| 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% | |