Responses* by management and clinician status, Stanford/PSCI Culture Survey, 2001
| Question text | Senior managers (% problematic) | Non-senior managers (% problematic) | Clinicians (% problematic) | Non-clinicians (% problematic) |
|---|---|---|---|---|
| *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) | 49.1 | 51.9 | 55.8 | 44.7 |
| I am rewarded for taking quick action to identify a serious mistake (Q63) | 18.7 | 33.4 | 33.5 | 32.0 |
| I am provided with adequate resources (personnel, budget, and equipment) to provide safe patient care (Q81) | 24.9 | 32.9 | 35.9 | 26.4 |
| It is hard for doctors and nurses to hide serious mistakes (Q38) | 30.9 | 29.8 | 28.9 | 30.6 |
| Senior management has a clear picture of the risk associated with patient care (Q15) | 11.1 | 21.2 | 26.9 | 11.2 |
| Senior management has a good idea of the kinds of mistakes that actually occur in this facility (Q19) | 14.2 | 20.9 | 20.2 | 20.5 |
| Good communication flow exists up the chain of command regarding patient safety issues (Q11) | 16.0 | 17.7 | 17.8 | 16.8 |
| Patient safety decisions are made at the proper level by the most qualified people (Q07) | 11.9 | 15.7 | 16.6 | 13.4 |
| Senior management provides a climate that promotes patient safety (Q21) | 9.4 | 15.1 | 17.5 | 10.8 |
| Senior management considers patient safety when program changes are discussed (Q44) | 8.3 | 12.7 | 14.3 | 9.3 |
| Individuals in my department are willing to report behavior which is unsafe for patient care (Q64) | 7.0 | 10.3 | 10.3 | 10.2 |
| Department | ||||
| In my department, disregarding policy and procedure is rare (Q05) | 10.9 | 14.9 | 14.9 | 14.0 |
| My department follows a specific process to review performance against defined training goals (Q52) | 8.6 | 14.9 | 13.0 | 16.9 |
| Staff are provided with the necessary training to safely provide patient care (Q45) | 8.0 | 10.9 | 10.9 | 10.1 |
| Compared to other facilities in the area, this facility cares more about the quality of patient care it provides (Q50) | 7.3 | 9.7 | 9.9 | 8.7 |
| My department does a good job managing risks to ensure patient safety (Q17) | 5.0 | 7.8 | 7.9 | 7.1 |
| Production | ||||
| I have witnessed a coworker do something that appeared to me to be unsafe patient care (Q77) | 33.6 | 39.4 | 45.4 | 27.6 |
| 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) | 20.1 | 27.6 | 30.8 | 21.8 |
| Compared with other facilities in the area, this facility cares more about increasing revenues or profits (Q59) | 14.1 | 21.6 | 22.8 | 19.4 |
| I am asked to cut corners to get the job done (Q69) | 16.5 | 18.8 | 20.9 | 15.3 |
| I have enough time to complete patient care tasks safely (Q75) | 9.7 | 9.2 | 9.3 | 8.7 |
| In the last year I have done something that was not safe for the patient (Q80) | 3.5 | 8.3 | 10.7 | 3.9 |
| Reporting/seeking help | ||||
| If people find out that I made a mistake, I will be disciplined (Q60) | 18.3 | 27.9 | 28.9 | 24.9 |
| Reporting a patient safety problem will not result in negative repercussions for the person reporting it (Q14) | 7.8 | 11.4 | 11.5 | 9.7 |
| 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) | 5.2 | 9.4 | 7.7 | 11.7 |
| I will suffer negative consequences if I report a patient safety problem (Q58) | 3.9 | 7.8 | 7.0 | 7.9 |
| Asking for help is a sign of incompetence (Q24) | 2.1 | 4.1 | 3.9 | 4.0 |
| Shame/self-awareness | ||||
| Telling others about my mistakes is embarrassing (Q37) | 44.2 | 35.5 | 40.5 | 28.5 |
| I have made significant errors in my work that I attribute to my own fatigue (Q82) | 7.4 | 7.2 | 8.5 | 5.6 |
| I am less effective at work when I am fatigued (Q39) | 1.4 | 3.8 | 2.4 | 5.4 |
| Overall average | 14.3 | 18.4 | 19.5 | 15.9 |