Table 2 Patient Safety Culture Composites Percent Positive Score
Composite | For Positively Worded Items, # of “Strongly agree” or “Agree” Responses | For Negatively Worded Items, # of “Strongly disagree” or “Disagree” Responses | Total # of Responses to Item (Excluding Missing and Does not apply/Don’t know Responses) | Percent of Positive Response to Item |
|---|---|---|---|---|
Teamwork | ||||
A1-positively worded: “In this unit, we work together as an effective team.“ | 174 | NA | 220 | 79.1% |
Item A8-positively worded: “During busy times, staff in this unit help each other.“ | 152 | NA | 220 | 69.1% |
Item A9-negatively worded: “There is a problem with disrespectful behavior by those working in this unit.“ | NA | 105 | 220 | 47.7% |
Average percent positive response across the 3 items | 65.3% | |||
Staffing and Work Pace | ||||
A2. In this unit, we have enough staff to handle the workload. | 68 | NA | 218 | 31.2% |
A3. Staff in this unit work longer hours than is best for patient care. (negatively worded) | NA | 65 | 220 | 29.5% |
A5. This unit relies too much on temporary, float, or PRN staff. (negatively worded) | NA | 120 | 220 | 54.5% |
A11. The work pace in this unit is so rushed that it negatively affects patient safety. (negatively worded) | NA | 82 | 220 | 37.3% |
Average percent positive response across the 4 items | 38.1% | |||
Organizational Learning- Continuous improvement | ||||
A4. This unit regularly reviews work processes to determine if changes are needed to improve patient safety. | 121 | NA | 218 | 55.5% |
A12. In this unit, changes to improve patient safety are evaluated to see how well they work. | 126 | NA | 217 | 58.1% |
A14. This unit lets the same patient safety problems keep happening. (negatively worded) | NA | 87 | 220 | 39.5% |
Average percent positive response across the 3 items | 51.0% | |||
Response to Error | ||||
A6. In this unit, staff feels like their mistakes are held against them. (negatively worded) | NA | 44 | 219 | 20.1% |
A7. When an event is reported in this unit, it feels like the person is being written up, not the problem. (negatively worded) | NA | 45 | 220 | 20.5% |
A10. This unit focuses on learning rather than blaming individuals when staff makes errors. | 83 | NA | 216 | 38.4% |
A13. In this unit, there is a lack of support for staff involved in patient safety errors. (negatively worded) | NA | 60 | 220 | 27.3% |
Average percent positive response across the 4 items | 26.6% | |||
Supervisor, Manager, or Clinical Leader Support | ||||
B1. My supervisor, manager, or clinical leader seriously considers staff suggestions for improving patient safety. | 94 | NA | 215 | 43.7% |
B2. My supervisor, manager, or clinical leader wants us to work faster during busy times, even if it means taking shortcuts. (negatively worded) | NA | 84 | 220 | 38.2% |
B3. My supervisor, manager, or clinical leader takes action to address patient safety concerns that are brought to their attention. | 122 | NA | 213 | 57.3% |
Average percent positive response across the 3 items | 46.4% | |||
Communication about Errors | ||||
C1. We are informed about errors that happen in this unit. | 109 | NA | 218 | 50.0% |
C2. When errors happen in this unit, we discuss ways to prevent them from happening again. | 109 | NA | 217 | 50.2% |
C3. In this unit, we are informed about changes based on event reports. | 124 | NA | 216 | 57.4% |
Average percent positive response across the 3 items | 52.5% | |||
Communication Openness | ||||
C4. In this unit, the staff speaks up if they see something that may negatively affect patient care. | 128 | NA | 216 | 59.3% |
C5. When the staff in this unit see someone with more authority doing something unsafe for patients, they speak up. | 110 | NA | 210 | 52.4% |
C6. When the staff in this unit speak up, those with more authority are open to their patient safety concerns. | 102 | NA | 212 | 48.1% |
C7. In this unit, the staff are afraid to ask questions when something seems wrong. (negatively worded) | NA | 75 | 216 | 34.7% |
Average percent positive response across the 4 items | 48.6% | |||
Reporting Patient Safety Event | ||||
D1. When a mistake is caught and corrected before reaching the patient, how often is this reported? | 93 | NA | 211 | 44.1% |
D2. When a mistake reaches the patient and could have harmed the patient but did not, how often is this reported? | 126 | NA | 211 | 59.7% |
Average percent positive response across the 2 items | 50.8% | |||
Hospital Management Support for Patient Safety | ||||
F1. The actions of hospital management show that patient safety is a top priority. | 149 | NA | 215 | 69.3% |
F2. Hospital management provides adequate resources to improve patient safety. | 96 | NA | 212 | 45.3% |
F3. Hospital management seems interested in patient safety only after an adverse event happens. (negatively worded) | NA | 79 | 218 | 36.2% |
Average percent positive response across the 3 items | 50.3% | |||
Handoffs and Information Exchange | ||||
F4. Important information is often left out when transferring patients from one unit to another. (negatively worded) | NA | 144 | 220 | 65.5% |
F5. During shift changes, important patient care information is often left out. (negatively worded) | NA | 141 | 220 | 64.1% |
F6. During shift changes, there is adequate time to exchange all key patient care information. | 122 | NA | 216 | 56.5% |
Average percent positive response across the 3 items | 62.0% | |||
The overall average of positive scores of all composites of patient safety culture | 49.2%. | |||