Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Table A-2

You Are Here: AHRQ Home > Medical Errors & Patient Safety > Patient Safety Culture Surveys > Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report

Table A-2. Item-level Average Percent Positive Response by Hospital Bed Size

Survey Items By Composite		Bed Size
		6-24 beds	25-49 beds	50-99 beds	100-199 beds	200-299 beds	300-399 beds	400 or more beds

		41 Hospitals	97 Hospitals	79 Hospitals	61 Hospitals	45 Hospitals	29 Hospitals	30 Hospitals
		2,657 Respond- ents	8,764 Respond- ents	10,825 Respond- ents	14,786 Respond- ents	21,298 Respond- ents	17,476 Respond- ents	32,815 Respond- ents
1. Team- work Within Units	A1—People support one another in this unit.	85%	85%	84%	80%	79%	81%	81%
	A3—When a lot of work needs to be done quickly, we work together as a team to get the work done.	89%	88%	86%	81%	80%	83%	81%
	A4—In this unit, people treat each other with respect.	79%	79%	78%	73%	72%	75%	72%
	A11—When one area in this unit gets really busy, others help out.	71%	70%	68%	65%	63%	64%	64%
2. Super- visor/ Manager Expecta- tions & 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%	70%	69%	67%	68%	68%
	B2—My supv/mgr seriously considers staff suggestions for improving patient safety.	74%	79%	76%	72%	72%	71%	72%
	B3 R—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts.	77%	78%	75%	72%	69%	70%	68%
	B4 R—My supv/mgr overlooks patient safety problems that happen over and over.	76%	80%	77%	75%	72%	73%	72%
3. Manage- ment Support for Patient Safety	F1—Hospital mgmt provides a work climate that promotes patient safety.	83%	84%	80%	75%	74%	78%	72%
	F8—The actions of hospital mgmt show that patient safety is a top priority.	73%	74%	71%	67%	66%	70%	65%
	F9 R—Hospital mgmt seems interested in patient safety only after an adverse event happens.	62%	64%	60%	56%	53%	56%	50%
4. Organ- izational Learning— Continuous Improve- ment	A6—We are actively doing things to improve patient safety.	79%	83%	82%	76%	77%	79%	77%
	A9—Mistakes have led to positive changes here.	62%	65%	61%	59%	58%	60%	59%
	A13—After we make changes to improve patient safety, we evaluate their effectiveness.	65%	69%	67%	63%	64%	64%	63%
5. Overall Perceptions of Patient Safety	A10 R—It is just by chance that more serious mistakes don't happen around here.	63%	63%	61%	57%	55%	57%	54%
	A15—Patient safety is never sacrificed to get more work done.	71%	68%	65%	60%	57%	56%	55%
	A17 R—We have patient safety problems in this unit.	68%	67%	64%	59%	56%	56%	53%
	A18—Our procedures and systems are good at preventing errors from happening.	67%	71%	70%	65%	65%	67%	65%
6. Feedback and Communi- cation About Error	C1—We are given feedback about changes put into place based on event reports.	49%	52%	51%	50%	52%	54%	53%
	C3—We are informed about errors that happen in this unit.	66%	67%	65%	62%	61%	62%	60%
	C5—In this unit, we discuss ways to prevent errors from happening again.	73%	71%	70%	67%	66%	66%	65%
7. Commun- ication Openness	C2—Staff will freely speak up if they see something that may negatively affect patient care.	77%	76%	76%	73%	72%	74%	73%
	C4—Staff feel free to question the decisions or actions of those with more authority.	49%	47%	46%	45%	46%	46%	47%
	C6 R—Staff are afraid to ask questions when something does not seem right.	65%	63%	62%	60%	59%	61%	62%
8. Freq- uency of Events Reported	D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?	52%	51%	50%	49%	49%	52%	46%
	D2—When a mistake is made, but has no potential to harm the patient, how often is this reported?	57%	56%	55%	53%	51%	53%	49%
	D3—When a mistake is made that could harm the patient, but does not, how often is this reported?	76%	75%	73%	71%	69%	71%	66%
9. Teamwork Across Units	F2 R—Hospital units do not coordinate well with each other.	52%	50%	47%	41%	37%	40%	34%
	F4—There is good cooperation among hospital units that need to work together.	66%	64%	61%	53%	50%	52%	47%
	F6 R—It is often unpleasant to work with staff from other hospital units.	62%	63%	59%	53%	51%	54%	51%
	F10—Hospital units work well together to provide the best care for patients.	75%	72%	70%	62%	58%	63%	56%
10. Staffing	A2—We have enough staff to handle the workload.	63%	61%	55%	49%	47%	48%	45%
	A5 R—Staff in this unit work longer hours than is best for patient care.	58%	57%	53%	47%	48%	49%	50%
	A7 R—We use more agency/temporary staff than is best for patient care.	71%	67%	66%	60%	60%	61%	62%
	A14 R—We work in "crisis mode" trying to do too much, too quickly.	57%	54%	51%	43%	41%	42%	40%
11. Hand- offs & Transitions	F3 R—Things "fall between the cracks" when transferring patients from one unit to another.	54%	48%	45%	37%	32%	33%	30%
	F5 R—Important patient care information is often lost during shift changes.	58%	52%	51%	45%	43%	46%	45%
	F7 R—Problems often occur in the exchange of information across hospital units.	52%	46%	45%	37%	34%	36%	33%
	F11 R—Shift changes are problematic for patients in this hospital.	59%	51%	48%	41%	37%	41%	38%
12. Nonpun- itive Re- sponse to Error	A8 R—Staff feel like their mistakes are held against them.	54%	53%	52%	49%	46%	46%	44%
	A12 R—When an event is reported, it feels like the person is being written up, not the problem.	45%	46%	44%	43%	42%	41%	40%
	A16 R—Staff worry that mistakes they make are kept in their personnel file.	39%	37%	37%	34%	31%	30%	28%

Return to Appendix A