- 396.04 KB]Table C-5. Trending: Item-Level Average Percent Positive Response by Bed Size
2010 User Comparative Database Report
| Survey Items by Composite | Database Year | Bed Size | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 6-24 beds | 25-49 beds | 50-99 beds | 100-199 beds | 200-299 beds | 300-399 beds | 400-499 beds | 500+ beds | |||
| 28 Hospitals Both Years | 56 Hospitals Both Years | 51 Hospitals Both Years | 64 Hospitals Both Years | 48 Hospitals Both Years | 24 Hospitals Both Years | 20 Hospitals Both Years | 30 Hospitals Both Years | |||
| 1,735 Most Recent Respon- dents | 5,331 Most Recent Respon- dents | 7,101 Most Recent Respon- dents | 19,935 Most Recent Respon- dents | 22,073 Most Recent Respon- dents | 16,456 Most Recent Respon- dents | 15,975 Most Recent Respon- dents | 39,347 Most Recent Respon- dents | |||
| 2,286 Previous Respon- dents | 4,774 Previous Respon- dents | 7,820 Previous Respon- dents | 16,663 Previous Respon- dents | 25,183 Previous Respon- dents | 14,158 Previous Respon- dents | 12,637 Previous Respon- dents | 30,976 Previous Respon- dents | |||
| 1. Teamwork Within Units | A1 People support one another in this unit. | Most Recent | 88% | 88% | 85% | 84% | 85% | 86% | 84% | 84% |
| Previous | 86% | 87% | 84% | 81% | 79% | 86% | 79% | 83% | ||
| Change | 2% | 1% | 1% | 3% | 6% | 0% | 5% | 1% | ||
| A3 When a lot of work needs to be done quickly, we work together as a team to get the work done. | Most Recent | 90% | 89% | 86% | 85% | 84% | 86% | 83% | 83% | |
| Previous | 89% | 90% | 85% | 82% | 80% | 86% | 79% | 83% | ||
| Change | 1% | -1% | 1% | 3% | 4% | 0% | 4% | 0% | ||
| A4 In this unit, people treat each other with respect. | Most Recent | 79% | 81% | 77% | 78% | 78% | 79% | 76% | 76% | |
| Previous | 81% | 81% | 77% | 75% | 72% | 79% | 72% | 74% | ||
| Change | -2% | 0% | 0% | 3% | 6% | 0% | 4% | 2% | ||
| A11 When one area in this unit gets really busy, others help out. | Most Recent | 74% | 71% | 70% | 67% | 67% | 69% | 66% | 67% | |
| Previous | 73% | 73% | 68% | 66% | 62% | 70% | 62% | 66% | ||
| Change | 1% | -2% | 2% | 1% | 5% | -1% | 4% | 1% | ||
| 2. Supervisor/Manager Expectations & Actions Promoting Patient Safety | B1 My supv/mgr says a good word when he/she sees a job done according to established patient safety procedures. | Most Recent | 73% | 75% | 74% | 73% | 73% | 73% | 72% | 71% |
| Previous | 71% | 73% | 70% | 71% | 69% | 73% | 68% | 69% | ||
| Change | 2% | 2% | 4% | 2% | 4% | 0% | 4% | 2% | ||
| B2 My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 79% | 80% | 79% | 77% | 76% | 76% | 75% | 74% | |
| Previous | 77% | 80% | 75% | 73% | 71% | 75% | 71% | 73% | ||
| Change | 2% | 0% | 4% | 4% | 5% | 1% | 4% | 1% | ||
| B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 79% | 80% | 75% | 73% | 71% | 71% | 70% | 69% | |
| Previous | 79% | 80% | 74% | 72% | 68% | 72% | 68% | 68% | ||
| Change | 0% | 0% | 1% | 1% | 3% | -1% | 2% | 1% | ||
| B4R My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 79% | 81% | 78% | 76% | 74% | 74% | 74% | 74% | |
