1. Teamwork
|
A1. Staff in this nursing home treat each other with respect
|
4.31 (0.79)
|
463 (69 %)
|
0
|
3
|
A2. Staff support one another in this nursing home
|
4.18 (0.79)
|
459 (68 %)
|
0
|
7
|
A5. Staff feel like they are part of a team
|
4.10 (0.82)
|
463 (69 %)
|
0
|
3
|
A9. When someone gets really busy in this nursing home, other staff help out
|
3.71 (0.85)
|
459 (68 %)
|
1
|
6
|
2. Staffing
|
A3. We have enough staff to handle the workload
|
2.97 (0.89)
|
456 (68 %)
|
3
|
7
|
A8 (R). Staff have to hurry because they have too much work to do
|
2.55 (0.92)
|
458 (68 %)
|
2
|
6
|
A16. Patients need are met during shift changes
|
3.80 (0.81)
|
450 (67 %)
|
9
|
7
|
A17 (R). It is hard to keep patients safe because so many staff quit their jobs
|
4.11 (0.85)
|
427 (64 %)
|
30
|
9
|
3. Compliance with procedures
|
A4. Staff follow standard procedures to care for patients
|
4.00 (0.79)
|
455 (68 %)
|
6
|
5
|
A6 (R). Staff use shortcuts to get their work done faster
|
3.38 (0.92)
|
450 (67 %)
|
11
|
5
|
A14 (R). To make work easier, staff often ignore procedures
|
3.82 (0.81)
|
444 (66 %)
|
17
|
5
|
4. Training and skills
|
A7. Staff get the training they need in this nursing home
|
3.63 (0.86)
|
460 (69 %)
|
3
|
3
|
A11. Staff have enough training on how to handle difficult patients
|
3.21 (0.86)
|
450 (67 %)
|
8
|
8
|
A13. Staff understand the training they get in this nursing home
|
3.89 (0.73)
|
437 (65 %)
|
20
|
9
|
5. Nonpunitive response to mistakes
|
A10 (R). Staff are blamed when a patient is harmed
|
4.13 (0.77)
|
427 (63 %)
|
30
|
9
|
A12 (R). Staff are afraid to report their mistakes
|
3.76 (0.83)
|
435 (65 %)
|
26
|
5
|
A15. Staff are treated fairly when they make mistakes
|
3.95 (0.79)
|
417 (62 %)
|
40
|
9
|
A18. Staff feel safe reporting their mistakes
|
3.97 (0.74)
|
447 (67 %)
|
14
|
5
|
6. Handoffs
|
B1. Staff are told what they need to know before taking care of a patient for the first time
|
4.01 (0.72)
|
458 (68 %)
|
4
|
4
|
B2. Staff are told when there is a change in a patients’ care plan
|
3.79 (0.78)
|
447 (67 %)
|
13
|
6
|
B3a. We have all the information we need when patients are transferred from the hospital (medical information)
|
4.09 (0.80)
|
386 (58 %)
|
44
|
36
|
B3b. We have all the information we need when patients are transferred from the hospital (nursing report)
|
4.24 (0.74)
|
381 (57 %)
|
55
|
30
|
B10. Staff are given all the information they need to take care of patients
|
4.24 (0.63)
|
458 (68 %)
|
1
|
7
|
7. Feedback and communication about incidents
|
B4. When staff report something that could harm a patient, someone takes care of it
|
4.25 (0.69)
|
434 (65 %)
|
27
|
5
|
B5. In this nursing home, we talk about ways to keep patients from happening again
|
3.98 (0.78)
|
453 (68 %)
|
3
|
10
|
B6. Staff tell someone if they see something that might harm a patient
|
4.42 (0.58)
|
454 (68 %)
|
6
|
6
|
B8. In this nursing home, we discuss ways to keep patients safe from harm
|
4.07 (0.69)
|
450 (67 %)
|
6
|
10
|
8. Communication openness
|
B7. Staff ideas and suggestions are valued in this nursing home
|
3.85 (0.74)
|
457 (68 %)
|
1
|
8
|
B9 (R). Staff opinions are ignored in this nursing home
|
3.82 (0.83)
|
448 (67 %)
|
8
|
10
|
B11. It is easy for staff to speak up about problems in this nursing home
|
3.90 (0.85)
|
446 (66 %)
|
12
|
8
|
9. Supervisor expectations and actions promoting patient safety
|
C1. My supervisor listen to staff ideas and suggestions about patient safety
|
4.22 (0.76)
|
453 (68 %)
|
6
|
7
|
C2. My supervisor says a good word to staff who follow the right procedures
|
4.19 (0.78)
|
452 (67 %)
|
6
|
8
|
C3. My supervisor pays attention to patient safety problems in this nursing home
|
4.38 (0.66)
|
450 (67 %)
|
9
|
7
|
10. Overall perceptions of patient safety
|
D1. Patients are well cared for in this nursing home
|
4.33 (0.73)
|
462 (69 %)
|
1
|
3
|
D6. This nursing home does a good job keeping patients safe
|
3.97 (0.64)
|
449 (67 %)
|
11
|
6
|
D8. This nursing home is a safe place for patients
|
4.30 (0.64)
|
461 (69 %)
|
1
|
4
|
11. Management support for patient safety
|
D2. Management asks staff how the nursing home can improve patient safety
|
3.58 (0.96)
|
423 (63 %)
|
33
|
10
|
D7. Management listen to staff ideas and suggestions to improve patient safety
|
3.80 (0.83)
|
443 (66 %)
|
19
|
4
|
D9. Management often walks around the nursing home to check on patients care
|
2.96 (1.14)
|
412 (61 %)
|
45
|
9
|
12. Organizational learning
|
D3 (R). This nursing home lets the same mistakes happen again and again
|
3.70 (0.85)
|
433 (65 %)
|
27
|
6
|
D4. It is easy to changes to improve patient safety in this nursing home
|
3.59 (0.79)
|
439 (65 %)
|
18
|
9
|
D5. This nursing home is always doing things to improve patient safety
|
3.79 (0.74)
|
444 (66 %)
|
18
|
4
|
D10. When this nursing home makes changes to improve patient safety, it checks to see if the changes worked
|
3.61 (0.84)
|
365 (54 %)
|
88
|
13
|