Responses* by factor, Stanford/PSCI Culture Survey, 2001
| Text of question | % Problematic | % Problematic or neutral |
|---|---|---|
| *Responses weighted for sampling and for non-response (non-respondents’ answers attributed to respondents of all three mailshots together). | ||
| Organization | ||
| Loss of experienced personnel has negatively affected my ability to provide high quality patient care (Q70) | 51.8 | 70.0 |
| I am rewarded for taking quick action to identify a serious mistake (Q63) | 33.1 | 64.0 |
| I am provided with adequate resources (personnel, budget, and equipment) to provide safe patient care (Q81) | 32.7 | 50.8 |
| It is hard for doctors and nurses to hide serious mistakes (Q38) | 29.8 | 48.7 |
| Senior management has a clear picture of the risk associated with patient care (Q15) | 20.9 | 37.3 |
| Senior management has a good idea of the kinds of mistakes that actually occur in this facility (Q19) | 20.7 | 42.2 |
| Good communication flow exists up the chain of command regarding patient safety issues (Q11) | 17.7 | 35.9 |
| Patient safety decisions are made at the proper level by the most qualified people (Q07) | 15.7 | 31.4 |
| Senior management provides a climate that promotes patient safety (Q21) | 15.0 | 35.5 |
| Senior management considers patient safety when program changes are discussed (Q44) | 12.6 | 40.5 |
| Individuals in my department are willing to report behavior which is unsafe for patient care (Q64) | 10.2 | 23.2 |
| Department | ||
| In my department, disregarding policy and procedure is rare (Q05) | 14.8 | 25.6 |
| My department follows a specific process to review performance against defined training goals (Q52) | 14.7 | 37.1 |
| Staff are provided with the necessary training to safely provide patient care (Q45) | 10.8 | 25.4 |
| Compared with other facilities in the area, this facility cares more about the quality of patient care it provides (Q50) | 9.6 | 43.4 |
| My department does a good job managing risks to ensure patient safety (Q17) | 7.8 | 18.6 |
| Production | ||
| I have witnessed a coworker do something that appeared to me to be unsafe patient care (Q77) | 39.3 | 50.2 |
| In the last year I have witnessed a coworker do something that appeared to me to be unsafe for the patient in order to save time (Q79) | 27.4 | 38.7 |
| Compared to other facilities in the area, this facility cares more about increasing revenues or profits (Q59) | 21.4 | 60.8 |
| I am asked to cut corners to get the job done (Q69) | 18.7 | 35.8 |
| I have enough time to complete patient care tasks safely (Q75) | 9.2 | 33.8 |
| In the last year I have done something that was not safe for the patient (Q80) | 8.2 | 18.3 |
| Reporting/seeking help | ||
| If people find out that I made a mistake, I will be disciplined (Q60) | 27.7 | 51.8 |
| Reporting a patient safety problem will not result in negative repercussions for the person reporting it (Q14) | 11.3 | 24.7 |
| If I see a problem with the management of a patient, I would say something, even though it would makes a senior person look bad (Q49) | 9.3 | 23.5 |
| I will suffer negative consequences if I report a patient safety problem (Q58) | 7.7 | 18.4 |
| Asking for help is a sign of incompetence (Q24) | 4.1 | 7.8 |
| Shame/self-awareness | ||
| Telling others about my mistakes is embarrassing (Q37) | 37.5 | 49.2 |
| I have made significant errors in my work that I attribute to my own fatigue (Q82) | 7.2 | 17.1 |
| I am less effective at work when I am fatigued (Q39) | 3.7 | 35.3 |
| Overall average | 18.3 | 36.5 |