Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report Table 6-4

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Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report

Table 6-4. Item-Level Comparative Results for the 2009 Database

Item	Survey Items By Composite	No. Hospitals & No. Respondents	Average Percent Positive	s.d.	Survey Item Percent Positive Response
Item	Survey Items By Composite	No. Hospitals & No. Respondents	Average Percent Positive	s.d.	Min	10th Percentile	25th Percentile	Median/ 50th Percentile	75th Percentile	90th Percentile	Max
1.	Teamwork Within Units
A1	1. People support one another in this unit.	H = 621 N = 192,527	85%	6.40%	45%	77%	82%	86%	89%	93%	100%
A3	2. When a lot of work needs to be done quickly, we work together as a team to get the work done.	H = 621 N = 192,455	86%	5.81%	62%	79%	82%	86%	90%	93%	100%
A4	3. In this unit, people treat each other with respect.	H = 621 N = 192,280	78%	7.93%	31%	68%	73%	78%	83%	87%	100%
A11	4. When one area in this unit gets really busy, others help out.	H = 621 N = 189,110	68%	8.42%	26%	58%	63%	68%	73%	79%	97%
2.	Supervisor/Manager Expectations & Actions Promoting Patient Safety
B1	1. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures.	H = 622 N = 189,567	72%	8.21%	41%	61%	67%	72%	78%	81%	95%
B2	2. My supv/mgr seriously considers staff suggestions for improving patient safety.	H = 622 N = 189,149	76%	7.86%	41%	66%	71%	76%	82%	86%	100%
B3R	3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.	H = 622 N = 189,526	74%	8.55%	43%	64%	68%	74%	80%	85%	100%
B4R	4. My supv/mgr overlooks patient safety problems that happen over and over.	H = 622 N = 187,842	77%	7.05%	52%	68%	72%	77%	81%	86%	100%
3.	Organizational Learning—Continuous Improvement
A6	1. We are actively doing things to improve patient safety.	H = 621 N = 190,239	82%	7.77%	19%	73%	77%	82%	87%	91%	100%
A9	2. Mistakes have led to positive changes here.	H = 622 N = 191,118	63%	8.58%	33%	53%	57%	63%	68%	74%	100%
A13	3. After we make changes to improve patient safety, we evaluate their effectiveness.	H = 622 N = 188,202	68%	9.76%	12%	56%	61%	68%	74%	79%	94%
4.	Management Support for Patient Safety
F1	1. Hospital mgmt provides a work climate that promotes patient safety.	H = 622 N = 188,278	80%	9.75%	30%	67%	73%	80%	87%	91%	100%
F8	2. The actions of hospital mgmt show that patient safety is a top priority.	H = 620 N = 184,677	72%	10.49%	36%	58%	65%	72%	79%	85%	100%
F9R	3. Hospital mgmt seems interested in patient safety only after an adverse event happens.	H = 622 N = 184,071	59%	12.01%	15%	45%	51%	59%	67%	76%	93%
5.	Overall Perceptions of Patient Safety
A10R	1. It is just by chance that more serious mistakes don't happen around here.	H = 622 N = 190,591	60%	11.00%	18%	47%	53%	60%	68%	74%	85%
A15	2. Patient safety is never sacrificed to get more work done.	H = 621 N = 187,492	64%	10.63%	27%	51%	57%	63%	71%	78%	100%
A17R	3. We have patient safety problems in this unit.	H = 622 N = 188,306	62%	11.67%	22%	48%	55%	62%	69%	77%	92%
A18	4. Our procedures and systems are good at preventing errors from happening.	H = 622 N = 190,749	70%	9.00%	35%	59%	64%	70%	76%	81%	100%
6.	Feedback and Communication About Error
C1	1. We are given feedback about changes put into place based on event reports.	H = 620 N = 181,755	53%	10.41%	18%	40%	47%	54%	60%	65%	90%
