- 396.04 KB]Table D-6. Item-Level Average Percent Positive Response by Staff Position
2010 User Comparative Database Report
| # | Staff Position | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Admin/ Mgmt | Attending/ Physician/ Resident/ PA or NP | Dietitian | Pat. Care Asst/ Aide/ Care Partner | Pharmacist | RN/ LVN/ LPN | Tech (EKG, Lab, Radiol) | Therapist (Respir, Phys, Occup, Speech) | Unit Asst/ Clerk/ Secretary | |
| No. of Hospitals Both Years | 234 | 92 | 31 | 168 | 83 | 313 | 233 | 179 | 209 |
| No. of Most Recent Respondents | 7,937 | 4,124 | 361 | 6,576 | 1,304 | 42,814 | 11,911 | 4,800 | 7,223 |
| No. of Previous Respondents | 7,329 | 4,053 | 312 | 5,645 | 1,200 | 39,672 | 9,871 | 4,668 | 6,486 |
| Survey Items by Composite | Survey | Staff Position | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Admin/ Mgmt | Attending/ Physician/ Resident/ PA or NP | Dietitian | Pat. Care Asst/ Aide/ Care Partner | Pharmacist | RN/ LVN/ LPN | Tech (EKG, Lab, Radiol) | Therapist (Respir, Phys, Occup, Speech) | Unit Asst/ Clerk/ Secretary | |||
| 1. Teamwork Within Units | A1 People support one another in this unit. | Most Recent | 95% | 89% | 89% | 78% | 84% | 86% | 82% | 90% | 83% |
| Previous | 90% | 89% | 89% | 75% | 80% | 84% | 80% | 87% | 78% | ||
| Change | 5% | 0% | 0% | 3% | 4% | 2% | 2% | 3% | 5% | ||
| A3 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% | 90% | 76% | 82% | 87% | 84% | 87% | 84% | |
| Previous | 92% | 85% | 88% | 74% | 76% | 85% | 82% | 86% | 80% | ||
| Change | 2% | 1% | 2% | 2% | 6% | 2% | 2% | 1% | 4% | ||
| A4 In this unit, people treat each other with respect. | Most Recent | 89% | 87% | 81% | 71% | 73% | 78% | 74% | 84% | 74% | |
| Previous | 85% | 85% | 83% | 67% | 73% | 76% | 72% | 82% | 72% | ||
| Change | 4% | 2% | -2% | 4% | 0% | 2% | 2% | 2% | 2% | ||
| A11 When one area in this unit gets really busy, others help out. | Most Recent | 79% | 69% | 71% | 62% | 65% | 67% | 66% | 75% | 67% | |
| Previous | 76% | 68% | 75% | 61% | 61% | 66% | 64% | 74% | 65% | ||
| Change | 3% | 1% | -4% | 1% | 4% | 1% | 2% | 1% | 2% | ||
| 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 | 85% | 67% | 81% | 72% | 68% | 71% | 69% | 76% | 74% |
| Previous | 80% | 67% | 80% | 69% | 63% | 68% | 67% | 72% | 71% | ||
| Change | 5% | 0% | 1% | 3% | 5% | 3% | 2% | 4% | 3% | ||
| B2 My supv/mgr seriously considers staff suggestions for improving patient safety. | Most Recent | 90% | 75% | 84% | 75% | 75% | 75% | 75% | 81% | 77% | |
| Previous | 86% | 74% | 81% | 73% | 71% | 73% | 73% | 77% | 73% | ||
| Change | 4% | 1% | 3% | 2% | 4% | 2% | 2% | 4% | 4% | ||
| B3R Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts. | Most Recent | 84% | 65% | 73% | 72% | 73% | 72% | 74% | 73% | 74% | |
| Previous | 82% | 65% | 73% | 72% | 71% | 71% | 74% | 71% | 74% | ||
| Change | 2% | 0% | 0% | 0% | 2% | 1% | 0% | 2% | 0% | ||
| B4R My supv/mgr overlooks patient safety problems that happen over and over. | Most Recent | 87% | 74% | 81% | 74% | 76% | 75% | 76% | 78% | 77% | |
| Previous | 82% | 73% | 78% | 72% | 72% | 74% | 75% | 74% | 75% | ||
| Change | 5% | 1% | 3% | 2% | 4% | 1% | 1% | 4% | 2% | ||
