- 551.89 KB]Table D-6
Trending: Item-Level Average Percent Positive Response by Staff Position
2009 Comparative Database Report
| Patient Safety Culture Composites | Staff Position | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Admin/ Mgmt | Attending /Physician/ Resident/ PA or NP | Dieti- cian | Pat Care Asst/ Aide/ Care Partner | Pharm- acist | RN/ LVN/ LPN | Tech- nician (EKG, Lab, Radiology) | Ther- apist (Respir- atory, Phys, Occup, Speech) | Unit Asst/ Clerk/ Secre- tary | ||||
| 187 Hospitals Both Years | 120 Hospitals Both Years | 80 Hospitals Both Years | 158 Hospitals Both Years | 116 Hospitals Both Years | 201 Hospitals Both Years | 165 Hospitals Both Years | 162 Hospitals Both Years | 179 Hospitals Both Years | ||||
| 4,881 Most Recent Respon- dents | 2,869 Most Recent Respon- dents | 365 Most Recent Respon- dents | 3,755 Most Recent Respon- dents | 985 Most Recent Respon- dents | 22,584 Most Recent Respon- dents | 5,948 Most Recent Respon- dents | 2,831 Most Recent Respon- dents | 3,700 Most Recent Respon- dents | ||||
| 4,608 Previous Respon- dents | 2,492 Previous Respon- dents | 371 Previous Respon- dents | 3,512 Previous Respon- dents | 909 Previous Respon- dents | 20,928 Previous Respon- dents | 5,322 Previous Respon- dents | 2,675 Previous Respon- dents | 3,741 Previous Respon- dents | ||||
| 1. Teamwork Within Units | A1—1. People support one another in this unit. | Most Recent | 94% | 89% | 88% | 77% | 87% | 86% | 82% | 88% | 83% | |
| Previous | 89% | 87% | 85% | 74% | 80% | 83% | 77% | 85% | 81% | |||
| Change | 5% | 2% | 3% | 3% | 7% | 3% | 5% | 3% | 2% | |||
| A3—2. When a lot of work needs to be done quickly, we work together as a team to get the work done. | Most Recent | 94% | 86% | 88% | 78% | 84% | 87% | 85% | 85% | 84% | ||
| Previous | 90% | 86% | 85% | 77% | 80% | 85% | 82% | 85% | 82% | |||
| Change | 4% | 0% | 3% | 1% | 4% | 2% | 3% | 0% | 2% | |||
| A4—3. In this unit, people treat each other with respect. | Most Recent | 89% | 86% | 86% | 72% | 81% | 77% | 74% | 82% | 73% | ||
| Previous | 83% | 85% | 81% | 66% | 71% | 76% | 71% | 81% | 74% | |||
| Change | 6% | 1% | 5% | 6% | 10% | 1% | 3% | 1% | -1% | |||
| A11—4. When one area in this unit gets really busy, others help out. | Most Recent | 79% | 69% | 74% | 64% | 67% | 67% | 67% | 74% | 69% | ||
| Previous | 73% | 67% | 72% | 60% | 61% | 66% | 64% | 72% | 68% | |||
| Change | 6% | 2% | 2% | 4% | 6% | 1% | 3% | 2% | 1% | |||
| 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 | 84% | 71% | 81% | 72% | 70% | 69% | 70% | 76% | 74% | |
| Previous | 78% | 60% | 78% | 68% | 65% | 68% | 66% | 70% | 72% | |||
| Change | 6% | 11% | 3% | 4% | 5% | 1% | 4% | 6% | 2% | |||
| B2—2. My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 89% | 76% | 85% | 77% | 76% | 74% | 76% | 82% | 76% | ||
| Previous | 86% | 70% | 77% | 70% | 75% | 73% | 73% | 77% | 79% | |||
| Change | 3% | 6% | 8% | 7% | 1% | 1% | 3% | 5% | -3% | |||
| B3R—3. Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 85% | 67% | 76% | 74% | 78% | 72% | 78% | 77% | 78% | ||
| Previous | 81% | 66% | 68% | 71% | 75% | 72% | 74% | 74% | 79% | |||
| Change | 4% | 1% | 8% | 3% | 3% | 0% | 4% | 3% | -1% | |||
| B4R—4. My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 87% | 74% | 85% | 76% | 80% | 75% | 79% | 77% | 78% | ||