C3	2. We are informed about errors that happen in this unit.	H = 620 N = 182,755	64%	9.64%	35%	53%	58%	63%	70%	77%	93%
C5	3. In this unit, we discuss ways to prevent errors from happening again.	H = 618 N = 183,922	70%	8.93%	33%	59%	65%	70%	76%	82%	100%
7.	Communication Openness
C2	1. Staff will freely speak up if they see something that may negatively affect patient care.	H = 621 N = 185,743	76%	6.80%	47%	68%	72%	75%	80%	84%	100%
C4	2. Staff feel free to question the decisions or actions of those with more authority.	H = 619 N = 186,331	47%	8.63%	26%	37%	42%	46%	52%	58%	94%
C6R	3. Staff are afraid to ask questions when something does not seem right.	H = 619 N = 186,727	63%	8.43%	7%	54%	57%	62%	67%	72%	100%
8.	Frequency of Events Reported
D1	1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?	H = 621 N = 171,464	52%	9.45%	25%	40%	45%	52%	58%	64%	81%
D2	2. When a mistake is made, but has no potential to harm the patient, how often is this reported?	H = 617 N = 169,547	56%	9.10%	25%	45%	50%	56%	61%	68%	85%
D3	3. When a mistake is made that could harm the patient, but does not, how often is this reported?	H = 621 N = 170,172	73%	7.70%	45%	63%	68%	73%	78%	83%	100%
9.	Teamwork Across Units
F2R	1. Hospital units do not coordinate well with each other.	H = 621 N = 182,580	45%	12.93%	5%	29%	35%	43%	53%	61%	91%
F4	2. There is good cooperation among hospital units that need to work together.	H = 621 N = 181,274	58%	12.08%	11%	43%	49%	57%	67%	74%	93%
F6R	3. It is often unpleasant to work with staff from other hospital units.	H = 621 N = 179,358	58%	10.54%	7%	46%	51%	58%	65%	72%	100%
F10	4. Hospital units work well together to provide the best care for patients.	H = 621 N = 180,279	67%	11.51%	21%	52%	58%	67%	76%	82%	95%
10.	Staffing
A2	1. We have enough staff to handle the workload.	H = 620 N = 190,634	54%	13.92	11%	37%	44%	53%	64%	73%	98%
A5R	2. Staff in this unit work longer hours than is best for patient care.	H = 620 N = 185,900	52%	10.11%	9%	40%	45%	51%	58%	65%	87%
A7R	3. We use more agency/temporary staff than is best for patient care.	H = 620 N = 181,833	65%	12.35%	0%	50%	57%	65%	73%	78%	100%
A14R	4. We work in "crisis mode" trying to do too much, too quickly.	H = 620 N = 187,157	49%	12.73%	6%	34%	40%	47%	58%	67%	91%
11.	Handoffs & Transitions
F3R	1. Things "fall between the cracks" when transferring patients from one unit to another.	H = 622 N = 178,434	41%	13.77%	13%	25%	30%	38%	49%	60%	91%
F5R	2. Important patient care information is often lost during shift changes.	H = 622 N = 176,811	49%	10.99%	19%	37%	41%	48%	55%	63%	91%
F7R	3. Problems often occur in the exchange of information across hospital units.	H = 622 N = 178,665	42%	12.15%	0%	28%	33%	40%	48%	59%	100%
F11R	4. Shift changes are problematic for patients in this hospital.	H = 622 N = 176,268	45%	13.27%	18%	29%	35%	44%	53%	63%	94%
12.	Nonpunitive Response to Error
A8R	1. Staff feel like their mistakes are held against them.	H = 621 N = 189,625	51%	9.58%	18%	40%	45%	50%	58%	63%	88%
A12R	2. When an event is reported, it feels like the person is being written up, not the problem.	H = 621 N = 186,807	45%	9.37%	12%	35%	39%	44%	50%	57%	88%
A16R	3. Staff worry that mistakes they make are kept in their personnel file.	H = 621 N = 187,203	35%	9.23%	12%	24%	29%	34%	41%	48%	71%

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).

Key: H = hospitals; N = respondents.

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