Non-punitive Response to Errors

A8

Staff feel like their mistakes are held against them [R]

106 (46%)

28 (12%)

106 (46%)

46*

A12

When an event is reported, it feels like the person is the subject of the report and not the problem [R]

96 (42%)

29 (13%)

106 (46%)

42*

A16

Staff worry that mistakes they make are kept in their personnel file [R]

95 (41%)

39 (17%)

97 (42%)

41*

Average percentage

43*

Feedback and Communication About Error

Never/Rarely

Some-times

Most of the times/Always

% Positive response

C1

We are given feedback about changes put into place based on event reports

17 (7%)

58 (25%)

156 (68%)

68**

C3

We are informed about errors that happen in this unit

12 (5%)

40 (17%)

179 (77%)

77***

C5

In this unit, we discuss ways to prevent errors from happening again

14 (6%)

70 (30%)

147 (64%)

64**

Average percentage

70**

Communication Openness

C2

Staff will freely speak up if they see something that may negatively affect patient care

24 (10%)

105 (46%)

159 (69%)

69**

C4

Staff feel free to question the decisions or actions of those with more authority

41 (18%)

75 (33%)

115 (50%)

50*

C6

Staff are afraid to ask questions when something does not seem right [R]

166 (72%)

50 (22%)

15 (7%)

72***

Average percentage

64**

Frequency of Events Reported

D1

When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?

86 (37%)

59 (26%)

86 (37%)

37*

D2

When a mistake is made, but has no potential to harm the patient, how often is this reported?

86 (37%)

78 (34%)

67 (29%)

29*

D3

When a mistake is made that could harm the patient, but does not, how often is this reported?

48 (21%)

84 (36%)

99 (43%)

43*

Average percentage

36*

Total average percentage

64*