Table 1
HSOPSC scores and value and efficiency in hospitals.
| Our study | AHRQ report | ||
|---|---|---|---|
| HSOPSC | |||
| Supervisor/manager expectations and actions promoting patient safety | 1.000–5.000 3.775 (0.750) | 65.4 | 80 |
| Organizational learning – continuous improvement | 1.000–5.000 4.146 (0.668) | 81.9 | 72 |
| Teamwork within units | 1.000–5.000 4.244 (0.719) | 82.6 | 82 |
| Communication openness | 1.000–5.000 3.397(0.781) | 49.6 | 66 |
| Feedback and communication about error | 1.000–5.000 4.038 (0.730) | 72.1 | 69 |
| Nonpunitive response to error | 1.000–5.000 3.243(0.912) | 44.6 | 47 |
| Staffing | 1.000–5.000 3.176 (0.773) | 42.0 | 53 |
| Management support for patient safety | 1.000–5.000 3.878(0.780) | 69.9 | 72 |
| Teamwork across units | 1.000–5.000 3.715 (0.778) | 62.0 | 62 |
| Handoffs and transitions | 1.000–5.000 3.650 (0.844) | 59.9 | 48 |
| Overall perceptions of patient safety | 1.000–5.000 3.747(0.693) | 64.2 | 66 |
| Value and efficiency in hospital | |||
| Empowerment to improve efficiency | 1.000–5.000 3.702 (0.908) | 61.1 | 64 |
| Efficiency and waste reduction | 1.000–5.000 3.944 (0.825) | 70.3 | 69 |
| Patient centeredness and efficiency | 1.000–5.000 4.004 (0.777) | 74.4 | 73 |
| Supervisor, manager, or clinical leader support for improving efficiency and reducing waste | 1.000–5.000 3.767 (0.843) | 63.3 | 78 |
| Overall ratings | – | 63.3 | 61 |
| Patient centered | – | 55.7 | 67 |
| Effective | – | 64.4 | 65 |
| Timely | – | 68.4 | 58 |
| Efficient | – | 64.6 | 52 |
[i] Note: AHRQ, agency for healthcare research and quality; HSOPSC, hospital survey on patient safety culture.
Table 2
Experience with activities to improve efficiency.
| Survey items | Positive response (%) | AHRQ 2017 |
|---|---|---|
| I received training on how to identify waste and inefficiencies in my work | 45.4 | 48 |
| I helped to map a workflow process to identify waste time, materials, steps in a process, etc. | 36.0 | 37 |
| I shadowed/followed patients in this hospital to identify ways to improve their care experience | 56.6 | 18 |
| I looked at visual displays or graphs to see how well my unit was performing | 38.8 | 63 |
| I made a suggestion to management about improving an inefficient work process | 39.8 | 64 |
| I made a suggestion to management about improving patients’ care experiences | 42.5 | 56 |
| I served on a team or committee to make a work process more efficiency | 40.3 | 37 |
| I monitored data to figure out how well an activity to improve efficiency was working | 44.4 | 29 |
[i] Note: AHRQ, agency for healthcare research and quality.