Patient Safety

Culture Dimensions

Items

Mean (SD)

Positive responses per item (percentages)

1. Teamwork

A1. Staff in this nursing home treat each other with respect

4.31 (0.79)

392 (85%)

A2. Staff support one another in this nursing home

4.18 (0.79)

369 (80%)

A5. Staff feel like they are part of a team

4.10 (0.82)

372 (80%)

A9. When someone gets really busy in this nursing home, other staff help out

3.71 (0.85)

276 (60%)

76%1

2. Staffing

A3. We have enough staff to handle the workload

2.97 (0.89)

110 (24%)

A8 (R). Staff have to hurry because they have too much work to do

2.55 (0.92)

51 (11%)

A16. Patients needs are met during shift changes

3.80 (0.81)

295 (66%)

A17 (R). It is hard to keep patients safe here because so many staff quit their jobs

4.11 (0.85)

355 (83%)

46%1

3. Compliance with procedures

A4. Staff follow standard procedures to care for patients

4.00 (0.79)

353 (78%)

A6 (R). Staff use shortcuts to get their work done faster

3.38 (0.92)

206 (46%)

A14 (R). To make work easier, staff often ignore procedures

3.82 (0.81)

312 (70%)

65%1

4. Training and skills

A7. Staff get the training they need in this nursing home

3.63 (0.86)

264 (57%)

A11. Staff have enough training on how to handle difficult patients

3.21 (0.86)

153 (34%)

A13. Staff understand the training they get in this nursing home

3.89 (0.73)

332 (76%)

56%1

5. Nonpunitive response to mistakes

A10 (R). Staff are blamed when a patient is harmed

4.13 (0.77)

372 (87%)

A12 (R). Staff are afraid to report their mistakes

3.76 (0.83)

291 (67%)

A15. Staff are treated fairly when they make mistakes

3.95 (0.79)

333 (80%)

A18. Staff feel safe reporting their mistakes

3.97 (0.74)

347 (78%)

78%1

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)

367 (80%)

B2.Staff are told right away when there is a change in a patient’s care plan

3.79 (0.78)

308 (69%)

B10. Staff are given all the information they need to care for patients

4.24 (0.63)

417 (91%)

80%1