Teamwork within units |
|
|
|
|
|
|
|
|
|
|
|
|
People support one another in this unit (A1) |
0.849 |
-0.011 |
-0.003 |
-0.056 |
0.057 |
0.026 |
-0.004 |
0.011 |
0.008 |
-0.011 |
0.000 |
-0.011 |
When a lot of work needs to be done quickly, we work together as a team to get the work done (A3) |
0.684 |
0.058 |
0.119 |
-0.014 |
-0.001 |
-0.03 |
0.006 |
0.006 |
0.013 |
-0.006 |
0.019 |
-0.05 |
In this unit, people treat each other with respect (A4) |
0.673 |
-0.006 |
0.073 |
0.110 |
-0.034 |
-0.067 |
0.040 |
0.042 |
0.033 |
0.052 |
-0.034 |
0.035 |
When one area in this unit gets really busy, others help out (A11) * |
0.378 |
0.260 |
-0.007 |
0.018 |
0.052 |
-0.005 |
-0.019 |
-0.008 |
-0.006 |
-0.027 |
-0.007 |
-0.001 |
Supervisor expectations and actions promoting patient safety |
|
|
|
|
|
|
|
|
|
|
|
|
My supervisor/manager pays a compliment when he/she sees a job done according to established patient safety procedures (B1) |
0.024 |
0.027 |
-0.004 |
0.015 |
-0.001 |
0.023 |
0.062 |
0.788 |
0.008 |
-0.037 |
0.023 |
0.029 |
My supervisor/manager gives serious consideration to staff suggestions for improving patient safety (B2) |
0.040 |
-0.015 |
-0.003 |
-0.005 |
-0.009 |
0.147 |
-0.012 |
0.682 |
-0.007 |
0.036 |
0.138 |
0.008 |
Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts (B3R) |
-0.046 |
0.155 |
-0.138 |
-0.011 |
0.407 |
0.000 |
-0.056 |
0.096 |
0.051 |
0.175 |
-0.085 |
-0.025 |
My supervisor/manager overlooks patient safety problems that happen repeatedly (B4R) |
-0.043 |
0.381 |
0.095 |
0.052 |
0.075 |
-0.106 |
0.065 |
0.109 |
0.050 |
0.219 |
-0.003 |
0.062 |
Organizational learning - continuous improvement |
|
|
|
|
|
|
|
|
|
|
|
|
We are actively doing things to improve patient safety (A6) |
0.241 |
0.145 |
0.482 |
0.061 |
0.024 |
0.069 |
-0.054 |
-0.017 |
-0.020 |
0.043 |
0.012 |
-0.032 |
A9 Mistakes have led to positive changes here |
0.227 |
-0.019 |
0.493 |
0.065 |
0.160 |
0.035 |
-0.042 |
0.022 |
-0.065 |
-0.102 |
0.016 |
-0.012 |
After we make changes to improve patient safety, we evaluate their effectiveness (A13) |
0.060 |
0.088 |
0.585 |
0.011 |
-0.068 |
0.061 |
0.018 |
-0.019 |
0.053 |
-0.038 |
-0.079 |
0.024 |
Hospital management support for patient safety |
|
|
|
|
|
|
|
|
|
|
|
|
Hospital management provides a work climate that promotes patient safety (F1) |
0.019 |
-0.012 |
-0.047 |
0.013 |
0.010 |
0.016 |
-0.109 |
0.003 |
-0.050 |
0.604 |
-0.397 |
-0.008 |
The actions of hospital management show that patient safety is a top priority (F8) |
0.074 |
0.069 |
-0.035 |
0.041 |
-0.108 |
0.034 |
0.017 |
0.028 |
0.447 |
0.294 |
0.224 |
0.014 |
Hospital management seems interested in patient safety only after an adverse event happens (F9R) |
0.007 |
0.015 |
-0.045 |
0.115 |
-0.084 |
