2009 OR of responding positively to a HSOPS item for each 5% increase in the proportion of respondents reporting TeamSTEPPS training, learning and transfer
| Dimensions and items by culture component | Some training* OR (95% CI) | p Value | All training† OR (95% CI) | p Value | Learning‡ OR (95% CI) | p Value | Transfer§ OR (95% CI) | p Value |
|---|---|---|---|---|---|---|---|---|
| Reporting culture | ||||||||
| Frequency of events reported | ||||||||
| D15. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?†† | 1.02 (0.98 to 1.07) | 0.35 | 1.03 (0.98 to 1.03) | 0.18 | 1.05 (1.00 to 1.10) | 0.04 | 1.20 (1.08 to 1.34) | 0.002 |
| Just culture | ||||||||
| Non-punitive response to error | ||||||||
| A16. Staff worry that mistakes they make are kept in their personnel file** | 1.02 (0.98 to 1.06) | 0.41 | 1.02 (0.98 to 1.06) | 0.40 | 1.02 (0.98 to 1.06) | 0.35 | 1.11 (1.01 to 1.23) | 0.04 |
| Flexible culture | ||||||||
| Teamwork within departments | ||||||||
| A11. When one area in this department gets really busy, others help out¶ | 1.02 (0.98 to 1.07) | 0.26 | 1.00 (0.96 to 1.04) | 0.90 | 1.00 (0.96 to 1.05) | 0.94 | 1.15 (1.05–1.27) | 0.005 |
| Staffing | ||||||||
| A14. We work in ‘crisis mode’ trying to do too much, too quickly** | 1.03 (0.99 to 1.08) | 0.17 | 1.03 (0.99 to 1.08) | 0.15 | 1.06 (1.01 to 1.11) | 0.02 | 1.11 (0.98 to 1.26) | 0.09 |
| Communication openness | ||||||||
| C4. Staff feel free to question the decisions and actions of those with more authority¶ | 1.02 (0.99 to 1.06) | 0.17 | 1.01 (0.98 to 1.05) | 0.41 | 1.02 (0.98 to 1.05) | 0.28 | 1.11 (1.03 to 1.21) | 0.01 |
| Hospital handoffs and transitions | ||||||||
| F5. Important patient care information is often lost during shift changes** | 1.03 (0.98 to 1.09) | 0.18 | 1.03 (0.98 to 1.08) | 0.25 | 1.05 (1.00 to 1.10) | 0.07 | 1.22 (1.09 to 1.36) | 0.001 |
| F7. Problems often occur in the exchange of information across hospital departments** | 1.03 (0.98 to 1.09) | 0.22 | 1.031 (0.98 to 1.09) | 0.22 | 1.05 (0.99 to 1.10) | 0.08 | 1.19 (1.06 to 1.35) | 0.006 |
| Learning culture | ||||||||
| Organisational learning | ||||||||
| A9. Mistakes have led to positive changes here¶ | 1.03 (0.99 to 1.06) | 0.19 | 1.04 (1.00 to 1.08) | 0.04 | 1.06 (1.02 to 1.09) | 0.006 | 1.20 (1.11 to 1.29) | <0.001 |
| Hospital management support for patient safety | ||||||||
| F9. Hospital management seems interested in patient safety only after an adverse event happens** | 1.03 (0.97 to 1.09) | 0.36 | 1.04 (0.98 to 1.10) | 0.16 | 1.07 (1.01 to 1.13) | 0.02 | 1.24 (1.10 to 1.41) | 0.002 |
| Overall perceptions of safety | ||||||||
| A10. It is just by chance that more serious mistakes don't happen around here** | 1.07 (1.02 to 1.12) | 0.01 | 1.02 (0.97 to 1.07) | 0.40 | 1.05 (1.00 to 1.11) | 0.05 | 1.25 (1.13 to 1.40) | <0.001 |
*Some training, completed some TeamSTEPPS modules.
†All training, completed all TeamSTEPPS modules or master trainer.
‡Learning, correctly answered three of four TeamSTEPPS knowledge questions.
§Transfer, responded that four of five team actions are performed ‘Most of the time/always’.
¶Agree and strongly agree are positive responses.
**Strongly disagree and disagree are positive responses.
††Most of the time and always are positive responses.
HSOPS, hospital survey on patient safety culture; TeamSTEPPS, team strategies and tools to enhance performance and patient safety.