ICUs (n=164) | Non-ICUs (n=276) | |||||
---|---|---|---|---|---|---|
HSOPS dimension | Baseline | Follow-up | Change Score | Baseline | Follow-up | Change Score |
Supervisor expectations and actions promoting safety | 76 (16) (19, 100) | 79 (15) (17, 100) | 3 (18) (−58, 81) | 79 (12) (40, 100) | 80 (13) (8, 100) | 1 (14) (−62, 40) |
Organisational learning—continuous improvement | 73 (15) (29, 100) | 74 (16) (20, 100) | 0.7 (17) (−54, 71) | 76 (12) (41, 100) | 77 (14) (33, 100) | 1 (12) (−34, 35) |
Teamwork within hospital units | 86 (9) (64, 100) | 87 (10) (38, 100) | 0.7 (11) (−38, 33) | 79 (13) (0, 100) | 80 (13) (32, 100) | 1 (13) (−35, 95) |
Communication openness | 63 (17) (0, 100) | 64 (16) (0, 100) | 1 (19) (−61, 67) | 59 (14) (17, 100) | 61 (16) (0, 100) | 2 (15) (−66, 44) |
Feedback and communication about error | 61 (18) (11, 100) | 65 (18) (0, 100) | 3 (21) (−100, 67) | 63 (15) (27, 100) | 65 (17) (0, 100) | 3 (16) (−100, 67) |
Non-punitive response to error | 40 (16) (0, 85) | 46 (19) (0, 100) | 5 (18) (−36, 70) | 43 (16) (0, 100) | 46 (17) (0, 100) | 3 (17) (−100, 58) |
Staffing | 59 (17) (21, 100) | 60 (18) (16, 100) | 0.5 (17) (−38, 60) | 55 (16) (10, 100) | 57 (17) (8, 100) | 2 (15) (−45, 63) |
Management support for patient safety | 63 (21) (0, 100) | 65 (19) (4, 100) | 2 (20) (−67, 75) | 70 (15) (25, 100) | 71 (16) (19, 100) | 1 (15) (−49, 59) |
Teamwork across hospital units | 59 (16) (20, 100) | 62 (18) (0, 100) | 3 (16) (−50, 52) | 59 (15) (0, 100) | 61 (16) (8, 100) | 2 (14) (−45, 72) |
Hospital handoffs and transitions | 51 (15) (0, 100) | 53 (18) (0, 100) | 1 (16) (−50, 67) | 47 (16) (16, 100) | 49 (17) (0, 100) | 2 (14) (−50, 66) |
Frequency of event reporting | 60 (16) (0, 100) | 61 (20) (0, 100) | 0.6 (16) (−60, 48) | 66 (14) (20, 100) | 67 (15) (22, 100) | 0.6 (15) (−67, 45) |
Overall perceptions of safety | 60 (18) (0, 100) | 62 (18) (0, 100) | 2 (18) (−47, 53) | 60 (15) (23, 100) | 62 (16) (13, 100) | 2 (14) (−42, 57) |
Patient safety grade | 70 (21) (12, 100) | 70 (20) (0, 100) | −0.4 (26) (−100, 84) | 66 (20) (0, 100) | 70 (20) (0, 100) | 3 (20) (−100, 63) |
Baseline and follow-up scores represent the per cent of positive responses for all items in the domain at the baseline and follow-up time points. HSOPS change scores are computed as the change in per cent positive responses for all items within each dimension from baseline to the follow-up survey period (approximately 11 months later). Values greater than zero represent an increase in per cent positive responses, while values less than zero represent a decrease in per cent positive responses.
CAUTI, catheter-associated urinary tract infection; HSOPS, Hospital Survey on Patient Safety Culture; ICU, intensive care unit