0.035 |
-0.084 |
0.017 |
0.506 |
0.006 |
0.128 |
0.174 |
Overall perceptions of patient safety |
|
|
|
|
|
|
|
|
|
|
|
|
It is just by chance that more serious mistakes do not happen here (A10R) * |
-0.002 |
-0.019 |
0.014 |
0.506 |
-0.072 |
0.007 |
-0.043 |
0.069 |
-0.032 |
-0.038 |
0.064 |
-0.054 |
Patient safety is never sacrificed to get more work done (A15) |
0.069 |
0.609 |
0.016 |
-0.131 |
0.035 |
-0.004 |
0.015 |
-0.051 |
-0.019 |
0.006 |
0.063 |
-0.015 |
We have patient safety problems in this unit (A17R) |
-0.055 |
0.414 |
-0.102 |
0.316 |
0.072 |
0.102 |
-0.021 |
0.042 |
-0.012 |
-0.022 |
-0.103 |
-0.040 |
Our procedures and systems are good at preventing errors from happening (A18) |
0.102 |
0.375 |
0.303 |
-0.014 |
-0.111 |
-0.087 |
0.047 |
0.074 |
0.015 |
0.010 |
-0.014 |
0.030 |
Feedback & communication about error |
|
|
|
|
|
|
|
|
|
|
|
|
We are given feedback about changes put into place based on event reports (C1) |
-0.035 |
0.019 |
-0.004 |
0.056 |
-0.035 |
0.512 |
0.087 |
0.026 |
0.027 |
0.150 |
-0.001 |
-0.067 |
We are informed about errors that happen in this unit (C3) |
0.000 |
0.017 |
0.006 |
0.067 |
-0.027 |
0.643 |
0.148 |
-0.037 |
-0.061 |
-0.029 |
0.018 |
0.041 |
In this unit, we discuss ways to prevent errors from happening again (C5) |
-0.002 |
0.014 |
-0.011 |
-0.054 |
-0.011 |
0.514 |
0.189 |
0.110 |
0.013 |
-0.009 |
0.161 |
-0.009 |
Communication openness |
|
|
|
|
|
|
|
|
|
|
|
|
Staff will freely speak up if they see something that may negatively affect patient care (C2) |
0.041 |
-0.067 |
0.056 |
0.026 |
-0.001 |
0.583 |
0.059 |
0.021 |
0.025 |
0.007 |
0.142 |
0.077 |
Staff feel free to question the decisions or actions of those with more authority (C4) |
-0.018 |
0.005 |
0.021 |
-0.059 |
0.048 |
0.544 |
-0.019 |
0.277 |
0.104 |
0.17 |
-0.084 |
0.004 |
Staff are afraid to ask questions when something does not seem right (C6R) |
-0.105 |
-0.009 |
0.125 |
-0.121 |
0.15 |
0.001 |
0.023 |
0.072 |
-0.017 |
0.133 |
0.443 |
0.413 |
Frequency of event reported |
|
|
|
|
|
|
|
|
|
|
|
|
When a mistake is made, but is identified and corrected before affecting the patient, how often is this reported? (D1) |
0.014 |
0.051 |
-0.022 |
-0.031 |
-0.028 |
0.047 |
0.826 |
0.006 |
0.005 |
-0.002 |
0.017 |
-0.015 |
When a mistake is made, but has no potential to harm the patient, how often is this reported? (D2) |
−0.019 |
−0.015 |
0.024 |
−0.011 |
−0.002 |
0.042 |
0.875 |
−0.038 |
0.019 |
0.018 |
0.027 |
0.029 |
When a mistake is made that could harm the patient, but does not, how often is this reported? (D3) |
0.003 |
-0.020 |
-0.018 |
0.043 |
0.032 |
-0.006 |
0.742 |
0.051 |
-0.015 |
-0.517 |
-0.016 |
-0.012 |
Teamwork across units |
|
|
|
|
|
|
|
|
|
|
|
|
