Early adopter (n ranges from 296–317)† | Early/late majority (n ranges from 636–684)† | Laggard (n ranges from 177–190)† | |||||||
---|---|---|---|---|---|---|---|---|---|
Mean % positive | Mean % positive | Mean % positive | |||||||
HSOPS dimensions and items by components of culture | OR (95% CI) | Baseline | 2009 | OR (95% CI) | Baseline | 2009 | OR (95% CI) | Baseline | 2009 |
Reporting culture | |||||||||
Frequency of events reported | |||||||||
D1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?‡ | 1.13 (0.85 to 1.49) | 62 | 65 | 1.01 (0.84 to 1.22) | 57 | 57 | 0.85 (0.60 to1.21) | 45 | 41 |
Just culture | |||||||||
Non-punitive response to error | |||||||||
A16. Staff worry that mistakes they make are kept in their personnel file§ | 1.28 (1.00 to 1.65) | 48 | 54 | 1.09 (0.92 to 1.30) | 51 | 53 | 1.05 (0.75 to 1.45) | 43 | 44 |
Flexible culture | |||||||||
Teamwork within departments | |||||||||
A11. When one area in this department gets really busy, others help out¶ | 1.21 (0.89 to 1.63) | 73 | 77 | 1.32** (1.09 to 1.61) | 68 | 74 | 0.82 (0.58 to 1.16) | 66 | 61 |
Staffing | |||||||||
A14. We work in ‘crisis mode’ trying to do too much, too quickly§ | 1.67** (1.18 to 2.36) | 64 | 75 | 1.19 (0.95 to 1.49) | 63 | 67 | 1.02 (0.67 to 1.57) | 66 | 67 |
Communication openness | |||||||||
C4. Staff feel free to question the decisions and actions of those with more authority¶ | 1.18 (0.92 to 1.52) | 51 | 55 | 1.26** (1.06 to1.49) | 45 | 50 | 0.84 (0.60 to 1.16) | 46 | 42 |
Hospital handoffs and transitions | |||||||||
F5. Important patient care information is often lost during shift changes§ | 1.00 (0.77 to 1.30) | 61 | 61 | 0.99 (0.83 to 1.18) | 54 | 54 | 0.64* (0.46 to 0.90) | 55 | 44 |
F7. Problems often occur in the exchange of information across hospital departments§ | 0.73* (0.56 to 0.94) | 64 | 56 | 1.01 (0.85 to 1.19) | 49 | 49 | 0.71* (0.51 to 0.98) | 49 | 40 |
Learning culture | |||||||||
Organisational learning | |||||||||
A9. Mistakes have led to positive changes here¶ | 1.45* (1.05 to 1.99) | 75 | 81 | 1.29* (1.05 to 1.57) | 68 | 73 | 1.29 (0.90 to 1.83) | 60 | 65 |
Hospital management support for patient safety | |||||||||
F9. Hospital management seems interested in patient safety only after an adverse event happens§ | 1.37 (1.00 to 1.88) | 77 | 82 | 1.15 (0.95 to 1.38) | 68 | 71 | 1.25 (0.89 to 1.74) | 58 | 63 |
Overall perceptions of safety | |||||||||
A10. It is just by chance that more serious mistakes don't happen around here§ | 1.30 (0.95 to 1.77) | 78 | 82 | 1.28* (1.06 to 1.56) | 72 | 77 | 1.00 (0.72 to 1.39) | 61 | 61 |
Item aggregate | 65.3 | 68.8 | 59.5 | 62.5 | 54.9 | 52.8 |
*p<0.05.
**p<0.01.
†As 1–4% of item-level data are missing at random, the n for an item varies slightly within each adopter category.
‡Most of the time and always are positive responses.
§Strongly disagree and disagree are positive responses.
¶Agree and strongly agree are positive responses.
HSOPS, hospital survey on patient safety culture.