Purpose and Use of This Report
2009 Comparative Database Report
In response to requests from hospitals interested in comparing their results with other hospitals on the Hospital Survey on Patient Safety Culture (hospital survey), the Agency for Healthcare Research and Quality (AHRQ) established the Hospital Survey on Patient Safety Culture Comparative Database. The first comparative database report was released in 2007. It included data from 382 U.S. hospitals that administered the AHRQ patient safety culture survey to 108,621 hospital staff and voluntarily submitted their data for inclusion in this new database. The second comparative database report was released in 2008. It included data from 519 hospitals that administered the survey to 160,176 hospital staff.
The Hospital Survey on Patient Safety Culture 2009 Comparative Database Report is an update of the 2008 report. The 2009 report consists of data from 622 hospitals and 196,462 hospital staff respondents who completed the survey. The hospitals in the 2009 report fall into three categories:
- 395 hospitals from the previous database report that are still included in the 2009 report, of which:
- 314 hospitals submitted data one time and
- 81 hospitals submitted data twice; older data were replaced by data from their readministration, so the database reflects their most recent survey data.
- 227 hospitals that submitted data for the 2009 report, of which:
- 104 hospitals submitted data for the first time and
- 123 hospitals submitted data from a readministration of the survey; older data from these hospitals were replaced by data from their readministration, so the database reflects their most recent survey data.
Hospitals do not necessarily administer the hospital patient safety culture survey every year. They may administer it on an 18-month, 24-month, or other cycle. Therefore, the comparative database is a "rolling" indicator. It retains data from prior years when a hospital does not have new data to submit, replaces older data with more recent data when available, and adds data from hospitals submitting for the first time. The comparative database report will be produced yearly through at least 2012.
This comparative database report was developed as a tool for the following purposes:
- Comparison—To allow hospitals to compare their patient safety culture survey results with other hospitals.
- Assessment and Learning—To provide data to hospitals to facilitate internal assessment and learning in the patient safety improvement process.
- Supplemental Information—To provide supplemental information to help hospitals identify their strengths and areas with potential for improvement in patient safety culture.
- Trending—To provide data that describe changes in patient safety culture over time.
The report presents statistics (averages, standard deviations, minimum and maximum scores and percentiles) on the patient safety culture areas or composites assessed in the survey and on the survey's items. In addition, the 2009 report includes a chapter on trending that describes patient safety culture change over time for the 204 hospitals that submitted data from their previous and most recent safety culture surveys.
Appendixes A and B present overall results by hospital characteristics (bed size, teaching status, ownership and control, region) and respondent characteristics (hospital work area/unit, staff position, interaction with patients), respectively.
Appendixes C and D show trends over time for the 204 hospitals that administered the survey and submitted data more than once. Average percent positive scores from the most recent and previous administrations are shown on the survey composites and items, broken down by hospital characteristics (bed size, teaching status, ownership and control) in Appendix C and respondent characteristics (hospital work area/unit, staff position, interaction with patients) in Appendix D.
Note: Because several hospital geographic region breakout categories had fewer than 20 trending hospitals, trending results are not shown by hospital geographic region to ensure hospital confidentiality.