Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Table 6-3

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Table 6-3. Item-level Comparative Results

Item	Survey Items By Composite	No. of hospitals & No. of respond- ents	Average % Positive	SD	Survey Item % Positive Response
Item	Survey Items By Composite	No. of hospitals & No. of respond- ents	Average % Positive	SD	Min	10th %ile	25th %ile	Med- ian/ 50th %ile	75th %ile	90th %ile	Max
1.	Teamwork Within Units
A1	1. People support one another in this unit.	H = 381 N = 105,244	83%	10.25%	10%	75%	80%	84%	88%	92%	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 = 381 N = 105,651	85%	10.05%	12%	78%	82%	86%	90%	93%	100%
A4	3. In this unit, people treat each other with respect.	H = 381 N = 105,564	76%	10.36%	16%	67%	72%	77%	81%	87%	100%
A11	4. When one area in this unit gets really busy, others help out.	H = 381 N = 103,573	67%	9.87%	23%	57%	62%	68%	73%	78%	90%
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 = 382 N = 104,437	69%	10.36%	18%	59%	65%	70%	76%	81%	97%
B2	2. My supv/mgr seriously considers staff suggestions for improving patient safety.	H = 382 N = 104,081	75%	10.36%	12%	65%	70%	75%	81%	85%	100%
B3 R	3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.	H = 376 N = 102,672	74%	8.42%	43%	64%	68%	74%	80%	85%	100%
B4 R	4. My supv/mgr overlooks patient safety problems that happen over and over.	H = 382 N = 103,302	76%	9.20%	18%	67%	72%	76%	81%	86%	100%
3.	Management Support for Patient Safety
F1	1. Hospital mgmt provides a work climate that promotes patient safety.	H = 382 N = 103,978	79%	11.63%	15%	67%	74%	81%	87%	91%	100%
F8	2. The actions of hospital mgmt show that patient safety is a top priority.	H = 382 N = 101,563	70%	11.64%	12%	56%	64%	72%	78%	83%	97%
F9 R	3. Hospital mgmt seems interested in patient safety only after an adverse event happens.	H = 382 N = 100,870	59%	12.13%	18%	44%	51%	59%	66%	74%	93%
4.	Organizational Learning—Continuous Improvement
A6	1. We are actively doing things to improve patient safety.	H = 382 N = 104,927	80%	10.59%	7%	71%	76%	81%	86%	90%	100%
A9	2. Mistakes have led to positive changes here.	H = 382 N = 105,133	61%	9.79%	16%	50%	56%	61%	67%	72%	84%
A13	3. After we make changes to improve patient safety, we evaluate their effectiveness.	H = 382 N = 102,857	66%	11.36%	12%	54%	60%	67%	73%	79%	93%
5.	Overall Perceptions of Patient Safety
A10 R	1. It is just by chance that more serious mistakes don't happen around here.	H = 382 N = 104,799	60%	11.06%	18%	47%	54%	60%	67%	74%	88%
A15	2. Patient safety is never sacrificed to get more work done.	H = 382 N = 103,082	63%	11.04%	23%	51%	57%	63%	71%	78%	100%
A17 R	3. We have patient safety problems in this unit.	H = 382 N = 103,021	62%	11.99%	15%	47%	55%	62%	69%	76%	91%
A18	4. Our procedures and systems are good at preventing errors from happening.	H = 382 N = 104,838	68%	10.71%	8%	56%	63%	69%	75%	79%	94%
6.	Feedback and Communication About Error
C1	1. We are given feedback about changes put into place based on event reports.	H = 381 N = 100,884	52%	10.41%	20%	39%	45%	52%	59%	63%	87%
C3	2. We are informed about errors that happen in this unit.	H = 381 N = 101,553	64%	10.73%	21%	53%	59%	63%	71%	77%	100%
C5	3. In this unit, we discuss ways to prevent errors from happening again.	H = 379 N = 102,175	69%	10.59%	13%	58%	64%	70%	75%	81%	100%
7.	Communication Openness
C2	1. Staff will freely speak up if they see something that may negatively affect patient care.	H = 382 N = 103,775	75%	9.67%	12%	67%	71%	76%	80%	84%	100%
C4	2. Staff feel free to question the decisions or actions of those with more authority.	H = 380 N = 104,265	46%	9.12%	13%	35%	41%	46%	51%	57%	94%
C6 R	3. Staff are afraid to ask questions when something does not seem right.	H = 380 N = 104,578	62%	9.49%	19%	52%	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 = 381 N = 93,071	50%	10.07%	18%	38%	44%	50%	57%	62%	82%
D2	2. When a mistake is made, but has no potential to harm the patient, how often is this reported?	H = 381 N = 92,613	54%	9.78%	20%	43%	48%	54%	60%	66%	80%
D3	3. When a mistake is made that could harm the patient, but does not, how often is this reported?	H = 381 N = 92,222	72%	9.45%	28%	63%	68%	73%	78%	83%	100%
9.	Teamwork Across Units
F2 R	1. Hospital units do not coordinate well with each other.	H = 381 N = 99,555	44%	12.74%	5%	29%	35%	43%	52%	61%	91%
F4	2. There is good cooperation among hospital units that need to work together.	H = 381 N = 98,806	58%	12.76%	20%	42%	49%	57%	67%	74%	94%
F6 R	3. It is often unpleasant to work with staff from other hospital units.	H = 381 N = 97,547	58%	10.70%	10%	46%	51%	57%	65%	71%	91%
F10	4. Hospital units work well together to provide the best care for patients.	H = 381 N = 98,003	67%	12.67%	15%	52%	58%	67%	75%	82%	97%
10.	Staffing
A2	1. We have enough staff to handle the workload.	H = 380 N = 104,847	54%	13.95%	21%	37%	44%	53%	63%	74%	95%
A5 R	2. Staff in this unit work longer hours than is best for patient care.	H = 380 N = 100,634	52%	10.47%	22%	40%	46%	52%	58%	65%	87%
A7 R	3. We use more agency/temporary staff than is best for patient care.	H = 380 N = 97,738	64%	13.45%	4%	48%	57%	65%	73%	80%	100%
A14 R	4. We work in "crisis mode" trying to do too much, too quickly.	H = 380 N = 101,759	48%	12.02%	18%	34%	39%	48%	57%	65%	91%
11.	Handoffs & Transitions
F3 R	1. Things "fall between the cracks" when transferring patients from one unit to another.	H = 382 N = 97,066	42%	14.09%	14%	25%	31%	40%	50%	61%	88%
F5 R	2. Important patient care information is often lost during shift changes.	H = 382 N = 96,148	49%	11.47%	19%	36%	42%	48%	56%	64%	82%
F7 R	3. Problems often occur in the exchange of information across hospital units.	H = 382 N = 97,796	42%	11.69%	11%	28%	33%	40%	48%	58%	84%
F11 R	4. Shift changes are problematic for patients in this hospital.	H = 382 N = 95,725	46%	13.31%	18%	30%	36%	45%	54%	64%	94%
12.	Nonpunitive Response to Error
A8 R	1. Staff feel like their mistakes are held against them.	H = 381 N = 103,763	50%	10.00%	18%	38%	44%	50%	57%	63%	84%
A12 R	2. When an event is reported, it feels like the person is being written up, not the problem.	H = 381 N = 101,788	43%	9.45%	12%	33%	37%	43%	49%	56%	75%
A16 R	3. Staff worry that mistakes they make are kept in their personnel file.	H = 381 N = 101,976	35%	9.42%	12%	24%	28%	33%	41%	48%	67%

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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