| Previous | 77% | 80% | 77% | 74% | 71% | 75% | 70% | 73% | ||
| Change | 2% | 1% | 1% | 2% | 3% | -1% | 4% | 1% | ||
| 3. Management Support for Patient Safety | F1 Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 87% | 86% | 82% | 80% | 77% | 80% | 78% | 76% |
| Previous | 85% | 85% | 79% | 75% | 73% | 80% | 71% | 73% | ||
| Change | 2% | 1% | 3% | 5% | 4% | 0% | 7% | 3% | ||
| F8 The actions of hospital mgmt show that patient safety is a top priority. | Most Recent | 80% | 78% | 74% | 73% | 70% | 75% | 71% | 71% | |
| Previous | 77% | 77% | 71% | 68% | 66% | 74% | 65% | 67% | ||
| Change | 3% | 1% | 3% | 5% | 4% | 1% | 6% | 4% | ||
| F9R Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 70% | 67% | 62% | 58% | 55% | 60% | 57% | 54% | |
| Previous | 65% | 66% | 58% | 57% | 54% | 59% | 52% | 51% | ||
| Change | 5% | 1% | 4% | 1% | 1% | 1% | 5% | 3% | ||
| 4. Organizational Learning—Continuous Improvement | A6 We are actively doing things to improve patient safety. | Most Recent | 84% | 85% | 84% | 82% | 81% | 84% | 82% | 82% |
| Previous | 84% | 85% | 83% | 78% | 75% | 84% | 76% | 80% | ||
| Change | 0% | 0% | 1% | 4% | 6% | 0% | 6% | 2% | ||
| A9 Mistakes have led to positive changes here. | Most Recent | 66% | 67% | 65% | 64% | 62% | 64% | 62% | 63% | |
| Previous | 65% | 67% | 62% | 60% | 57% | 63% | 57% | 60% | ||
| Change | 1% | 0% | 3% | 4% | 5% | 1% | 5% | 3% | ||
| A13 After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 69% | 72% | 71% | 69% | 68% | 70% | 67% | 67% | |
| Previous | 71% | 73% | 69% | 66% | 63% | 70% | 63% | 65% | ||
| Change | -2% | -1% | 2% | 3% | 5% | 0% | 4% | 2% | ||
| 5. Overall Perceptions of Patient Safety | A10R It is just by chance that more serious mistakes don't happen around here. | Most Recent | 69% | 66% | 64% | 60% | 57% | 61% | 57% | 55% |
| Previous | 67% | 65% | 60% | 56% | 53% | 60% | 53% | 53% | ||
| Change | 2% | 1% | 4% | 4% | 4% | 1% | 4% | 2% | ||
| A15 Patient safety is never sacrificed to get more work done. | Most Recent | 75% | 72% | 66% | 63% | 61% | 62% | 60% | 59% | |
| Previous | 75% | 70% | 63% | 60% | 56% | 62% | 55% | 57% | ||
| Change | 0% | 2% | 3% | 3% | 5% | 0% | 5% | 2% | ||
| A17R We have patient safety problems in this unit. | Most Recent | 73% | 70% | 66% | 62% | 58% | 62% | 58% | 56% | |
| Previous | 73% | 69% | 61% | 58% | 52% | 60% | 53% | 53% | ||
| Change | 0% | 1% | 5% | 4% | 6% | 2% | 5% | 3% | ||
| A18 Our procedures and systems are good at preventing errors from happening. | Most Recent | 75% | 75% | 73% | 70% | 69% | 72% | 70% | 68% | |
| Previous | 73% | 74% | 70% | 68% | 65% | 71% | 64% | 66% | ||
| Change | 2% | 1% | 3% | 2% | 4% | 1% | 6% | 2% | ||
| 6. Feedback & Communication About Error | C1 We are given feedback about changes put into place based on event reports. | Most Recent | 56% | 53% | 55% | 55% | 55% | 58% | 57% | 57% |
| Previous | 53% | 53% | 53% | 52% | 49% | 58% | 53% | 54% | ||
| Change | 3% | 0% | 2% | 3% | 6% | 0% | 4% | 3% | ||
| C3 We are informed about errors that happen in this unit. | Most Recent | 70% | 67% | 66% | 64% | 63% | 65% | 64% | 63% | |
