| Survey Items By Composite |
Interaction With Patients |
| WITH direct interaction |
WITHOUT direct interaction |
| 203 Hospitals Both Years |
198 Hospitals Both Years |
| 48,941 Most Recent Respondents |
15,100 Most Recent Respondents |
| 7,300 Previous Respondents |
2,079 Previous Respondents |
| 1. Teamwork Within Units |
A1—1. People support one another in this unit. |
Most Recent |
85% |
87% |
| Previous |
82% |
83% |
| Change |
3% |
4% |
| A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done. |
Most Recent |
86% |
87% |
| Previous |
84% |
84% |
| Change |
2% |
3% |
| A4—3. In this unit, people treat each other with respect. |
Most Recent |
77% |
81% |
| Previous |
75% |
77% |
| Change |
2% |
4% |
| A11—4. When one area in this unit gets really busy, others help out. |
Most Recent |
69% |
71% |
| Previous |
66% |
67% |
| Change |
3% |
4% |
| 2. 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 |
71% |
75% |
| Previous |
69% |
72% |
| Change |
2% |
3% |
| B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety. |
Most Recent |
76% |
79% |
| Previous |
74% |
76% |
| Change |
2% |
3% |
| B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. |
Most Recent |
75% |
77% |
| Previous |
73% |
75% |
| Change |
2% |
2% |
| B4R—4. My supv/mgr overlooks patient safety problems that happen over and over. |
Most Recent |
77% |
78% |
| Previous |
75% |
74% |
| Change |
2% |
4% |
| 3.Organizational Learning-Continuous Improvement |
A6—1. We are actively doing things to improve patient safety. |
Most Recent |
83% |
81% |
| Previous |
80% |
79% |
| Change |
3% |
2% |
| A9—2. Mistakes have led to positive changes here. |
Most Recent |
63% |
68% |
| Previous |
60% |
67% |
| Change |
3% |
1% |
| A13—3. After we make changes to improve patient safety, we evaluate their effectiveness. |
Most Recent |
69% |
69% |
| Previous |
66% |
66% |
| Change |
3% |
3% |
| 4. Management Support for Patient Safety |
F1—1. Hospital mgmt provides a work climate that promotes patient safety. |
Most Recent |
79% |
85% |
| Previous |
77% |
84% |
| Change |
2% |
1% |
| F8—2. The actions of hospital mgmt show that patient safety is a top priority. |
Most Recent |
71% |
79% |
| Previous |
68% |
76% |
| Change |
3% |
3% |
| F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens. |
Most Recent |
59% |
66% |
| Previous |
57% |
63% |
| Change |
2% |
3% |
| 5. Overall Perceptions of Patient Safety |
A10R—1. It is just by chance that more serious mistakes don't happen around here. |
Most Recent |
61% |
60% |
| Previous |
59% |
59% |
| Change |
2% |
1% |
| A15—2. Patient safety is never sacrificed to get more work done. |
Most Recent |
65% |
68% |
| Previous |
62% |
65% |
| Change |
3% |
3% |
| A17R—3. We have patient safety problems in this unit. |
Most Recent |
62% |
64% |
| Previous |
61% |
62% |
| Change |
1% |
2% |
| A18—4. Our procedures and systems are good at preventing errors from happening. |
Most Recent |
71% |
74% |
| Previous |
67% |
69% |
| Change |
4% |
5% |
| 6. Feedback and Communication About Error |
C1—1. We are given feedback about changes put into place based on event reports. |
Most Recent |
52% |
56% |
| Previous |
51% |
54% |
| Change |
1% |
2% |
| C3—2. We are informed about errors that happen in this unit. |
Most Recent |
63% |
70% |
| Previous |
62% |
68% |
| Change |
1% |
2% |
| C5—3. In this unit, we discuss ways to prevent errors from happening again. |
Most Recent |
70% |
75% |
| Previous |
68% |
73% |
| Change |
2% |
2% |
| 7. Communication Openness |
C2—1. Staff will freely speak up if they see something that may negatively affect patient care. |
Most Recent |
75% |
76% |
| Previous |
74% |
74% |
| Change |
1% |
2% |
| C4—2. Staff feel free to question the decisions or actions of those with more authority. |
Most Recent |
46% |
51% |
| Previous |
46% |
50% |
| Change |
0% |
1% |
| C6R—3. Staff are afraid to ask questions when something does not seem right. |
Most Recent |
62% |
65% |
| Previous |
61% |
63% |
| Change |
1% |
2% |
| 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? |
Most Recent |
53% |
57% |
| Previous |
51% |
55% |
| Change |
2% |
2% |
| D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported? |
Most Recent |
57% |
56% |
| Previous |
55% |
55% |
| Change |
2% |
1% |
| D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported? |
Most Recent |
74% |
73% |
| Previous |
72% |
70% |
| Change |
2% |
3% |
| 9. Teamwork Across Units |
F2R—1. Hospital units do not coordinate well with each other. |
Most Recent |
45% |
49% |
| Previous |
44% |
46% |
| Change |
1% |
3% |
| F4—2. There is good cooperation among hospital units that need to work together. |
Most Recent |
59% |
60% |
| Previous |
57% |
59% |
| Change |
2% |
1% |
| F6R—3. It is often unpleasant to work with staff from other hospital units. |
Most Recent |
59% |
58% |
| Previous |
57% |
54% |
| Change |
2% |
4% |
| F10—4. Hospital units work well together to provide the best care for patients. |
Most Recent |
67% |
71% |
| Previous |
65% |
68% |
| Change |
2% |
3% |
| 10. Staffing |
A2—1. We have enough staff to handle the workload. |
Most Recent |
53% |
57% |
| Previous |
52% |
55% |
| Change |
1% |
2% |
| A5R—2. Staff in this unit work longer hours than is best for patient care. |
Most Recent |
53% |
50% |
| Previous |
52% |
46% |
| Change |
1% |
4% |
| A7R—3. We use more agency/temporary staff than is best for patient care. |
Most Recent |
67% |
58% |
| Previous |
65% |
54% |
| Change |
2% |
4% |
| A14R—4. We work in "crisis mode" trying to do too much, too quickly. |
Most Recent |
50% |
51% |
| Previous |
49% |
45% |
| Change |
1% |
6% |
| 11. Handoffs & Transitions |
| F3R—1. Things "fall between the cracks" when transferring patients from one unit to another. |
Most Recent |
44% |
37% |
| Previous |
43% |
35% |
| Change |
1% |
2% |
| F5R—2. Important patient care information is often lost during shift changes. |
Most Recent |
52% |
44% |
| Previous |
51% |
41% |
| Change |
1% |
3% |
| F7R—3. Problems often occur in the exchange of information across hospital units. |
Most Recent |
44% |
41% |
| Previous |
43% |
36% |
| Change |
1% |
5% |
| F11R—4. Shift changes are problematic for patients in this hospital. |
Most Recent |
47% |
40% |
| Previous |
46% |
39% |
| Change |
1% |
1% |
| 12. Nonpunitive Response to Error |
A8R—1. Staff feel like their mistakes are held against them. |
Most Recent |
51% |
56% |
| Previous |
50% |
52% |
| Change |
1% |
4% |
| A12R—2. When an event is reported, it feels like the person is being written up, not the problem. |
Most Recent |
46% |
51% |
| Previous |
43% |
48% |
| Change |
3% |
3% |
| A16R—3. Staff worry that mistakes they make are kept in their personnel file. |
Most Recent |
36% |
39% |
| Previous |
34% |
35% |
| Change |
2% |
4% |
540 Gaither Road Rockville, MD 20850 
