Overview of Summary Data & Bar Charts:
Survey results were collected during the November - December 2006 time frame for 28 Critical Access Hospitals (CAHs). Table 1. represents questions 1 – 17 with columns of Average Score values, Agree/Strongly Agree (%), Disagree/Strongly Disagree (%), and Number of Answered Provider.
Average score represents on a scale of 1 – 5 of overall satisfaction of providers that filled out the particular question. One (1) represents strongly disagrees and five (5) strongly agreed. For example on question 2, which asks if “New clinical personnel are adequately oriented to patient care protocols”, the average score is 4.00. This means that out of the 28 Critical Access Hospitals surveyed, overall “agreed” this is a practice that should be used. On this same question 82.14% of the providers agree or strongly agreed and 3.57% disagree or strongly disagree that new clinical personnel are adequately oriented to patient care protocols. The number of providers that filled this particular question was all 28 Critical Access Hospitals (CAHs) during the surveyed time frame.
Table 2. represents questions 18 – 23 with columns of Percentage (%) values, Not A Problem/A Small Problem (%), A Medium Problem/A Big Problem(%), and Number of Answered Provider.
On Table 1. those questions with an asterisk (*) denotes reversed scoring. For reverse scored questions, we want low percentages in agree or strongly agree columns and high percentages in disagree or strongly disagree columns.
On Chart 1. Patient Safety Survey Results: Critical Access Hospitals (CAHs)
Hospital Rates (%) Utilizing Safety Strategies is focused on question 23 “Which of the following patient safety methods does your hospital currently use?” This chart gives a graphical display of percentages.
On Chart 2. Patient Safety Survey Results: Critical Access Hospitals (CAHs)
Selected Questions for Areas of Opportunities Agree / Strongly Agree Percentages is focused on six (6) questions that show agree or strongly agree percentages that are areas of improvement.
| TABLE 1: QUESTION 1 THROUGH 17 |
| QUESTION |
|
AVERAGE SCORE |
AGREE/ STRONGLY AGREE (%) |
DISAGREE/ STRONGLY DISAGREE (%) |
NUMBER OF ANSWERED PROVIDER |
| 1 |
This facility has a reputation for high quality performance. |
4.04 |
85.71 |
3.57 |
28 |
| 2 |
New clinical personnel are adequately oriented to patient care protocols. |
4.00 |
82.14 |
3.57 |
28 |
| 3 |
The leadership in this hospital considers patient safety a priority. |
4.58 |
92.31 |
0.00 |
26 |
| 4 |
The leadership frequently makes rounds and solicits staff input about patient safety. |
4.00 |
78.57 |
3.57 |
28 |
| 5 |
This facility has an effective system in place for error reporting. |
4.18 |
89.29 |
3.57 |
28 |
| 6 |
Employees who cause patient error should be disciplined. |
3.21 |
35.71 |
25.00 |
28 |
| 7 |
Close calls or near misses are just as important to report as actual errors. |
4.57 |
96.43 |
3.57 |
28 |
| 8 |
It is the responsibility of management or supervisors to report staff errors or patient safety concerns. |
3.61 |
64.29 |
32.14 |
28 |
| 9 |
This facility frequently cuts corners to get the job done.* |
1.93 |
3.57 |
78.57 |
28 |
| 10 |
Patient safety is the responsibility of administration only in this facility.* |
1.50 |
0.00 |
100.00 |
28 |
| 11 |
Patient safety is more of a systems issue, than an individual issue. |
3.64 |
71.43 |
21.43 |
28 |
| 12 |
We have enough staff to handle the workload. |
3.93 |
85.71 |
3.57 |
28 |
| 13 |
Implementing a system to report errors, close calls, or near misses improves patient safety. |
4.57 |
100.00 |
0.00 |
28 |
| 14 |
Briefing personnel before the start of the shift is an important part of patient safety. |
4.61 |
100.00 |
0.00 |
28 |
| 15 |
This facility encourages teamwork and cooperation among staff. |
4.25 |
96.43 |
3.57 |
28 |
| 16 |
This facility provides adequate, timely information about events in the hospital which may affect my work. |
3.86 |
75.00 |
0.00 |
28 |
| 17 |
Every patient error is a staff competency issue.* |
2.71 |
32.14 |
60.71 |
28 |
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| TABLE 2: QUESTION 18 THROUGH 23 |
| QUESTION |
|
|
% |
NOT A PROBLEM/A SMALL PROBLEM (%) |
A MEDIUM PROBLEM/BIG PROBLEM (%) |
NUMBER OF ANSWERED PROVIDERR |
| 18 |
Does your hospital conduct annual training on patient safety? |
Yes |
89.29 |
N/A |
N/A |
28 |
| No |
10.71 |
| 19 |
Which of the following represents the biggest threat to patient safety in your hospital? |
Medication Errors |
53.57 |
N/A |
N/A |
28 |
| Falls |
46.43 |
| Equipment Malfunctions |
0.00 |
| Patient Burns |
0.00 |
| Wrong-Site Surgeries |
0.00 |
| Other |
0.00 |
| 20 |
How much of a problem does each of the following pose to patient safety within your hospital? |
Communication |
N/A |
42.86 |
57.14 |
28 |
| Culture |
75.00 |
25.00 |
28 |
| Staffing |
96.43 |
3.57 |
28 |
| Leadership |
77.78 |
22.22 |
27 |
| Safety Policy or Process |
75.00 |
25.00 |
28 |
| 21 |
Would your hospital like to receive more information or resources on any of the following patient safety issues? |
Medication Errors |
96.00 |
N/A |
N/A |
25 |
| Falls |
100.00 |
| Equipment Malfunctions |
48.00 |
| Patient Burns |
16.00 |
| Wrong-Site Surgeries |
12.00 |
| Other |
8.00 |
| 22 |
Which of the following most nearly describes your position within this hospital? |
Administration/
Management |
92.59 |
N/A |
N/A |
27 |
| Physician |
0.00 |
| Bedside Caregiver |
0.00 |
| Pharmacist |
0.00 |
| Technician |
0.00 |
| Support Staff |
0.00 |
| Other |
7.41 |
| 23 |
Which of the following patient safety methods does your hospital currently use? |
Leadership Walk-Arounds |
60.71 |
N/A |
N/A |
28 |
| Safety Briefings |
35.71 |
| Near Miss Reporting |
53.57 |
| Non-Punitive Reporting |
78.57 |
| Timeouts(prior to procedures) |
46.43 |
| Critical Lab Reporting |
82.14 |
| Medication Reconciliation |
82.14 |
| Verbal Order Read Back |
75.00 |
| 2 Patient-Identifiers |
78.57 |
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Chart 1: Patient Safety Survey Results: Critical Access Hospitals (CAHs)
Hospital Rates (%) Utilizing Safety Strategies
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Chart 2: Patient Safety Survey Results: Critical Access Hospitals (CAHs)
Selected Questions for Areas of Opportunities
Agree / Strongly Agree Percentages
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