Dimensions and Items | Post-Fall Huddle Participation | p Value | |
---|---|---|---|
Yes (n varies 218 to 221) a | No (n varies 357 to 368) a | ||
Overall perception of Safety (α = .92) | 76 | 76 | .83 |
1. Patient safety is never sacrificed to get more work done. | 72 | 75 | .50 |
2. Our procedures and systems are good at preventing errors from happening. | 82 | 79 | .40 |
3. It is just by chance that more serious mistakes don’t happen around here.b | 76 | 71 | .16 |
4. We have patient safety problems in this department.b | 75 | 79 | .27 |
Frequency of Events Reported (α = .97) | 70 | 66 | .48 |
1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported? | 58 | 58 | .93 |
2. When a mistake is made, but has no potential to harm the patient, how often is this reported? | 70 | 63 | .09 |
3. When a mistake is made that could harm the patient, but does not, how often is this reported? | 81 | 77 | .17 |
Supervisor/Manager Expectations & Actions Promoting Patient Safety (α = .92) | 83 | 80 | .88 |
1. My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures. | 73 | 74 | .70 |
2. My supervisor/manager seriously considers staff suggestions for improving patient safety. | 85 | 81 | .25 |
3. Whenever pressure builds up, my supervisor/ manager wants us to work faster, even if it means taking shortcuts.b | 88 | 83 | .10 |
4. My supervisor/manager overlooks patient safety problems that happen over and over.b | 84 | 82 | .43 |
Organizational Learning—Continuous Improvement (α = .86) | 85 | 79 | .10 |
1. We are actively doing things to improve patient safety. | 96 | 91 | .03 |
2. Mistakes have led to positive changes here. | 77 | 71 | .08 |
3. After we make changes to improve patient safety, we evaluate their effectiveness. | 83 | 74 | .01 |
Teamwork Within Departments (α = .92) | 87 | 85 | .63 |
1. People support one another in this department. | 91 | 92 | .80 |
2. When a lot of work needs to be done quickly, we work together as a team to get the work done. | 94 | 94 | .94 |
3. In this department, people treat each other with respect. | 85 | 81 | .17 |
4. When one area in this department gets really busy, others help out. | 77 | 74 | .35 |
Communication Openness (α = .90) | 64 | 63 | .88 |
1. Staff will freely speak up if they see something that may negatively affect patient care. | 78 | 79 | .89 |
2. Staff feel free to question the decisions or actions of those with more authority. | 52 | 46 | .16 |
3. Staff are afraid to ask questions when something does not seem right.b | 63 | 64 | .74 |
Feedback and Communication About Error (α = .84) | 69 | 68 | .71 |
1. We are given feedback about changes put into place based on event reports. | 61 | 56 | .27 |
2. We are informed about errors that happen in this department. | 68 | 71 | .50 |
3. In this department, we discuss ways to prevent errors from happening again. | 79 | 78 | .69 |
Nonpunitive Response to Error (α = .87) | 64 | 56 | .05 |
1. Staff feel like their mistakes are held against them.b | 70 | 63 | .07 |
2. When an event is reported, it feels like the person is being written up, not the problem.b | 69 | 56 | <.001 |
3. Staff worry that mistakes they make are kept in their personnel file.b | 54 | 49 | .17 |
Staffing (α = .96) | 73 | 69 | .31 |
1. We have enough staff to handle the workload. | 76 | 70 | .14 |
2. Staff in this department work longer hours than is best for patient care.b | 61 | 58 | .59 |
3. We use more agency/temporary staff than is best for patient care.b | 80 | 78 | .52 |
4. We work in “crisis mode” trying to do too much, too quickly.b | 73 | 68 | .27 |
Hospital Management Support for Patient Safety (α = .92) | 83 | 80 | .10 |
1. Hospital management provides a work climate that promotes patient safety. | 93 | 89 | .13 |
2. The actions of hospital management show that patient safety is a top priority. | 83 | 81 | .48 |
3. Hospital management seems interested in patient safety only after an adverse event happens.b | 73 | 69 | .35 |
Teamwork Across Hospital Departments (α = .88) | 75 | 66 | .011 |
1. There is good cooperation among hospital departments that need to work together. | 76 | 67 | .02 |
2. Hospital departments work well together to provide the best care for patients. | 86 | 76 | .003 |
3. Hospital departments do not coordinate well with each other.b | 62 | 52 | .02 |
4. It is often unpleasant to work with staff from other hospital departments.b | 77 | 67 | .01 |
Hospital Handoffs and Transitions (α = .96) | 61 | 52 | .07 |
1. Things “fall between the cracks” when transferring patients from one department to another.b | 59 | 50 | .04 |
2. Important patient care information is often lost during shift changes.b | 63 | 50 | .003 |
3. Problems often occur in the exchange of information across hospital departments.b | 60 | 50 | .03 |
4. Shift changes are problematic for patients in this hospital.b | 63 | 57 | .15 |