Table 4 Effect of executive walk rounds on nurses responses to survey items: Distributions of responses by survey item and EWRs participation.
Survey Item | EWRs Participant n (%) | EWRs Non-participant n (%) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
Disagree Strongly | Disagree Slightly | Neutral | Agree Slightly | Agree Strongly | Disagree Strongly | Disagree Slightly | Neutral | Agree Slightly | Agree Strongly | |
1. The culture of this clinical area makes it easy to learn from the mistakes of others. | 0 | 2 (2.44) | 15 (18.29) | 22 (26.83) | 43 (52.44) | 6 (3.13) | 21 (10.94) | 50 (26.04) | 53 (27.60) | 62 (32.29) |
2. Medical errors are handled appropriately in this clinical area. | 3 (3.61) | 2 (2.41) | 12 (14.46) | 12 (14.46) | 54 (65.06) | 3 (1.54) | 17 (8.72) | 38 (19.49) | 48 (24.62) | 89 (45.64) |
3. The senior leaders in my hospital listen to me and care about my concerns. | 3 (3.57) | 6 (7.14) | 15 (17.86) | 26 (30.95) | 34 (40.48) | 29 (14.65) | 23 (11.62) | 40 (20.20) | 54 (27.27) | 52 (26.26) |
4. The physician and nurse leaders in my area listen to me and care about my concerns. | 0 | 6 (7.14) | 11 (13.10) | 27 (32.14) | 40 (47.62) | 10 (5.15) | 20 (10.31) | 40 (20.62) | 56 (28.87) | 68 (35.05) |
5. Leadership is driving us to be a safety-centered institution. | 1 (1.19) | 0 | 15 (17.86) | 21 (25.00) | 47 (55.95) | 4 (2.03) | 18 (9.14) | 48 (24.37) | 59 (29.95) | 68 (34.52) |
6. My suggestions about safety would be acted upon if I expressed them to management. | 1 (1.19) | 4 (4.76) | 14 (16.67) | 25 (29.76) | 40 (47.62) | 11 (5.58) | 26 (13.20) | 39 (19.80) | 50 (25.38) | 71 (36.04) |
7. Management/Leadership does not knowingly compromise safety concerns for productivity. | 3 (3.61) | 5 (6.02) | 14 (16.87) | 24 (28.92) | 37 (44.58) | 17 (8.76) | 21 (10.82) | 33 (17.01) | 53 (27.32) | 70 (36.08) |
8. I am encouraged by my colleagues to report any patient safety concerns I may have. | 2 (2.41) | 3 (3.61) | 4 (4.82) | 20 (24.10) | 54 (65.06) | 1 (0.51) | 13 (6.63) | 25 (12.76) | 55 (28.06) | 102 (52.04) |
9. I know the proper channels to direct questions regarding patient safety. | 0 | 1 (1.23) | 4 (4.94) | 19 (23.46) | 57 (70.37) | 0 | 2 (1.03) | 17 (8.72) | 60 (30.77) | 116 (59.49) |
10. I receive appropriate feedback about my performance. | 2 (2.38) | 4 (4.76) | 10 (11.90) | 26 (30.95) | 42 (50.00) | 6 (3.06) | 24 (12.24) | 38 (19.39) | 59 (30.10) | 69 (35.20) |
11. I would feel safe being treated here as a patient. | 0 | 2 (2.53) | 13 (16.46) | 21 (26.58) | 43 (54.43) | 5 (2.56) | 20 (10.26) | 35 (17.95) | 62 (31.79) | 73 (37.44) |
12. Briefing personnel before the start of a shift (i.e., to plan for possible contingencies) is an important part of patient safety. | 0 | 0 | 5 (6.10) | 19 (23.17) | 58 (70.73) | 2 (1.04) | 4 (2.07) | 19 (9.84) | 34 (17.62) | 134 (69.43) |
13. Briefings are common here. | 1 (1.30) | 3 (3.90) | 15 (19.48) | 24 (31.17) | 34 (44.16) | 13 (7.30) | 13 (7.30) | 40 (22.47) | 45 (25.28) | 67 (37.64) |
14a. I am satisfied with availability of clinical leadership (physician). | 1 (1.25) | 5 (6.25) | 9 (11.25) | 21 (26.25) | 44 (55.00) | 9 (4.62) | 26 (13.33) | 32 (16.41) | 55 (28.21) | 73 (37.44) |
14b. I am satisfied with availability of clinical leadership (nursing). | 2 (2.44) | 3 (3.66) | 8 (9.76) | 31 (37.80) | 38 (46.34) | 12 (6.25) | 13 (6.77) | 33 (17.19) | 60 (31.25) | 74 (38.54) |
14c. I am satisfied with availability of clinical leadership (pharmacy). | 5 (6.33) | 7 (8.86) | 18 (22.78) | 21 (26.58) | 28 (35.44) | 20 (10.53) | 32 (16.84) | 42 (22.11) | 51 (26.84) | 45 (23.68) |
15. This institution is doing more for patient safety now than it did one year ago. | 0 | 1 (1.32) | 11 (14.47) | 22 (28.95) | 42 (55.26) | 11 (6.11) | 6 (3.33) | 59 (32.78) | 59 (32.78) | 45 (25.00) |
16. I believe that most adverse events occur as a result of multiple system failures, and are not attributable to one individual's actions. | 0 | 4 (5.13) | 8 (10.26) | 24 (30.77) | 42 (53.85) | 8 (4.17) | 16 (8.33) | 23 (11.98) | 65 (33.85) | 80 (41.67) |
17. The personnel in this clinical area take responsibility for patient safety. | 0 | 0 | 8 (9.76) | 23 (28.05) | 51 (62.20) | 2 (1.04) | 9 (4.66) | 26 (13.47) | 75 (38.86) | 81 (41.97) |
18. Personnel frequently disregard rules or guidelines that are established for this clinical area. | 30 (37.50) | 10 (12.50) | 14 (17.50) | 12 (15.00) | 14 (17.50) | 47 (23.98) | 43 (21.94) | 39 (19.90) | 40 (20.41) | 27 (13.78) |
19. Patient safety is constantly reinforced as the priority in this clinical area. | 0 | 1 (1.27) | 9 (11.39) | 16 (20.25) | 53 (67.09) | 4 (2.02) | 14 (7.07) | 37 (18.69) | 59 (29.80) | 84 (42.42) |