| Survey Items by Composite |
Work Area/Unit |
Anesthe-
siology |
Emer-
gency |
ICU
(any type) |
Lab |
Medicine |
Obstetrics |
Pediatr. |
Pharm. |
Psych/ Mentl Hlth |
Radi-
ology |
Rehabil-
itation |
Surgery |
88
Hospi-
tals |
301
Hospi-
tals |
215
Hospi-
tals |
319
Hospi-
tals |
319
Hospi-
tals |
195
Hospi-
tals |
116
Hospi-
tals |
271
Hospi-
tals |
115
Hospi-
tals |
330
Hospi-
tals |
286
Hospi-
tals |
299
Hospi-
tals |
720
Respon-
dents |
5,168
Respon-
dents |
5,992
Respon-
dents |
5,118
Respon-
dents |
8,279
Respon-
dents |
3,880
Respon-
dents |
1,763
Respon-
dents |
2,744
Respon-
dents |
2,301
Respon-
dents |
5,600
Respon-
dents |
4,153
Respon-
dents |
9,351
Respon-
dents |
1. Team-
work Within Units |
A1—People support one another in this unit. |
86% |
83% |
86% |
80% |
81% |
83% |
78% |
85% |
79% |
84% |
91% |
81% |
| A3—When a lot of work needs to be done quickly, we work together as a team to get the work done. |
88% |
86% |
87% |
85% |
80% |
86% |
82% |
84% |
81% |
87% |
89% |
86% |
| A4—In this unit, people treat each other with respect. |
84% |
74% |
79% |
75% |
71% |
76% |
73% |
78% |
73% |
77% |
86% |
73% |
| A11—When one area in this unit gets really busy, others help out. |
70% |
70% |
69% |
70% |
60% |
66% |
63% |
68% |
64% |
67% |
76% |
64% |
2. Supv/
Mgr Ex-
pecta-
tions & Actions Promot-
ing Patient Safety |
B1—My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. |
67% |
69% |
67% |
67% |
67% |
69% |
63% |
73% |
72% |
69% |
75% |
69% |
| B2—My supv/mgr seriously considers staff suggestions for improving patient safety. |
70% |
73% |
72% |
74% |
70% |
75% |
71% |
79% |
77% |
75% |
84% |
75% |
| B3—Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. |
74% |
73% |
70% |
80% |
72% |
73% |
68% |
79% |
75% |
78% |
80% |
72% |
| B4—My supv/mgr overlooks patient safety problems that happen over and over. |
74% |
75% |
74% |
76% |
75% |
75% |
68% |
79% |
78% |
78% |
83% |
76% |
| 3. Mgmt Support for Patient Safety |
F1—Hospital mgmt provides a work climate that promotes patient safety. |
77% |
72% |
69% |
80% |
74% |
77% |
71% |
77% |
75% |
82% |
85% |
77% |
| F8—The actions of hospital mgmt show that patient safety is a top priority. |
67% |
60% |
59% |
71% |
65% |
66% |
61% |
72% |
68% |
72% |
76% |
68% |
| F9—Hospital mgmt seems interested in patient safety only after an adverse event happens. |
56% |
51% |
47% |
60% |
54% |
52% |
48% |
62% |
59% |
59% |
63% |
59% |
4. Organ-
izational Learn-
ing—
Contin-
uous Improve-
ment |
A6—We are actively doing things to improve patient safety. |
81% |
75% |
81% |
78% |
78% |
77% |
79% |
87% |
83% |
78% |
87% |
85% |
| A9—Mistakes have led to positive changes here. |
63% |
56% |
55% |
66% |
58% |
61% |
52% |
73% |
60% |
60% |
63% |
62% |
| A13—After we make changes to improve patient safety, we evaluate their effectiveness. |
71% |
62% |
67% |
64% |
65% |
67% |
62% |
69% |
69% |
62% |
73% |
69% |
5. Over-
all Per-
ceptions of Patient Safety |
A10 R—It is just by chance that more serious mistakes don';t happen around here. |
66% |
53% |
54% |
64% |
53% |
59% |
56% |
64% |
58% |
65% |
74% |
63% |
| A15—Patient safety is never sacrificed to get more work done. |
60% |
55% |
49% |
70% |
53% |
54% |
61% |
66% |
64% |
74% |
76% |
64% |
| A17 R—We have patient safety problems in this unit. |
67% |
52% |
53% |
71% |
49% |
58% |
58% |
64% |
49% |
71% |
75% |
67% |
| A18—Our procedures and systems are good at preventing errors from happening. |
75% |
60% |
63% |
78% |
58% |
66% |
62% |
73% |
67% |
72% |
80% |
74% |
6. Feed-
back and Com-
munica-
tion About Error |
C1—We are given feedback about changes put into place based on event reports. |
47% |
48% |
47% |
50% |
49% |
54% |
45% |
55% |
56% |
