| Survey Items By Composite |
Region |
Mid Atlantic/
New England |
South
Atlantic |
East
North
Central |
East
South
Central |
West
North
Central |
West
South
Central |
Mountain |
Pacific |
20
Hospitals |
60
Hospitals |
100
Hospitals |
26
Hospitals | 83
Hospitals |
31
Hospitals |
35
Hospitals |
27
Hospitals |
10,796
Respond-
ents |
17,870
Respond-
ents |
34,715
Respond-
ents |
6,982
Respond-
ents |
17,418
Respond-
ents |
10,223
Respond-
ents |
5,809
Respond-
ents |
4,808
Respond-
ents |
| 1. Teamwork Within Units |
A1- People support one another in this unit. |
82% |
83% |
80% |
84% |
85% |
86% |
83% |
84% |
| A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. |
82% |
85% |
82% |
87% |
88% |
88% |
84% |
84% |
| A4—In this unit, people treat each other with respect. |
74% |
77% |
73% |
78% |
78% |
80% |
75% |
76% |
| A11—When one area in this unit gets really busy, others help out. |
64% |
67% |
65% |
68% |
69% |
71% |
67% |
67% |
| 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. |
68% |
72% |
66% |
75% |
68% |
76% |
68% |
70% |
| B2—My supv/mgr seriously considers staff suggestions for improving patient safety. |
72% |
77% |
72% |
79% |
75% |
78% |
73% |
75% |
| B3 R—Whenever pressure builds up, my supv/mgr
wants us to work faster, even if it means taking shortcuts. |
69% |
75% |
73% |
76% |
75% |
76% |
74% |
71% |
| B4 R—My supv/mgr overlooks patient safety problems
that happen over and over. |
72% |
79% |
73% |
79% |
78% |
79% |
73% |
74% |
| 3. Management Support for Patient Safety |
F1—Hospital mgmt provides a work climate that promotes patient safety. |
74% |
80% |
77% |
82% |
83% |
80% |
78% |
78% |
| F8—The actions of hospital mgmt show that patient safety is a top priority. |
68% |
72% |
66% |
75% |
73% |
73% |
69% |
68% |
| F9 R—Hospital mgmt seems interested in patient safety only after an adverse event happens. |
54% |
60% |
56% |
62% |
63% |
60% |
56% |
53% |
| 4. Organizational Learning—Continuous Improvement |
A6—We are actively doing things to improve patient safety. |
78% |
83% |
76% |
83% |
82% |
83% |
78% |
79% |
| A9—Mistakes have led to positive changes here. |
58% |
63% |
58% |
63% |
63% |
64% |
60% |
61% |
| A13—After we make changes to improve patient safety, we evaluate their effectiveness. |
66% |
69% |
62% |
72% |
67% |
72% |
62% |
59% |
| 5. Overall Perceptions of Patient Safety |
A10 R—It is just by chance that more serious mistakes don't happen around here. |
53% |
56% |
57% |
59% |
66% |
62% |
61% |
57% |
| A15—Patient safety is never sacrificed to get more work done. |
60% |
65% |
60% |
65% |
67% |
65% |
64% |
59% |
| A17 R—We have patient safety problems in this unit. |
54% |
59% |
59% |
63% |
68% |
64% |
64% |
56% |
| A18—Our procedures and systems are good at preventing errors from happening. |
66% |
68% |
65% |
72% |
71% |
73% |
64% |
65% |
| 6. Feedback and Communication About Error |
C1—We are given feedback about changes put into place based on event reports. |
51% |
54% |
50% |
54% |
50% |
55% |
50% |
50% |
| C3—We are informed about errors that happen in this unit. |
65% |
68% |
61% |
71% |
63% |
69% |
65% |
60% |
| C5—In this unit, we discuss ways to prevent errors from happening again. |
67% |
71% |
64% |
71% |
70% |
73% |
71% |
71% |
| 7. Communication Openness |
C2—Staff will freely speak up if they see something that may negatively affect patient care. |
75% |
75% |
74% |
76% |
75% |
76% |
74% |
76% |
| C4—Staff feel free to question the decisions or actions of those with more authority. |
49% |
47% |
45% |
47% |
44% |
50% |
48% |
51% |
| C6 R—Staff are afraid to ask questions when something does not seem right. |
63% |
64% |
60% |
63% |
61% |
65% |
62% |
64% |
| 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? |
53% |
49% |
47% |
54% |
50% |
55% |
53% |
50% |
| D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? |
56% |
54% |
51% |
58% |
57% |
57% |
54% |
52% |
| D3— When a mistake is made that could harm the patient, how often is this reported? |
72% |
72% |
70% |
77% |
76% |
74% |
70% |
72% |
| 9. Teamwork Across Units |
F2 R—Hospital units do not coordinate well with each other. |
38% |
45% |
43% |
50% |
49% |
44% |
41% |
39% |
| F4—There is good cooperation among hospital units that need to work together. |
51% |
57% |
54% |
63% |
63% |
60% |
55% |
54% |
| F6 R—It is often unpleasant to work with staff from other hospital units. |
54% |
58% |
55% |
59% |
62% |
56% |
57% |
57% |
| F10—Hospital units work well together to provide the best care for patients. |
61% |
65% |
63% |
72% |
73% |
67% |
66% |
64% |
| 10. Staffing |
A2—We have enough staff to handle the workload |
43% |
54% |
52% |
50% |
62% |
54% |
55% |
53% |
| A5 R—Staff in this unit work longer hours than is best for patient care. |
44% |
52% |
52% |
52% |
56% |
53% |
50% |
51% |
| A7 R—We use more agency/temporary staff than is best for patient care. |
58% |
62% |
63% |
63% |
71% |
66% |
61% |
61% |
| A14 R—We work in "crisis mode" trying to do too much, too quickly. |
39% |
49% |
45% |
47% |
55% |
51% |
50% |
45% |
| 11. Handoffs & Transitions |
F3 R—Things "fall between the cracks" when transferring patients from one unit to another. |
34% |
42% |
39% |
47% |
49% |
41% |
40% |
37% |
| F5 R—Important patient care information is often lost during shift changes. |
48% |
49% |
47% |
52% |
54% |
47% |
49% |
46% |
| F7 R—Problems often occur in the exchange of information across hospital units. |
36% |
40% |
39% |
47% |
47% |
40% |
41% |
39% |
| F11 R—Shift changes are problematic for patients in this hospital. |
39% |
44% |
44% |
47% |
54% |
43% |
45% |
44% |
| 12. Nonpunitive Response to Error |
A8 R—Staff feel like their mistakes are held against them. |
45% |
49% |
48% |
52% |
56% |
53% |
50% |
47% |
| A12 R—When an event is reported, it feels like the person is being written up, not the problem. |
40% |
43% |
42% |
44% |
47% |
44% |
42% |
40% |
| A16 R—Staff worry that mistakes they make are kept in their personnel file. |
28% |
34% |
32% |
36% |
40% |
36% |
35% |
32% |
| Region |
States |
| Mid Atlantic/New England | NY, NJ, PA, ME, NH, VT, MA, RI, CT |
| South Atlantic | DE, MD, DC, VA, WV, NC, SC, GA, FL |
| West North Central | MN, IA, MO, ND, SD, NE, KS |
| West South Central | AR, LA, OK, TX |
| East North Central | OH, IN, IL, MI, WI |
| East South Central | KY, TN, AL, MS |
| Mountain | MT, ID, WY, CO, NM, AZ, UT, NV |
| Pacific | WA, OR, CA, AK, HI |
540 Gaither Road Rockville, MD 20850 