| Previous | 81% | 71% | 74% | 71% | 73% | 73% | 73% | 75% | 79% | |||
| Change | 6% | 3% | 11% | 5% | 7% | 2% | 6% | 2% | -1% | |||
| 3. Organizational Learning- Continuous Improvement | A6—1. We are actively doing things to improve patient safety. | Most Recent | 90% | 81% | 84% | 86% | 83% | 83% | 81% | 83% | 83% | |
| Previous | 85% | 79% | 81% | 80% | 83% | 81% | 77% | 80% | 80% | |||
| Change | 5% | 2% | 3% | 6% | 0% | 2% | 4% | 3% | 3% | |||
| A9—2.Mistakes have led to positive changes here. | Most Recent | 83% | 68% | 65% | 60% | 72% | 61% | 65% | 61% | 62% | ||
| Previous | 78% | 62% | 66% | 56% | 68% | 60% | 59% | 58% | 59% | |||
| Change | 5% | 6% | -1% | 4% | 4% | 1% | 6% | 3% | 3% | |||
| A13—3.After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 79% | 65% | 68% | 71% | 61% | 70% | 66% | 68% | 70% | ||
| Previous | 75% | 59% | 71% | 68% | 57% | 65% | 62% | 68% | 69% | |||
| Change | 4% | 6% | -3% | 3% | 4% | 5% | 4% | 0% | 1% | |||
| 4. Management Support for Patient Safety | F1—1. Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 90% | 75% | 84% | 82% | 73% | 73% | 83% | 81% | 85% | |
| Previous | 88% | 76% | 86% | 78% | 68% | 73% | 79% | 79% | 83% | |||
| Change | 2% | -1% | -2% | 4% | 5% | 0% | 4% | 2% | 2% | |||
| F8—2. The actions of hospital mgmt show that patient safety is a top priority. | Most Recent | 85% | 71% | 81% | 78% | 68% | 66% | 73% | 73% | 79% | ||
| Previous | 80% | 63% | 76% | 73% | 67% | 63% | 71% | 68% | 75% | |||
| Change | 5% | 8% | 5% | 5% | 1% | 3% | 2% | 5% | 4% | |||
| F9R—3. Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 74% | 60% | 60% | 60% | 60% | 55% | 59% | 60% | 63% | ||
| Previous | 72% | 56% | 59% | 56% | 58% | 54% | 58% | 54% | 62% | |||
| Change | 2% | 4% | 1% | 4% | 2% | 1% | 1% | 6% | 1% | |||
| 5. Overall Perceptions of Patient Safety | A10R—1. It is just by chance that more serious mistakes don't happen around here. | Most Recent | 72% | 58% | 64% | 55% | 59% | 59% | 63% | 66% | 55% | |
| Previous | 70% | 62% | 67% | 52% | 55% | 58% | 61% | 65% | 58% | |||
| Change | 2% | -4% | -3% | 3% | 4% | 1% | 2% | 1% | -3% | |||
| A15—2. Patient safety is never sacrificed to get more work done. | Most Recent | 73% | 63% | 63% | 64% | 55% | 57% | 72% | 67% | 72% | ||
| Previous | 69% | 59% | 63% | 62% | 53% | 54% | 68% | 68% | 70% | |||
| Change | 4% | 4% | 0% | 2% | 2% | 3% | 4% | -1% | 2% | |||
| A17R—3. We have patient safety problems in this unit. | Most Recent | 68% | 59% | 66% | 59% | 55% | 57% | 69% | 65% | 64% | ||
| Previous | 67% | 55% | 60% | 55% | 55% | 55% | 69% | 65% | 67% | |||
| Change | 1% | 4% | 6% | 4% | 0% | 2% | 0% | 0% | -3% | |||
| A18—4. Our procedures and systems are good at preventing errors from happening. | Most Recent | 79% | 66% | 78% | 69% | 71% | 67% | 76% | 74% | 74% | ||
| Previous | 75% | 62% | 73% | 66% | 67% | 63% | 73% | 70% | 71% | |||
| Change | 4% | 4% | 5% | 3% | 4% | 4% | 3% | 4% | 3% | |||
| 6. Feedback and Communi- cation About Error | C1—1. We are given feedback about changes put into place based on event reports. | Most Recent | 65% | 52% | 64% | 55% | 50% | 50% | 51% | 59% | 53% | |
| Previous | 63% | 49% | 60% | 53% | 49% | 49% | 48% | 54% | 58% | |||
| Change | 2% | 3% | 4% | 2% | 1% | 1% | 3% | 5% | -5% | |||