51% |
62% |
50% |
| C3—We are informed about errors that happen in this unit. |
61% |
58% |
54% |
69% |
55% |
62% |
59% |
73% |
61% |
70% |
72% |
68% |
| C5—In this unit, we discuss ways to prevent errors from happening again. |
74% |
63% |
64% |
72% |
62% |
70% |
62% |
76% |
69% |
69% |
80% |
73% |
7. Com-
munica-
tion Open-
ness |
C2—Staff will freely speak up if they see something that may negatively affect patient care. |
82% |
73% |
74% |
74% |
71% |
78% |
72% |
80% |
73% |
78% |
83% |
80% |
| C4—Staff feel free to question the decisions or actions of those with more authority. |
57% |
46% |
45% |
47% |
38% |
51% |
44% |
58% |
48% |
47% |
58% |
51% |
| C6 R—Staff are afraid to ask questions when something does not seem right. |
75% |
62% |
63% |
67% |
56% |
64% |
59% |
74% |
62% |
66% |
72% |
65% |
8. Freq-
uency of Events Report-
ed |
D1—When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? |
49% |
43% |
43% |
51% |
47% |
47% |
48% |
49% |
55% |
41% |
55% |
55% |
| D2—When a mistake is made, but has no potential to harm the patient, how often is this reported? |
49% |
55% |
52% |
55% |
57% |
56% |
55% |
60% |
58% |
44% |
56% |
58% |
| D3—When a mistake is made that could harm the patient, but does not, how often is this reported? |
66% |
72% |
72% |
79% |
73% |
75% |
70% |
78% |
72% |
68% |
75% |
75% |
9. Team-
work Across Units |
F2 R—Hospital units do not coordinate well with each other. |
35% |
41% |
39% |
43% |
44% |
39% |
39% |
45% |
36% |
43% |
47% |
39% |
| F4—There is good cooperation among hospital units that need to work together. |
49% |
50% |
51% |
58% |
55% |
54% |
49% |
58% |
48% |
58% |
61% |
53% |
| F6 R—It is often unpleasant to work with staff from other hospital units. |
62% |
51% |
55% |
55% |
59% |
56% |
49% |
59% |
55% |
56% |
63% |
55% |
| F10—Hospital units work well together to provide the best care for patients. |
60% |
60% |
57% |
64% |
63% |
63% |
57% |
66% |
56% |
65% |
69% |
62% |
10. Staff-
ing |
A2—We have enough staff to handle the workload. |
57% |
45% |
48% |
54% |
45% |
50% |
52% |
54% |
50% |
59% |
57% |
56% |
| A5 R—Staff in this unit work longer hours than is best for patient care. |
46% |
53% |
54% |
55% |
51% |
52% |
53% |
57% |
50% |
57% |
62% |
51% |
| A7 R—We use more agency/temporary staff than is best for patient care. |
63% |
65% |
64% |
67% |
66% |
74% |
69% |
65% |
65% |
72% |
69% |
70% |
| A14 R—We work in "crisis mode" trying to do too much, too quickly. |
56% |
43% |
45% |
48% |
44% |
47% |
51% |
49% |
48% |
55% |
63% |
49% |
11. Hand-
offs & Transiti-
ons |
F3 R—Things "fall between the cracks" when transferring patients from one unit to another. |
32% |
50% |
37% |
29% |
44% |
43% |
38% |
29% |
29% |
42% |
40% |
41% |
| F5 R—Important patient care information is often lost during shift changes. |
43% |
56% |
57% |
45% |
52% |
58% |
48% |
36% |
48% |
48% |
46% |
45% |
| F7 R—Problems often occur in the exchange of information across hospital units. |
38% |
48% |
40% |
36% |
43% |
42% |
39% |
34% |
37% |
39% |
44% |
39% |
| F11 R—Shift changes are problematic for patients in this hospital. |
34% |
48% |
52% |
43% |
51% |
56% |
40% |
35% |
47% |
44% |
40% |
37% |
12. Nonpuni-
tive Response to Error |
A8 R—Staff feel like their mistakes are held against them. |
52% |
43% |
44% |
51% |
45% |
50% |
48% |
64% |
50% |
53% |
67% |
51% |
| A12 R—When an event is reported, it feels like the person is being written up, not the problem. |
44% |
36% |
40% |
42% |
40% |
40% |
42% |
58% |
47% |
43% |
57% |
45% |
| A16 R—Staff worry that mistakes they make are kept in their personnel file. |
36% |
28% |
30% |
35% |
30% |
30% |
30% |
50% |
33% |
38% |
53% |
37% |
540 Gaither Road Rockville, MD 20850 
