New AHRQ Report Shows Patient Safety Culture Strengths and Areas for Improvement in Hospitals
A new report from AHRQ shows that 80 percent of hospital staff feel there is strong teamwork within units, but only 45 percent of hospital staff have positive perceptions of handoffs and transitions across hospital units.
Based on data from 1,128 U.S. hospitals, the Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report provides initial results that hospitals can use to compare their patient safety culture to other U.S. hospitals. In addition, the 2012 report presents results showing change over time for 650 hospitals that submitted data more than once. The report consists of a narrative description of the findings and four appendixes, presenting data by hospital characteristics and respondent characteristics for the database hospitals overall and separately for the 650 trending hospitals.
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The Agency for Healthcare Research and Quality (AHRQ) released the Hospital Survey on Patient Safety Culture, a tool to help hospitals evaluate how well they had established a culture of safety in their institutions, in 2004. A database was also needed so hospitals and units in hospitals could determine how well they were doing in establishing a culture of safety in comparison to other similar hospitals or hospital units.
The Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report meets that need. Based on data provided voluntarily by 1,128 U.S. hospitals, the Report provides results that hospitals can use as one basis for comparison in their efforts to establish, improve, and maintain a culture of patient safety in their institutions.
The main report presents statistics (averages, standard deviations, minimum and maximum scores and percentiles) on the patient safety culture areas or composites assessed in the survey as well as the survey items.
Appendixes A and B present breakouts of the data by hospital characteristics (bed size, teaching status, ownership and control, region) and respondent characteristics (hospital work area/unit, staff position, interaction with patients). Appendixes C and D show trends over time for the 650 hospitals that administered the survey and submitted data more than once. The average percent positive scores are shown for the composites and items, broken down by hospital characteristics (bed size, teaching status, ownership and control) and respondent characteristics (hospital work area/unit, staff position, interaction with patients).
Another round of voluntary data collection is planned to update the database with results from additional hospitals. Select for Hospital Comparative Database Submission Information.
Contents
Executive SummaryPurpose and Use of This Report
Chapter 1. Introduction
Chapter 2. Survey Administration Statistics
Chapter 3. Characteristics of Participating Hospitals
Chapter 4. Characteristics of Respondents
Chapter 5. Overall Results
Chapter 6. Comparing Your Results
Chapter 7. Trending: Comparing Results Over Time
Chapter 8. What's Next? Action Planning for Improvement
References
Notes: Description of Data Cleaning and Calculations
List of Tables
List of Charts
Appendixes A and B—Overall Results by Hospital and Respondent Characteristics
Appendix A: Overall Results by Hospital Characteristics
Appendix B: Overall Results by Respondent Characteristics
Appendix C and D—Trending Results by Hospital and Respondent Characteristics
Appendix C: Trending Results by Hospital Characteristics
Appendix D: Trending Results by Respondent Characteristics
Managed and prepared by: Westat, Rockville, MD under Contract No. HHSA 290200710024C.
Joann Sorra, Ph.D.
Theresa Famolaro, M.P.S.
Naomi Dyer, Ph.D.
Dawn Nelson
Scott Alan Smith, Ph.D.
The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.
This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders.
AHRQ Publication No. 12-0017
Current as of January 2012
Current as of January 2012
Internet Citation:
Sorra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report. Prepared by Westat, Rockville, MD, under Contract No. HHSA 290200710024C. AHRQ Publication No. 12-0017, January 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/hospsurvey12/index.html
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