| C3—2. We are informed about errors that happen in this unit. | Most Recent | 78% | 59% | 69% | 65% | 67% | 57% | 68% | 65% | 69% | ||
| Previous | 74% | 57% | 65% | 64% | 60% | 57% | 66% | 62% | 69% | |||
| Change | 4% | 2% | 4% | 1% | 7% | 0% | 2% | 3% | 0% | |||
| C5—3. In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 85% | 69% | 80% | 69% | 71% | 66% | 69% | 73% | 73% | ||
| Previous | 81% | 64% | 74% | 65% | 66% | 65% | 67% | 72% | 72% | |||
| Change | 4% | 5% | 6% | 4% | 5% | 1% | 2% | 1% | 1% | |||
| 7. Communi- cation Openness | C2—1. Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 84% | 72% | 75% | 71% | 78% | 75% | 76% | 80% | 75% | |
| Previous | 81% | 72% | 77% | 73% | 76% | 74% | 73% | 80% | 74% | |||
| Change | 3% | 0% | -2% | -2% | 2% | 1% | 3% | 0% | 1% | |||
| C4—2. Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 69% | 56% | 56% | 40% | 60% | 44% | 45% | 52% | 43% | ||
| Previous | 65% | 53% | 56% | 39% | 57% | 45% | 42% | 50% | 47% | |||
| Change | 4% | 3% | 0% | 1% | 3% | -1% | 3% | 2% | -4% | |||
| C6R—3. Staff are afraid to ask questions when something does not seem right. | Most Recent | 75% | 64% | 62% | 56% | 71% | 61% | 63% | 67% | 61% | ||
| Previous | 70% | 61% | 58% | 55% | 69% | 61% | 61% | 65% | 61% | |||
| Change | 5% | 3% | 4% | 1% | 2% | 0% | 2% | 2% | 0% | |||
| 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 | 59% | 48% | 57% | 63% | 37% | 49% | 52% | 48% | 64% | |
| Previous | 55% | 46% | 47% | 58% | 32% | 46% | 51% | 48% | 60% | |||
| Change | 4% | 2% | 10% | 5% | 5% | 3% | 1% | 0% | 4% | |||
| D2—2. When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 64% | 49% | 52% | 60% | 50% | 60% | 54% | 47% | 62% | ||
| Previous | 59% | 50% | 46% | 56% | 41% | 57% | 54% | 48% | 58% | |||
| Change | 5% | -1% | 6% | 4% | 9% | 3% | 0% | -1% | 4% | |||
| D3—3. When a mistake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 79% | 70% | 69% | 73% | 69% | 76% | 74% | 66% | 75% | ||
| Previous | 75% | 65% | 64% | 69% | 67% | 75% | 71% | 68% | 72% | |||
| Change | 4% | 5% | 5% | 4% | 2% | 1% | 3% | -2% | 3% | |||
| 9. Teamwork Across Units | F2R—1. Hospital units do not coordinate well with each other. | Most Recent | 53% | 46% | 49% | 44% | 42% | 43% | 42% | 50% | 47% | |
| Previous | 50% | 42% | 51% | 47% | 39% | 42% | 42% | 47% | 45% | |||
| Change | 3% | 4% | -2% | -3% | 3% | 1% | 0% | 3% | 2% | |||
| F4—2. There is good cooperation among hospital units that need to work together. | Most Recent | 66% | 57% | 61% | 60% | 53% | 56% | 56% | 64% | 61% | ||
| Previous | 61% | 55% | 64% | 60% | 53% | 54% | 56% | 58% | 60% | |||
| Change | 5% | 2% | -3% | 0% | 0% | 2% | 0% | 6% | 1% | |||
| F6R—3. It is often unpleasant to work with staff from other hospital units. | Most Recent | 63% | 61% | 61% | 57% | 57% | 59% | 53% | 65% | 56% | ||
| Previous | 59% | 59% | 65% | 58% | 55% | 57% | 53% | 59% | 56% | |||
| Change | 4% | 2% | -4% | -1% | 2% | 2% | 0% | 6% | 0% | |||
| F10—4. Hospital units work well together to provide the best care for patients. | Most Recent | 75% | 65% | 70% | 71% | 63% | 64% | 66% | 69% | 72% | ||
| Previous | 72% | 65% | 72% | 69% | 57% | 62% | 64% | 64% | 70% | |||
| Change | 3% | 0% | -2% | 2% | 6% | 2% | 2% | 5% | 2% | |||