| 3. Management Support for Patient Safety | F1 Hospital mgmt provides a work climate that promotes patient safety. | Most Recent | 92% | 76% | 84% | 80% | 68% | 74% | 82% | 81% | 84% |
| Previous | 87% | 76% | 87% | 78% | 64% | 71% | 78% | 77% | 80% | ||
| Change | 5% | 0% | -3% | 2% | 4% | 3% | 4% | 4% | 4% | ||
| F8 The actions of hospital mgmt show that patient safety is a top priority. | Most | 88% | 71% | 78% | 74% | 65% | 67% | 74% | 74% | 78% | |
| Previous | 82% | 68% | 79% | 72% | 62% | 64% | 71% | 67% | 74% | ||
| Change | 6% | 3% | -1% | 2% | 3% | 3% | 3% | 7% | 4% | ||
| F9R Hospital mgmt seems interested in patient safety only after an adverse event happens. | Most Recent | 77% | 58% | 63% | 56% | 53% | 55% | 58% | 60% | 62% | |
| Previous | 72% | 54% | 59% | 56% | 50% | 54% | 57% | 55% | 60% | ||
| Change | 5% | 4% | 4% | 0% | 3% | 1% | 1% | 5% | 2% | ||
| 4. Organizational Learning—Continuous Improvement | A6 We are actively doing things to improve patient safety. | Most Recent | 90% | 82% | 85% | 83% | 84% | 83% | 81% | 83% | 82% |
| Previous | 86% | 79% | 84% | 81% | 79% | 81% | 78% | 79% | 79% | ||
| Change | 4% | 3% | 1% | 2% | 5% | 2% | 3% | 4% | 3% | ||
| A9 Mistakes have led to positive changes here. | Most Recent | 82% | 68% | 60% | 58% | 74% | 62% | 63% | 59% | 62% | |
| Previous | 79% | 64% | 64% | 56% | 68% | 58% | 61% | 58% | 57% | ||
| Change | 3% | 4% | -4% | 2% | 6% | 4% | 2% | 1% | 5% | ||
| A13 After we make changes to improve patient safety, we evaluate their effectiveness. | Most Recent | 80% | 63% | 68% | 72% | 54% | 70% | 66% | 69% | 70% | |
| Previous | 75% | 60% | 64% | 71% | 49% | 67% | 63% | 65% | 68% | ||
| Change | 5% | 3% | 4% | 1% | 5% | 3% | 3% | 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 | 74% | 65% | 63% | 52% | 54% | 60% | 62% | 68% | 58% |
| Previous | 68% | 59% | 61% | 49% | 50% | 57% | 60% | 61% | 54% | ||
| Change | 6% | 6% | 2% | 3% | 4% | 3% | 2% | 7% | 4% | ||
| A15 Patient safety is never sacrificed to get more work done. | Most Recent | 75% | 59% | 64% | 63% | 47% | 57% | 70% | 66% | 69% | |
| Previous | 70% | 58% | 65% | 60% | 45% | 54% | 67% | 62% | 66% | ||
| Change | 5% | 1% | -1% | 3% | 2% | 3% | 3% | 4% | 3% | ||
| A17R We have patient safety problems in this unit. | Most Recent | 74% | 56% | 65% | 57% | 49% | 57% | 69% | 68% | 66% | |
| Previous | 67% | 54% | 60% | 55% | 45% | 55% | 65% | 62% | 61% | ||
| Change | 7% | 2% | 5% | 2% | 4% | 2% | 4% | 6% | 5% | ||
| A18 Our procedures and systems are good at preventing errors from happening. | Most Recent | 81% | 69% | 67% | 69% | 64% | 68% | 76% | 73% | 72% | |
| Previous | 76% | 66% | 68% | 67% | 61% | 65% | 73% | 69% | 70% | ||
| Change | 5% | 3% | -1% | 2% | 3% | 3% | 3% | 4% | 2% | ||
| 6. Feedback & Communication About Error | C1 We are given feedback about changes put into place based on event reports. | Most Recent | 70% | 50% | 63% | 58% | 53% | 52% | 53% | 59% | 58% |
| Previous | 63% | 50% | 64% | 54% | 46% | 49% | 50% | 55% | 55% | ||
| Change | 7% | 0% | -1% | 4% | 7% | 3% | 3% | 4% | 3% | ||
| C3 We are informed about errors that happen in this unit. | Most Recent | 79% | 56% | 66% | 67% | 64% | 58% | 66% | 65% | 68% | |
| Previous | 74% | 54% | 62% | 63% | 59% | 56% | 65% | 62% | 67% | ||
| Change | 5% | 2% | 4% | 4% | 5% | 2% | 1% | 3% | 1% | ||
