Table 1 A summary of the average percent positive responses of the patient safety culture (PSC) across 366 hospitals and the reported sentinel events (SEs) based on the category of contributory factors
Patient Safety Culture (PSC) Survey | ||
Patient Safety Measure | Average of Hospital-level Percent Positive | AHRQ 2018 [48] |
Teamwork Within Units | 80.65% | 82% |
Organizational Learning—Continuous Improvement | 80.33% | 72% |
Feedback & Communication About Error | 65.31% | 69% |
Supervisor/Manager Expectations & Actions Promoting Patient Safety | 64.39% | 80% |
Management Support for Patient Safety | 64.10% | 72% |
Teamwork Across Units | 59.92% | 62% |
Frequency of Events Reported | 59.45% | 67% |
Overall Perceptions of Patient Safety | 59.17% | 66% |
Handoffs & Transitions | 55.50% | 48% |
Communication Openness | 53.43% | 66% |
Staffing | 32.10% | 53% |
Nonpunitive Response to Error | 26.19% | 47% |
Across 12 Domains | 58.38% | 65% |
Patient overall safety grade (POSG) | 75.71% | 78% |
Positive events reported (PER) | 50.00% | 45% |
Reported Sentinel Events | ||
Category of Contributory Factor (CF) | Reported Sentinel Events (n = 231) | Hospitals Reported Sentinel Events (n = 103) |
Communication and Information | 146 (63.2%) | 78 (75.73%) |
Staff Competency and Performance | 141 (61.04%) | 78 (75.73%) |
Process Issues | 137 (59.31%) | 77 (74.76%) |
Human Factors | 131 (56.71%) | 74 (71.84%) |
Manpower Planning Issues | 108 (46.75%) | 73 (70.87%) |
Leadership and Safety Culture | 89 (38.53%) | 59 (57.28%) |
Equipment / Technology | 58 (25.11%) | 44 (42.72%) |
Environmental Factors | 36 (15.58%) | 28 (27.18%) |
Others | 26 (11.26%) | 25 (24.27%) |
Not Categorized | 35 (15.15%) | 27 (26.21%) |