| Previous | 69% | 67% | 65% | 62% | 59% | 64% | 58% | 60% | ||
| Change | 1% | 0% | 1% | 2% | 4% | 1% | 6% | 3% | ||
| C5 In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 73% | 73% | 72% | 70% | 69% | 72% | 68% | 68% | |
| Previous | 74% | 74% | 70% | 67% | 63% | 72% | 64% | 66% | ||
| Change | -1% | -1% | 2% | 3% | 6% | 0% | 4% | 2% | ||
| 7. Communication Openness | C2 Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 76% | 77% | 77% | 75% | 74% | 75% | 73% | 74% |
| Previous | 80% | 76% | 76% | 73% | 71% | 76% | 70% | 73% | ||
| Change | -4% | 1% | 1% | 2% | 3% | -1% | 3% | 1% | ||
| C4 Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 51% | 48% | 47% | 47% | 46% | 48% | 47% | 47% | |
| Previous | 49% | 48% | 46% | 44% | 44% | 49% | 45% | 47% | ||
| Change | 2% | 0% | 1% | 3% | 2% | -1% | 2% | 0% | ||
| C6R Staff are afraid to ask questions when something does not seem right. | Most Recent | 65% | 65% | 63% | 62% | 60% | 62% | 61% | 58% | |
| Previous | 66% | 65% | 61% | 60% | 57% | 63% | 58% | 60% | ||
| Change | -1% | 0% | 2% | 2% | 3% | -1% | 3% | -2% | ||
| 8. Frequency of Events Reported | D1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | Most Recent | 58% | 57% | 56% | 55% | 55% | 58% | 56% | 53% |
| Previous | 54% | 54% | 53% | 52% | 50% | 57% | 50% | 50% | ||
| Change | 4% | 3% | 3% | 3% | 5% | 1% | 6% | 3% | ||
| D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 61% | 61% | 60% | 58% | 57% | 59% | 57% | 55% | |
| Previous | 59% | 59% | 57% | 55% | 52% | 57% | 52% | 52% | ||
| Change | 2% | 2% | 3% | 3% | 5% | 2% | 5% | 3% | ||
| D3 When a mistake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 76% | 76% | 76% | 73% | 72% | 73% | 71% | 70% | |
| Previous | 77% | 76% | 73% | 71% | 69% | 73% | 67% | 68% | ||
| Change | -1% | 0% | 3% | 2% | 3% | 0% | 4% | 2% | ||
| 9. Teamwork Across Units | F2R Hospital units do not coordinate well with each other. | Most Recent | 56% | 54% | 50% | 44% | 39% | 46% | 41% | 39% |
| Previous | 56% | 52% | 45% | 43% | 39% | 45% | 37% | 36% | ||
| Change | 0% | 2% | 5% | 1% | 0% | 1% | 4% | 3% | ||
| F4 There is good cooperation among hospital units that need to work together. | Most Recent | 71% | 66% | 62% | 58% | 52% | 58% | 54% | 52% | |
| Previous | 70% | 66% | 60% | 54% | 50% | 58% | 48% | 48% | ||
| Change | 1% | 0% | 2% | 4% | 2% | 0% | 6% | 4% | ||
| F6R It is often unpleasant to work with staff from other hospital units. | Most Recent | 66% | 64% | 61% | 58% | 54% | 58% | 54% | 53% | |
| Previous | 66% | 63% | 59% | 55% | 51% | 58% | 50% | 52% | ||
| Change | 0% | 1% | 2% | 3% | 3% | 0% | 4% | 1% | ||
| F10 Hospital units work well together to provide the best care for patients. | Most Recent | 80% | 74% | 71% | 67% | 62% | 68% | 63% | 61% | |
| Previous | 77% | 75% | 68% | 63% | 59% | 68% | 58% | 58% | ||
| Change | 3% | -1% | 3% | 4% | 3% | 0% | 5% | 3% | ||
| 10. Staffing | A2 We have enough staff to handle the workload. | Most Recent | 67% | 62% | 57% | 53% | 51% | 55% | 52% | 49% |
