| Survey Items by Composite | Teaching Status | Ownership and Control |
|---|
| Teaching | Nonteaching | Government | Nongovernment |
|---|
| 59 Hospitals Both Years | 145 Hospitals Both Years | 63 Hospitals Both Years | 141 Hospitals Both Years |
|---|
| 40,839 Most Recent Respondents | 28,702 Most Recent Respondents | 10,036 Most Recent Respondents | 59,505 Most Recent Respondents |
|---|
| 38,681 Previous Respondents | 26,640 Previous Respondents | 10,007 Previous Respondents | 55,314 Previous Respondents |
|---|
| 1. Teamwork Within Units | A1—1. People support one another in this unit. | Most Recent | 83% | 86% | 84% | 85% |
| Previous | 78% | 83% | 84% | 81% |
| Change | 5% | 3% | 0% | 4% |
| A3—2. When a lot of work needs to be done quickly, we work togetder as a team to get the work done. | Most Recent | 83% | 87% | 87% | 86% |
| Previous | 79% | 86% | 87% | 82% |
| Change | 4% | 1% | 0% | 4% |
| A4—3. In this unit, people treat each other with respect. | Most Recent | 75% | 78% | 77% | 78% |
| Previous | 71% | 77% | 77% | 74% |
| Change | 4% | 1% | 0% | 4% |
| A11—4. When one area in this unit gets really busy, others help out. | Most Recent | 66% | 71% | 69% | 69% |
| Previous | 63% | 68% | 68% | 65% |
| Change | 3% | 3% | 1% | 4% |
| 2. Supervisor/Manager Expectations & Actions Promoting Patient Safety | B1—1. My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. | Most Recent | 71% | 72% | 72% | 72% |
| Previous | 67% | 70% | 70% | 69% |
| Change | 4% | 2% | 2% | 3% |
| B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 75% | 77% | 77% | 76% |
| Previous | 71% | 75% | 76% | 73% |
| Change | 4% | 2% | 1% | 3% |
| B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 71% | 76% | 78% | 73% |
| Previous | 70% | 75% | 76% | 72% |
| Change | 1% | 1% | 2% | 1% |
| B4R—4. My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 75% | 78% | 79% | 76% |
| Previous | 71% | 76% | 77% | 73% |
| Change | 4% | 2% | 2% | 3% |
| 3. Organizational Learning-Continuous Improvement | A6—1. We are actively doing things to improve patient safety. | Most Recent | 80% | 83% | 84% | 82% |
| Previous | 77% | 81% | 83% | 78% |
| Change | 3% | 2% | 1% | 4% |
| A9—2. Mistakes have led to positive changes here. | Most Recent | 61% | 65% | 65% | 63% |
| Previous | 58% | 62% | 63% | 60% |
| Change | 3% | 3% | 2% | 3% |
| A13—3. After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 66% | 70% | 71% | 68% |
| Previous | 63% | 67% | 69% | 64% |
| Change | 3% | 3% | 2% | 4% |
| 4. Management Support for Patient Safety | F1—1. Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 75% | 82% | 83% | 78% |
| Previous | 73% | 81% | 83% | 76% |
| Change | 2% | 1% | 0% | 2% |
| F8—2. The actions of hospital mgmt show that patient safety is a top priority. | Most Recent | 69% | 74% | 75% | 72% |
| Previous | 66% | 71% | 74% | 68% |
| Change | 3% | 3% | 1% | 4% |
| F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 55% | 62% | 63% | 59% |
| Previous | 53% | 60% | 61% | 56% |
| Change | 2% | 2% | 2% | 3% |
| 5. Overall Perceptions of Patient Safety | A10R—1. It is just by chance that more serious mistakes don't happen around here. | Most Recent | 53% | 63% | 63% | 59% |
| Previous | 54% | 61% | 60% | 58% |
| Change | -1% | 2% | 3% | 1% |
| A15—2. Patient safety is never sacrificed to get more work done. | Most Recent | 59% | 68% | 70% | 63% |
| Previous | 57% | 65% | 68% | 60% |
| Change | 2% | 3% | 2% | 3% |
| A17R—3. We have patient safety problems in this unit. | Most Recent | 52% | 66% | 68% | 59% |
| Previous | 54% | 63% | 65% | 59% |
| Change | -2% | 3% | 3% | 0% |
| A18—4. Our procedures and systems are good at preventing errors from happening. | Most Recent | 67% | 73% | 73% | 70% |
| Previous | 63% | 69% | 69% | 66% |
| Change | 4% | 4% | 4% | 4% |
| 6. Feedback & Communication About Error | C1—1. We are given feedback about changes put into place based on event reports. | Most Recent | 54% | 53% | 51% | 54% |
| Previous | 52% | 52% | 51% | 52% |
| Change | 2% | 1% | 0% | 2% |
