Nursing Home Survey on Patient Safety Culture

Table B-10. Item-Level Average Percent Positive Response by Interaction With Residents

Patient Safety Culture Composites Interaction With Residents
Direct Interaction
Direct Interaction
# Nursing Homes 226 223
# Respondents 10,882 4,349
1. Overall Perceptions of Resident Safety
1. Residents are well cared for in this nursing home (D1) 86% 88%
2. This nursing home does a good job keeping residents safe (D6) 84% 89%
3. This nursing home is a safe place for residents (D8) 86% 90%
2. Feedback & Communication About Incidents
1. When staff report something that could harm a resident, someone takes care of it (B4) 78% 87%
2. In this nursing home, we talk about ways to keep incidents from happening again (B5) 81% 90%
3. Staff tell someone if they see something that might harm a resident (B6) 87% 88%
4. In this nursing home, we discuss ways to keep residents safe from harm (B8) 83% 90%
3. Supervisor Expectations & Actions Promoting Resident Safety
1. My supervisor listens to staff ideas and suggestions about resident safety (C1) 77% 86%
2. My supervisor says a good word to staff who follow the right procedures (C2) 70% 81%
3. My supervisor pays attention to resident safety problems in this nursing home (C3) 84% 90%
4. Organizational Learning
1. This nursing home lets the same mistakes happen again and again (D3R) 66% 73%
2. It is easy to make changes to improve resident safety in this nursing home (D4) 65% 72%
3. This nursing home is always doing things to improve resident safety (D5) 76% 83%
4. When this nursing home makes changes to improve resident safety, it checks to see if the changes worked (D10) 73% 81%
5. Management Support for Resident Safety
1. Management asks staff how the nursing home can improve resident safety (D2) 65% 78%
2. Management listens to staff ideas and suggestions to improve resident safety (D7) 64% 78%
3. Management often walks around the nursing home to check on resident care (D9) 69% 80%
6. Training & Skills
1. Staff get the training they need in this nursing home (A7) 74% 79%
2. Staff have enough training on how to handle difficult residents (A11) 57% 64%
3. Staff understand the training they get in this nursing home (A13) 78% 79%
7. Compliance With Procedures
1. Staff follow standard procedures to care for residents (A4) 82% 82%
2. Staff use shortcuts to get their work done faster (A6R) 45% 43%
3. To make work easier, staff often ignore procedures (A14R) 66% 62%
8. Teamwork
1. Staff in this nursing home treat each other with respect (A1) 64% 71%
2. Staff support one another in this nursing home (A2) 64% 71%
3. Staff feel like they are part of a team (A5) 60% 69%
4. When someone gets really busy in this nursing home, other staff help out (A9) 61% 71%
9. Handoffs
1. Staff are told what they need to know before taking care of a resident for the first time (B1) 62% 78%
2. Staff are told right away when there is a change in a resident's care plan (B2) 51% 68%
3. We have all the information we need when residents are transferred from the hospital (B3) 51% 63%
4. Staff are given all the information they need to care for residents (B10) 68% 82%
10. Communication Openness
1. Staff ideas and suggestions are valued in this nursing home (B7) 55% 71%
2. Staff opinions are ignored in this nursing home (B9R) 48% 63%
3. It is easy for staff to speak up about problems in this nursing home (B11) 54% 67%
11. Nonpunitive Response to Error
1. Staff are blamed when a resident is harmed (A10R) 40% 47%
2. Staff are afraid to report their mistakes (A12R) 52% 51%
3. Staff are treated fairly when they make mistakes (A15) 53% 66%
4. Staff feel safe reporting their mistakes (A18) 54% 58%
12. Staffing
1. We have enough staff to handle the workload (A3) 37% 53%
2. Staff have to hurry because they have too much work to do (A8R) 32% 41%
3. Residents' needs are met during shift changes (A16) 64% 66%
4. It is hard to keep residents safe here because so many staff quit their jobs (A17R) 66% 70%

Note: The item's survey location is shown after the item text. An "R" indicates a negatively worded item, where the percent positive response is based on those who responded "Strongly disagree" or "Disagree," or "Never" or "Rarely" (depending on the response category used for the item).

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Page last reviewed October 2014
Page originally created August 2011
Internet Citation: Table B-10. Item-Level Average Percent Positive Response by Interaction With Residents. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.