| C5 In this unit, we discuss ways to prevent errors from happening again. | Most Recent | 85% | 67% | 70% | 71% | 68% | 68% | 69% | 71% | 72% | |
| Previous | 80% | 64% | 75% | 67% | 60% | 64% | 66% | 68% | 69% | ||
| Change | 5% | 3% | -5% | 4% | 8% | 4% | 3% | 3% | 3% | ||
| 7. Communication Openness | C2 Staff will freely speak up if they see something that may negatively affect patient care. | Most Recent | 85% | 69% | 76% | 72% | 72% | 75% | 75% | 80% | 76% |
| Previous | 81% | 70% | 72% | 71% | 69% | 73% | 74% | 78% | 73% | ||
| Change | 4% | -1% | 4% | 1% | 3% | 2% | 1% | 2% | 3% | ||
| C4 Staff feel free to question the decisions or actions of those with more authority. | Most Recent | 71% | 53% | 51% | 41% | 53% | 45% | 44% | 52% | 42% | |
| Previous | 66% | 51% | 53% | 40% | 49% | 44% | 43% | 49% | 43% | ||
| Change | 5% | 2% | -2% | 1% | 4% | 1% | 1% | 3% | -1% | ||
| C6R Staff are afraid to ask questions when something does not seem right. | Most Recent | 75% | 61% | 60% | 56% | 65% | 61% | 61% | 64% | 61% | |
| Previous | 70% | 59% | 63% | 56% | 64% | 60% | 62% | 65% | 60% | ||
| Change | 5% | 2% | -3% | 0% | 1% | 1% | -1% | -1% | 1% | ||
| 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 | 63% | 46% | 52% | 64% | 32% | 52% | 56% | 50% | 63% |
| Previous | 56% | 41% | 52% | 58% | 32% | 48% | 52% | 47% | 59% | ||
| Change | 7% | 5% | 0% | 6% | 0% | 4% | 4% | 3% | 4% | ||
| D2 When a mistake is made, but has no potential to harm the patient, how often is this reported? | Most Recent | 65% | 46% | 53% | 61% | 41% | 60% | 57% | 50% | 62% | |
| Previous | 60% | 41% | 49% | 56% | 42% | 57% | 52% | 47% | 58% | ||
| Change | 5% | 5% | 4% | 5% | -1% | 3% | 5% | 3% | 4% | ||
| D3 When a mistake is made that could harm the patient, but does not, how often is this reported? | Most Recent | 81% | 64% | 65% | 71% | 64% | 75% | 75% | 67% | 74% | |
| Previous | 76% | 60% | 70% | 68% | 66% | 74% | 72% | 65% | 72% | ||
| Change | 5% | 4% | -5% | 3% | -2% | 1 | 3% | 2% | 2% | ||
| 9. Teamwork Across Units | F2R Hospital units do not coordinate well with each other. | Most Recent | 56% | 43% | 53% | 44% | 34% | 43% | 42% | 46% | 45% |
| Previous | 51% | 42% | 49% | 43% | 33% | 42% | 41% | 46% | 44% | ||
| Change | 5% | 1% | 4% | 1% | 1% | 1% | 1% | 0% | 1% | ||
| F4 There is good cooperation among hospital units that need to work together. | Most Recent | 68% | 57% | 67% | 57% | 47% | 55% | 56% | 61% | 58% | |
| Previous | 63% | 56% | 66% | 56% | 41% | 54% | 55% | 58% | 56% | ||
| Change | 5% | 1% | 1% | 1% | 6% | 1% | 1% | 3% | 2% | ||
| F6R It is often unpleasant to work with staff from other hospital units. | Most Recent | 65% | 62% | 64% | 56% | 53% | 59% | 53% | 64% | 55% | |
| Previous | 61% | 61% | 68% | 54% | 51% | 57% | 51% | 62% | 56% | ||
| Change | 4% | 1% | -4% | 2% | 2% | 2% | 2% | 2% | -1% | ||
| F10 Hospital units work well together to provide the best care for patients. | Most Recent | 75% | 66% | 70% | 68% | 55% | 64% | 66% | 68% | 69% | |
| Previous | 72% | 63% | 72% | 66% | 51% | 62% | 63% | 66% | 66% | ||
| Change | 3% | 3% | -2% | 2% | 4% | 2% | 3% | 2% | 3% | ||
| 10. Staffing | A2 We have enough staff to handle the workload. | Most Recent | 71% | 58% | 57% | 41% | 41% | 55% | 54% | 56% | 52% |
