| 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% | |