66% |
67% |
57% |
69% |
65% |
68% |
| C5—In this unit, we discuss ways to prevent errors from happening again. |
82% |
68% |
75% |
70% |
72% |
66% |
71% |
73% |
70% |
| 7. Communication Openness |
C2—Staff will freely speak up if they see something that may negatively affect patient care. |
83% |
73% |
75% |
76% |
77% |
75% |
77% |
81% |
75% |
| C4—Staff feel free to question the decisions or actions of those with more authority. |
67% |
56% |
53% |
41% |
61% |
45% |
46% |
53% |
42% |
| C6 R—Staff are afraid to ask questions when something does not seem right. |
73% |
63% |
62% |
57% |
73% |
62% |
65% |
69% |
60% |
| 8. Frequency of Events Reported |
D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? |
57% |
47% |
49% |
61% |
36% |
48% |
49% |
46% |
59% |
| D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? |
60% |
49% |
48% |
60% |
50% |
59% |
51% |
47% |
58% |
| D3—When a mistake is made that could harm the patient, but does not, how often is this reported? |
77% |
68% |
68% |
73% |
73% |
76% |
73% |
67% |
74% |
| 9. Teamwork Across Units |
F2 R—Hospital units do not coordinate well with each other. |
51% |
48% |
51% |
47% |
42% |
42% |
42% |
50% |
45% |
| F4—There is good cooperation among hospital units that need to work together. |
65% |
60% |
59% |
60% |
56% |
55% |
57% |
62% |
57% |
| F6 R—It is often unpleasant to work with staff from other hospital units. |
63% |
61% |
60% |
59% |
61% |
59% |
55% |
65% |
55% |
| F10—Hospital units work well together to provide the best care for patients. |
74% |
67% |
70% |
71% |
62% |
63% |
65% |
69% |
68% |
| 10. Staffing |
A2—We have enough staff to handle the workload. |
67% |
56% |
58% |
45% |
49% |
53% |
54% |
53% |
50% |
| A5 R—Staff in this unit work longer hours than is best for patient care. |
59% |
51% |
54% |
45% |
59% |
55% |
54% |
56% |
50% |
| A7 R—We use more agency/temporary staff than is best for patient care. |
68% |
60% |
57% |
61% |
67% |
70% |
66% |
69% |
58% |
| A14 R—We work in "crisis mode" trying to do too much, too quickly. |
55% |
53% |
52% |
47% |
46% |
48% |
50% |
55% |
51% |
| 11. Handoffs & Transitions |
F3 R—Things "fall between the cracks" when transferring patients from one unit to another. |
41% |
43% |
32% |
45% |
25% |
44% |
36% |
39% |
44% |
| F5 R—Important patient care information is often lost during shift changes. |
48% |
46% |
41% |
57% |
31% |
53% |
45% |
46% |
51% |
| F7 R—Problems often occur in the exchange of information across hospital units. |
44% |
44% |
37% |
43% |
31% |
45% |
39% |
43% |
42% |
| F11 R—Shift changes are problematic for patients in this hospital. |
47% |
40% |
38% |
51% |
31% |
50% |
41% |
41% |
45% |
| 12. Nonpunitive Response to Error |
A8 R—Staff feel like their mistakes are held against them. |
68% |
48% |
51% |
42% |
63% |
50% |
50% |
57% |
47% |
| A12 R—When an event is reported, it feels like the person is being written up, not the problem. |
67% |
45% |
46% |
36% |
60% |
45% |
42% |
50% |
40% |
| A16 R—Staff worry that mistakes they make are kept in their personnel file. |
50% |
33% |
35% |
27% |
54% |
34% |
36% |
43% |
32% |
540 Gaither Road Rockville, MD 20850 