| Previous | 68% | 51% | 60% | 38% | 34% | 50% | 52% | 52% | 47% | ||
| Change | 3% | 7% | -3% | 3% | 7% | 5% | 2% | 4% | 5% | ||
| A5R Staff in this unit work longer hours than is best for patient care. | Most Recent | 60% | 47% | 47% | 43% | 57% | 55% | 55% | 56% | 48% | |
| Previous | 55% | 44% | 50% | 41% | 53% | 52% | 52% | 54% | 46% | ||
| Change | 5% | 3% | -3% | 2% | 4% | 3% | 3% | 2% | 2% | ||
| A7R We use more agency/temporary staff than is best for patient care. | Most Recent | 70% | 57% | 56% | 62% | 70% | 72% | 69% | 69% | 62% | |
| Previous | 66% | 54% | 57% | 60% | 65% | 68% | 64% | 63% | 57% | ||
| Change | 4% | 3% | -1% | 2% | 5% | 4% | 5% | 6% | 5% | ||
| A14R We work in "crisis mode" trying to do too much, too quickly. | Most Recent | 58% | 50% | 52% | 44% | 38% | 47% | 48% | 55% | 49% | |
| Previous | 52% | 45% | 57% | 42% | 33% | 44% | 46% | 49% | 46% | ||
| Change | 6% | 5% | -5% | 2% | 5% | 3% | 2% | 6% | 3% | ||
| 11. Handoffs & Transitions | F3R Things "fall between the cracks" when transferring patients from one unit to another. | Most Recent | 41% | 36% | 37% | 45% | 16% | 43% | 33% | 32% | 42% |
| Previous | 41% | 38% | 34% | 44% | 13% | 42% | 33% | 33% | 42% | ||
| Change | 0% | -2% | 3% | 1% | 3% | 1% | 0% | -1% | 0% | ||
| F5R Important patient care information is often lost during shift changes. | Most Recent | 50% | 45% | 40% | 55% | 31% | 53% | 43% | 44% | 50% | |
| Previous | 47% | 44% | 42% | 54% | 27% | 53% | 44% | 44% | 51% | ||
| Change | 3% | 1% | -2% | 1% | 4% | 0% | -1% | 0% | -1% | ||
| F7R Problems often occur in the exchange of information across hospital units. | Most Recent | 45% | 40% | 39% | 42% | 26% | 45% | 37% | 40% | 42% | |
| Previous | 42% | 38% | 41% | 41% | 24% | 43% | 35% | 39% | 43% | ||
| Change | 3% | 2% | -2% | 1% | 2% | 2% | 2% | 1% | -1% | ||
| F11R Shift changes are problematic for patients in this hospital. | Most Recent | 45% | 36% | 36% | 45% | 26% | 49% | 39% | 39% | 43% | |
| Previous | 45% | 39% | 35% | 45% | 27% | 48% | 39% | 37% | 44% | ||
| Change | 0% | -3% | 1% | 0% | -1% | 1% | 0% | 2% | -1% | ||
| 12. Nonpunitive Response to Error | A8R Staff feel like their mistakes are held against them. | Most Recent | 71% | 47% | 51% | 41% | 58% | 51% | 48% | 56% | 44% |
| Previous | 66% | 43% | 50% | 41% | 55% | 50% | 47% | 53% | 45% | ||
| Change | 5% | 4% | 1% | 0% | 3% | 1% | 1% | 3% | -1% | ||
| A12R When an event is reported, it feels like the person is being written up, not the problem. | Most Recent | 71% | 45% | 42% | 36% | 58% | 48% | 42% | 52% | 39% | |
| Previous | 66% | 38% | 45% | 34% | 52% | 44% | 41% | 46% | 37% | ||
| Change | 5% | 7% | -3% | 2% | 6% | 4% | 1% | 6% | 2% | ||
| A16R Staff worry that mistakes they make are kept in their personnel file. | Most Recent | 51% | 28% | 36% | 27% | 42% | 35% | 33% | 40% | 29% | |
| Previous | 47% | 27% | 34% | 27% | 39% | 32% | 33% | 39% | 29% | ||
| Change | 4% | 1% | 2% | 0% | 3% | 3% | 0% | 1% | 0% | ||
Page last reviewed March 2010
Internet Citation: Table D-6. Item-Level Average Percent Positive Response by Staff Position: 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/tabd6.html
5600 Fishers Lane Rockville, MD 20857