| 10. Staffing | A2—1. We have enough staff to handle the workload. | Most Recent | 68% | 54% | 60% | 43% | 48% | 53% | 54% | 55% | 49% | |
| Previous | 67% | 53% | 63% | 42% | 44% | 52% | 53% | 52% | 48% | |||
| Change | 1% | 1% | -3% | 1% | 4% | 1% | 1% | 3% | 1% | |||
| A5R—2. Staff in this unit work longer hours than is best for patient care. | Most Recent | 60% | 50% | 53% | 45% | 58% | 54% | 54% | 57% | 48% | ||
| Previous | 54% | 49% | 53% | 44% | 57% | 54% | 53% | 55% | 51% | |||
| Change | 6% | 1% | 0% | 1% | 1% | 0% | 1% | 2% | -3% | |||
| A7R—3. We use more agency/ temporary staff than is best for patient care. | Most Recent | 69% | 61% | 55% | 61% | 69% | 69% | 68% | 71% | 60% | ||
| Previous | 65% | 58% | 59% | 58% | 57% | 67% | 64% | 69% | 59% | |||
| Change | 4% | 3% | -4% | 3% | 12% | 2% | 4% | 2% | 1% | |||
| A14R—4. We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 59% | 51% | 55% | 49% | 47% | 47% | 51% | 56% | 53% | ||
| Previous | 54% | 53% | 54% | 44% | 43% | 47% | 47% | 54% | 51% | |||
| Change | 5% | -2% | 1% | 5% | 4% | 0% | 4% | 2% | 2% | |||
| 11. Handoffs & Transitions | F3R—1. Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 43% | 43% | 34% | 47% | 25% | 45% | 34% | 36% | 47% | |
| Previous | 41% | 38% | 37% | 48% | 23% | 42% | 35% | 38% | 45% | |||
| Change | 2% | 5% | -3% | -1% | 2% | 3% | -1% | -2% | 2% | |||
| F5R—2. Important patient care information is often lost during shift changes. | Most Recent | 50% | 47% | 44% | 55% | 30% | 55% | 44% | 44% | 53% | ||
| Previous | 47% | 45% | 47% | 55% | 33% | 53% | 44% | 46% | 50% | |||
| Change | 3% | 2% | -3% | 0% | -3% | 2% | 0% | -2% | 3% | |||
| F7R—3. Problems often occur in the exchange of information across hospital units. | Most Recent | 46% | 43% | 41% | 43% | 27% | 46% | 38% | 43% | 46% | ||
| Previous | 45% | 38% | 45% | 44% | 26% | 44% | 37% | 41% | 42% | |||
| Change | 1% | 5% | -4% | -1% | 1% | 2% | 1% | 2% | 4% | |||
| F11R—4. Shift changes are problematic for patients in this hospital. | Most Recent | 49% | 41% | 38% | 51% | 29% | 51% | 40% | 40% | 48% | ||
| Previous | 49% | 37% | 43% | 48% | 30% | 49% | 41% | 38% | 47% | |||
| Change | 0% | 4% | -5% | 3% | -1% | 2% | -1% | 2% | 1% | |||
| 12. Nonpunitive Response to Error | A8R—1. Staff feel like their mistakes are held against them. | Most Recent | 68% | 47% | 53% | 44% | 63% | 51% | 50% | 59% | 45% | |
| Previous | 65% | 49% | 50% | 41% | 58% | 49% | 46% | 58% | 50% | |||
| Change | 3% | -2% | 3% | 3% | 5% | 2% | 4% | 1% | -5% | |||
| A12R—2. When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 69% | 43% | 50% | 38% | 64% | 47% | 43% | 53% | 37% | ||
| Previous | 65% | 43% | 43% | 34% | 58% | 44% | 41% | 47% | 40% | |||
| Change | 4% | 0% | 7% | 4% | 6% | 3% | 2% | 6% | -3% | |||
| A16R—3. Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 52% | 30% | 37% | 28% | 53% | 35% | 35% | 44% | 33% | ||
| Previous | 47% | 31% | 38% | 26% | 47% | 33% | 33% | 41% | 32% | |||
| Change | 5% | -1% | -1% | 2% | 6% | 2% | 2% | 3% | 1% | |||
Page last reviewed April 2009
Internet Citation: Table D-6: Trending: Item-Level Average Percent Positive Response by Staff Position.
April 2009. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2009/tabd-6.html
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