| Survey Items By Composite |
Respondent Interaction with Patients |
With
direct interaction |
Without
direct interaction |
376
Hospitals |
367
Hospitals |
78,129
Respond-
ents |
24,603
Respond-
ents |
| 1. Teamwork Within Units |
A1—People support one another in this unit. |
83% |
83% |
| A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. |
85% |
86% |
| A4—In this unit, people treat each other with respect. |
76% |
78% |
| A11—When one area in this unit gets really busy, others help out. |
67% |
67% |
| 2. Supv/Mgr 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. |
69% |
73% |
| B2—My supv/mgr seriously considers staff suggestions for improving patient safety. |
75% |
76% |
| B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. |
74% |
75% |
| B4—My supv/mgr overlooks patient safety problems that happen over and over. |
76% |
76% |
| 3. Mgmt Support for Patient Safety |
F1—Hospital mgmt provides a work climate that promotes patient safety. |
78% |
85% |
| F8—The actions of hospital mgmt show that patient safety is a top priority. |
69% |
77% |
| F9—Hospital mgmt seems interested in patient safety only after an adverse event happens. |
57% |
65% |
| 4. Organizational Learning—Continuous Improvement |
A6—We are actively doing things to improve patient safety. |
81% |
78% |
| A9—Mistakes have led to positive changes here. |
60% |
67% |
| A13—After we make changes to improve patient safety, we evaluate their effectiveness. |
67% |
66% |
| 5. Overall Perceptions of Patient Safety |
A10 R—It is just by chance that more serious mistakes don';t happen around here. |
60% |
60% |
| A15—Patient safety is never sacrificed to get more work done. |
63% |
65% |
| A17 R— We have patient safety problems in this unit. |
62% |
64% |
| A18—Our procedures and systems are good at preventing errors from happening. |
68% |
70% |
| 6. Feedback and Communication About Error |
C1—We are given feedback about changes put into place based on event reports. |
51% |
54% |
| C3—We are informed about errors that happen in this unit. |
64% |
68% |
| C5—In this unit, we discuss ways to prevent errors from happening again. |
69% |
73% |
| 7. Communication Openness |
C2—Staff will freely speak up if they see something that may negatively affect patient care. |
75% |
75% |
| C4—Staff feel free to question the decisions or actions of those with more authority. |
46% |
50% |
| C6 R—Staff are afraid to ask questions when something does not seem right. |
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? |
50% |
53% |
| D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? |
55% |
55% |
| D3—When a mistake is made that could harm the patient, but does not, how often is this reported? |
73% |
71% |
| 9. Teamwork Across Units |
F2 R—Hospital units do not coordinate well with each other. |
44% |
45% |
| F4—There is good cooperation among hospital units that need to work together. |
57% |
59% |
| F6 R—It is often unpleasant to work with staff from other hospital units. |
58% |
56% |
| F10—Hospital units work well together to provide the best care for patients. |
66% |
69% |
| 10. Staffing |
A2—We have enough staff to handle the workload. |
53% |
57% |
| A5 R—Staff in this unit work longer hours than is best for patient care. |
54% |
48% |
| A7 R—We use more agency/temporary staff than is best for patient care. |
67% |
56% |
| A14 R—We work in "crisis mode" trying to do too much, too quickly. |
49% |
46% |
| 11. Handoffs & Transitions |
F3 R—Things "fall between the cracks" when transferring patients from one unit to another. |
43% |
36% |
| F5 R—Important patient care information is often lost during shift changes. |
51% |
41% |
| F7 R—Problems often occur in the exchange of information across hospital units. |
43% |
36% |
| F11 R—Shift changes are problematic for patients in this hospital. |
47% |
40% |
| 12. Nonpunitive Response to Error |
A8 R—Staff feel like their mistakes are held against them. |
50% |
52% |
| A12 R—When an event is reported, it feels like the person is being written up, not the problem. |
43% |
47% |
| A16 R—Staff worry that mistakes they make are kept in their personnel file. |
35% |
38% |
540 Gaither Road Rockville, MD 20850 