| Previous | 65% | 62% | 52% | 49% | 46% | 52% | 45% | 46% | ||
| Change | 2% | 0% | 5% | 4% | 5% | 3% | 7% | 3% | ||
| A5R Staff in this unit work longer hours than is best for patient care. | Most Recent | 62% | 56% | 53% | 52% | 50% | 50% | 49% | 49% | |
| Previous | 57% | 57% | 50% | 47% | 45% | 49% | 45% | 46% | ||
| Change | 5% | -1% | 3% | 5% | 5% | 1% | 4% | 3% | ||
| A7R We use more agency/temporary staff than is best for patient care. | Most Recent | 71% | 67% | 67% | 65% | 65% | 63% | 66% | 64% | |
| Previous | 70% | 66% | 65% | 59% | 57% | 64% | 60% | 61% | ||
| Change | 1% | 1% | 2% | 6% | 8% | -1% | 6% | 3% | ||
| A14R We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 63% | 57% | 52% | 47% | 43% | 47% | 44% | 42% | |
| Previous | 61% | 57% | 48% | 44% | 40% | 45% | 39% | 40% | ||
| Change | 2% | 0% | 4% | 3% | 3% | 2% | 5% | 2% | ||
| 11. Handoffs & Transitions | F3R Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 56% | 50% | 47% | 37% | 34% | 37% | 33% | 32% |
| Previous | 56% | 51% | 44% | 38% | 33% | 38% | 32% | 30% | ||
| Change | 0% | -1% | 3% | -1% | 1% | -1% | 1% | 2% | ||
| F5R Important patient care information is often lost during shift changes. | Most Recent | 56% | 53% | 52% | 47% | 45% | 48% | 46% | 47% | |
| Previous | 59% | 54% | 50% | 46% | 45% | 49% | 45% | 46% | ||
| Change | -3% | -1% | 2% | 1% | 0% | -1% | 1% | 1% | ||
| F7R Problems often occur in the exchange of information across hospital units. | Most Recent | 56% | 49% | 48% | 40% | 36% | 40% | 37% | 36% | |
| Previous | 53% | 50% | 44% | 39% | 35% | 40% | 34% | 34% | ||
| Change | 3% | -1% | 4% | 1% | 1% | 0% | 3% | 2% | ||
| F11R Shift changes are problematic for patients in this hospital. | Most Recent | 59% | 53% | 49% | 42% | 37% | 42% | 39% | 39% | |
| Previous | 57% | 53% | 45% | 42% | 38% | 43% | 38% | 37% | ||
| Change | 2% | 0% | 4% | 0% | -1% | -1% | 1% | 2% | ||
| 12. Nonpunitive Response to Error | A8R Staff feel like their mistakes are held against them. | Most Recent | 58% | 56% | 54% | 50% | 48% | 50% | 47% | 44% |
| Previous | 58% | 56% | 50% | 49% | 46% | 49% | 45% | 44% | ||
| Change | 0% | 0% | 4% | 1% | 2% | 1% | 2% | 0% | ||
| A12R When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 53% | 50% | 48% | 46% | 44% | 46% | 43% | 42% | |
| Previous | 49% | 48% | 43% | 43% | 41% | 45% | 40% | 41% | ||
| Change | 4% | 2% | 5% | 3% | 3% | 1% | 3% | 1% | ||
| A16R Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 43% | 42% | 38% | 35% | 32% | 33% | 30% | 29% | |
| Previous | 43% | 39% | 36% | 34% | 30% | 32% | 29% | 27% | ||
| Change | 0% | 3% | 2% | 1% | 2% | 1% | 1% | 2% | ||
Note: The item's survey location is shown to the left. 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).
Page last reviewed March 2010
Internet Citation: Table C-5. Trending: Item-Level Average Percent Positive Response by Bed Size: 2010 User Comparative Database Report.
March 2010. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2010/tabc5.html
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