| C3—2. We are informed about errors that happen in this unit. | Most Recent | 61% | 66% | 68% | 63% |
| Previous | 59% | 65% | 67% | 62% |
| Change | 2% | 1% | 1% | 1% |
| C5—3. In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 68% | 71% | 72% | 70% |
| Previous | 65% | 70% | 72% | 67% |
| Change | 3% | 1% | 0% | 3% |
| 7. Communication Openness | C2—1. Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 73% | 76% | 75% | 75% |
| Previous | 71% | 75% | 75% | 73% |
| Change | 2% | 1% | 0% | 2% |
| C4—2. Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 46% | 48% | 48% | 47% |
| Previous | 46% | 46% | 47% | 46% |
| Change | 0% | 2% | 1% | 1% |
| C6R—3. Staff are afraid to ask questions when something does not seem right. | Most Recent | 59% | 63% | 65% | 61% |
| Previous | 58% | 62% | 63% | 60% |
| Change | 1% | 1% | 2% | 1% |
| 8. Frequency of Events Reported | D1—1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | Most Recent | 51% | 54% | 55% | 53% |
| Previous | 48% | 53% | 54% | 50% |
| Change | 3% | 1% | 1% | 3% |
| D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 54% | 59% | 60% | 56% |
| Previous | 51% | 57% | 58% | 54% |
| Change | 3% | 2% | 2% | 2% |
| D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 70% | 75% | 75% | 73% |
| Previous | 68% | 73% | 75% | 71% |
| Change | 2% | 2% | 0% | 2% |
| 9. Teamwork Across Units | F2R—1. Hospital units do not coordinate well with each other. | Most Recent | 38% | 49% | 50% | 44% |
| Previous | 39% | 46% | 49% | 42% |
| Change | -1% | 3% | 1% | 2% |
| F4—2. There is good cooperation among hospital units that need to work together. | Most Recent | 51% | 63% | 64% | 57% |
| Previous | 50% | 60% | 63% | 55% |
| Change | 1% | 3% | 1% | 2% |
| F6R—3. It is often unpleasant to work with staff from other hospital units. | Most Recent | 53% | 61% | 61% | 57% |
| Previous | 52% | 58% | 60% | 55% |
| Change | 1% | 3% | 1% | 2% |
| F10—4. Hospital units work well together to provide the best care for patients. | Most Recent | 61% | 71% | 72% | 66% |
| Previous | 59% | 69% | 71% | 63% |
| Change | 2% | 2% | 1% | 3% |
| 10. Staffing | A2—1. We have enough staff to handle the workload. | Most Recent | 47% | 57% | 59% | 52% |
| Previous | 48% | 55% | 58% | 51% |
| Change | -1% | 2% | 1% | 1% |
| A5R—2. Staff in this unit work longer hours than is best for patient care. | Most Recent | 47% | 54% | 55% | 51% |
| Previous | 47% | 52% | 54% | 49% |
| Change | 0% | 2% | 1% | 2% |
| A7R—3. We use more agency/temporary staff than is best for patient care. | Most Recent | 62% | 66% | 64% | 65% |
| Previous | 58% | 64% | 64% | 61% |
| Change | 4% | 2% | 0% | 4% |
| A14R—4. We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 43% | 53% | 57% | 47% |
| Previous | 43% | 50% | 52% | 46% |
| Change | 0% | 3% | 5% | 1% |
| 11. Handoffs & Transitions | F3R—1. Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 33% | 46% | 51% | 38% |
| Previous | 34% | 44% | 49% | 38% |
| Change | -1% | 2% | 2% | 0% |
| F5R—2. Important patient care information is often lost during shift changes. | Most Recent | 45% | 52% | 54% | 48% |
| Previous | 45% | 50% | 53% | 47% |
| Change | 0% | 2% | 1% | 1% |
| F7R—3. Problems often occur in the exchange of information across hospital units. | Most Recent | 35% | 47% | 49% | 41% |
| Previous | 36% | 44% | 46% | 40% |
| Change | -1% | 3% | 3% | 1% |
| F11R—4. Shift changes are problematic for patients in this hospital. | Most Recent | 38% | 49% | 53% | 43% |
| Previous | 40% | 47% | 50% | 42% |
| Change | -2% | 2% | 3% | 1% |
| 12. Nonpunitive Response to Error | A8R—1. Staff feel like their mistakes are held against them. | Most Recent | 46% | 54% | 54% | 50% |
| Previous | 44% | 52% | 53% | 48% |
| Change | 2% | 2% | 1% | 2% |
| A12R—2. When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 42% | 48% | 47% | 46% |
| Previous | 41% | 45% | 45% | 43% |
| Change | 1% | 3% | 2% | 3% |
| A16R—3. Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 31% | 39% | 40% | 35% |
| Previous | 30% | 36% | 37% | 33% |
| Change | 1% | 3% | 3% | 2% |