Hospital units do not coordinate well with each other (F2) |
-0.030 |
0.018 |
0.012 |
0.075 |
-0.049 |
0.022 |
-0.022 |
0.152 |
-0.007 |
-0.070 |
0.378 |
0.469 |
There is good cooperation among hospital units that need to work together (F4) |
0.043 |
0.004 |
-0.045 |
0.023 |
-0.015 |
0.159 |
-0.002 |
0.045 |
0.129 |
-0.108 |
0.541 |
-0.060 |
It is often unpleasant to work with staff from other hospital units (F6) |
0.070 |
0.043 |
-0.070 |
-0.028 |
-0.026 |
0.01 |
-0.001 |
-0.068 |
0.397 |
0.016 |
-0.041 |
0.402 |
Hospital units work well together to provide the best care for patients (F10) |
0.037 |
-0.023 |
-0.090 |
0.024 |
0.032 |
0.048 |
0.027 |
-0.058 |
0.022 |
0.001 |
0.610 |
0.000 |
Staffing |
|
|
|
|
|
|
|
|
|
|
|
|
We have enough staff to handle the workload (A2) |
0.182 |
0.506 |
0.082 |
0.009 |
-0.004 |
0.030 |
-0.024 |
-0.041 |
-0.052 |
0.004 |
0.057 |
0.031 |
Staff in this unit work longer hours than is best for patient care (A5R) * |
0.005 |
0.072 |
-0.004 |
0.091 |
-0.155 |
0.040 |
-0.018 |
0.009 |
-0.024 |
-0.455 |
-0.036 |
0.042 |
We use more agency/temporary staff than is best for patient care (A7R) *,** |
0.081 |
-0.003 |
-0.117 |
-0.026 |
0.206 |
0.130 |
0.004 |
0.037 |
-0.072 |
0.358 |
-0.158 |
0.014 |
We work in “crisis mode,” trying to do too much too quickly (A14R) |
0.063 |
-0.155 |
0.126 |
0.541 |
0.059 |
-0.035 |
0.031 |
-0.032 |
-0.017 |
0.024 |
0.045 |
0.066 |
Handoffs & transitions |
|
|
|
|
|
|
|
|
|
|
|
|
Things “fall between the cracks” when transferring patients from one unit to another (F3R) ** |
-0.047 |
0.001 |
0.083 |
-0.032 |
0.052 |
0.343 |
-0.044 |
0.027 |
0.221 |
-0.073 |
0.079 |
0.144 |
Important patient care information is often lost during shift changes (F5R) |
0.045 |
-0.046 |
-0.074 |
0.035 |
0.021 |
0.013 |
0.034 |
-0.02 |
0.529 |
-0.038 |
-0.070 |
0.363 |
Problems often occur in the exchange of information across hospital units (F7R) |
-0.040 |
-0.004 |
0.142 |
-0.020 |
0.039 |
-0.011 |
0.007 |
0.046 |
0.684 |
-0.069 |
0.042 |
-0.029 |
Shift changes are problematic for patients in this hospital (F11R) |
-0.039 |
-0.046 |
0.143 |
-0.070 |
0.096 |
-0.001 |
0.023 |
-0.005 |
0.756 |
0.100 |
0.009 |
-0.049 |
Non-punitive response to error |
|
|
|
|
|
|
|
|
|
|
|
|
Staff feel like their mistakes are held against them (A8R) *,** |
-0.142 |
0.117 |
0.056 |
0.304 |
0.017 |
-0.018 |
0.041 |
-0.022 |
0.053 |
0.276 |
-0.019 |
-0.060 |
When an event is reported, it feels like the person is being written up, not the problem (A12R) |
0.082 |
0.033 |
0.003 |
0.069 |
0.606 |
-0.014 |
0.034 |
-0.016 |
0.021 |
0.053 |
0.037 |
-0.013 |
Staff worry that mistakes they make are kept in their personnel file (A16R) |
0.094 |
0.097 |
0.047 |
0.338 |
0.442 |
0.007 |
0.003 |
-0.051 |
0.017 |
-0.111 |
0.002 |
0.071 |