Domain | Average positive response % | Item | Positive response frequency (n = 66) | Positive response % |
---|---|---|---|---|
1. Teamwork within unit | 62.1 | a. People support one another | 35 | 53.1 |
b. When a lot of work needs to be done quickly, we work together as a team to get the work done | 56 | 81.8 | ||
c. People treat each other with respect | 34 | 51.5 | ||
2. Supervisors’ expectations and actions to promote patient safety | 58.7 | a. My supervisor/ manager says a good word when he/she sees a job done according to established patient safety procedures | 41 | 62.1 |
b. My supervisor/manager seriously considers staff suggestions for improving patient safety | 47 | 71.2 | ||
c. Whenever pressure builds up, my supervisor/manager wants us to work faster even if it means taking shortcuts. a | 29 | 28.8 | ||
3. Feedback and communication about error | 56.1 | a. We are given feedback about changes put into place based on event reports | 28 | 42.5 |
b. We are informed about errors that happen in this unit | 38 | 57.6 | ||
c. In this unit, we discuss ways to prevent errors from happening again | 45 | 68.2 | ||
4. Organizational learning—continuous improvement | 56.1 | a. We are actively doing things to improve patient safety | 50 | 75.7 |
b. Mistakes have led to positive changes here | 32 | 48.5 | ||
c. After we make changes to improve patient safety, we evaluate their effectiveness | 41 | 62.2 | ||
5. Communication ppenness | 54.5 | a. Staff will freely speak up if they see something that may negatively affect patient care | 36 | 54.5 |
6. Overall perceptions of patient safety | 49.9 | a. It is just by chance that more serious mistakes don’t happen around here. a | 33 | 50.0 |
b. Patient safety is never sacrificed to get more work done | 39 | 59.0 | ||
c. We have patient safety problems in this unit. a | 22 | 33.3 | ||
d. Our procedures and systems are good at preventing errors from happening | 38 | 57.6 | ||
7. Handoffs and transitions | 41.6 | a. Important patient care information is often lost during shift changes. a | 33 | 50.0 |
b. Problems often occur in the exchange of information across hospital units. a | 22 | 33.3 | ||
8. Teamwork across units | 41.6 | a. There is good cooperation among hospital units that need to work together | 27 | 40.9 |
b. It is often unpleasant to work with staff from other hospital units. a | 28 | 42.4 | ||
9. Frequency of events reported | 36.4 | a. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | 29 | 43.9 |
b. When a mistake is made, but has no potential to harm the patient, how often is this reported? | 25 | 37.8 | ||
c. When a mistake is made that could harm the patient, but does not, how often is this reported? | 24 | 36.3 | ||
10. Management support for patient safety | 39.3 | a. Hospital management provides a work climate that promotes patient safety | 22 | 33.4 |
b. Hospital management seems interested in patient safety only after an adverse event happens.a | 26 | 39.4 | ||
11. Staffing | 29.5 | a. We have enough staff to handle the workload | 28 | 42.4 |
b. We work in “crisis mode” trying to do too much, too quickly. a | 11 | 16.6 | ||
12. Non-punitive response to error | 18.9 | a. Staff feel like their mistakes are held against them. a | 6 | 9.1 |
b. Staff worry that mistakes they make are kept in their personnel file. a | 19 | 28.8 | ||
Total average percent positive score | 45.4 |