Table 5

Effect of executive walk rounds on survey items for nurses: Odds of agreement with an item for EWR Participants compared to EWR non-participants.

Survey Item

OR

95% CI


1. The culture of this clinical area makes it easy to learn from the mistakes of others.

2.50

1.15 – 5.42

2. Medical errors are handled appropriately in this clinical area.

2.05

0.97 – 4.35

*3. The senior leaders in my hospital listen to me and care about my concerns.

2.15

1.18 – 3.92

4. The physician and nurse leaders in my area listen to me and care about my concerns.

1.89

1.13 – 3.16

*5. Leadership is driving us to be a safety-centered institution.

2.48

1.39 – 4.45

6. My suggestions about safety would be acted upon if I expressed them to management.

1.89

1.04 – 3.43

7. Management/Leadership does not knowingly compromise safety concerns for productivity.

1.56

0.90 – 2.70

8. I am encouraged by my colleagues to report any patient safety concerns I may have.

1.74

1.01 – 2.75

9. I know the proper channels to direct questions regarding patient safety.

1.62

0.87 – 3.03

10. I receive appropriate feedback about my performance.

1.98

1.23 – 3.20

*11. I would feel safe being treated here as a patient.

2.05

1.31 – 3.19

12. Briefing personnel before the start of a shift (i.e., to plan for possible contingencies) is an important part of patient safety.

1.16

0.65 – 2.07

13. Briefings are common here.

1.56

0.89 – 2.73

14a. I am satisfied with availability of clinical leadership (physician).

2.14

1.35 – 3.42

14b. I am satisfied with availability of clinical leadership (nursing).

1.62

0.90 – 2.93

14c. I am satisfied with availability of clinical leadership (pharmacy).

1.75

1.13 – 2.72

*15. This institution is doing more for patient safety now than it did one year ago.

3.82

1.87 – 7.81

16. I believe that most adverse events occur as a result of multiple system failures, and are not attributable to one individual's actions.

1.70

1.17 – 2.48

17. The personnel in this clinical area take responsibility for patient safety.

2.29

1.26 – 4.17

18. Personnel frequently disregard rules or guidelines that are established for this clinical area.

0.78

0.48 – 1.28

*19. Patient safety is constantly reinforced as the priority in this clinical area.

2.79

1.50 – 5.21


Notes:

1. N = 274 non-missing cases.

2. Odds ratios and 95% confidence intervals are derived via a five category cumulative odds logistic regression model fit using the SURVEYLOGISTIC procedure in SAS version 9.1.3. Confidence intervals are adjusted for clustering of participants within clinical areas. Each analysis is based on five ordered categories of response options: "strongly disagree", "disagree", "neither agree nor disagree", "agree", "strongly agree", with the following exceptions: Some items (1, 2, 5, 8, 10, 11, 15, 16, 17, 19) had fewer than ten respondents who endorsed "strongly disagree" or "disagree"; for these items the "strongly disagree" and "disagree" categories were pooled to yield n-per-category greater than or equal to ten cases. Similarly, items 9 and 12 required pooling of the "strongly disagree", "disagree", and "neither agree nor disagree" categories to yield ten or more cases per category.

3. The odds ratios indicate the odds of an EWR participant having more agreement with an item than a EWR non-participant

4. Item 18 is reversed scored.

Thomas et al. BMC Health Services Research 2005 5:28   doi:10.1186/1472-6963-5-28

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