Table A-9. Composite-Level Average Percent Positive Response by Geographic Region

Patient Safety Culture Composites	Geographic Region
	Mid-Atlantic/New England	South Atlantic	East North Central	East South Central	West North Central	West South Central	Mountain	Pacific
	37 Hospitals	104 Hospitals	165 Hospitals	34 Hospitals	104 Hospitals	45 Hospitals	58 Hospitals	75 Hospitals
	20,546 Respondents	36,825 Respondents	54,909 Respondents	8,978 Respondents	20,986 Respondents	13,242 Respondents	17,264 Respondents	23,712 Respondents
1. Teamwork Within Units	77%	79%	79%	81%	81%	81%	81%	78%
2. Supervisor/Manager Expectations & Actions Promoting Patient Safety	73%	77%	73%	78%	74%	78%	74%	73%
3. Organizational Learning—Continuous Improvement	70%	73%	69%	74%	71%	74%	70%	68%
4. Management Support for Patient Safety	70%	70%	69%	74%	72%	73%	70%	67%
5. Overall Perceptions of Patient Safety	63%	62%	63%	67%	68%	67%	66%	60%
6. Feedback & Communication About Error	62%	64%	61%	64%	61%	67%	63%	60%
7. Communication Openness	62%	62%	61%	63%	61%	64%	63%	62%
8. Frequency of Events Reported	61%	60%	58%	65%	61%	63%	61%	59%
9. Teamwork Across Units	55%	56%	55%	62%	61%	58%	59%	54%
10. Staffing	50%	53%	54%	54%	60%	55%	55%	52%
11. Handoffs & Transitions	42%	43%	42%	48%	50%	45%	45%	40%
12. Nonpunitive Response to Error	41%	42%	42%	45%	48%	46%	47%	42%
Average Across Composites	61%	62%	61%	65%	64%	64%	63%	60%

Note: States are categorized into American Hospital Association-defined regions as follows:

Mid-Atlantic/New England: NJ, NY, PA/CT, ME, MA, NH, RI, VT
West North Central: IA, KS, MN, MO, ND, NE, SD
South Atlantic: DE, DC, FL, GA, MD, NC, SC, VA, WV
West South Central: AR, LA, OK, TX
East North Central: IL, IN, OH, MI, WI
Mountain: AZ, CO, ID, MT, NM, NV, UT, WY
East South Central: AL, KY, MS, TN
Pacific: AK, CA, HI, OR, WA

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