Annexes
Table of Contents Annex 1 The High 5s Project and LTAs websites... 127 Annex 2 Culture survey: international comparative report... 129 Annex 3 Context survey report: Med Rec... 165 Annex 4A Event analysis overview: CSS... 205 Annex 4B Event analysis overview: Med Rec... 247 Annex 5A 2012 Event analysis data report: CSS... 301 Annex 5B 2012 Event analysis data report: Med Rec... 309 Annex 6 AUSTRALIA Patient Safety Culture Survey... 317 Annex 7 AUSTRALIA Activities conducted for High 5s hospitals... 321 Annex 8 AUSTRALIA Implementation experience survey... 323 Annex 9 AUSTRALIA Medication Reconciliation resources... 329 Annex 10 AUSTRALIA Evaluation results... 335 Annex 11 AUSTRALIA Publications and presentations... 341 Annex 12 FRANCE Quick guide to surgical marking... 345 Annex 13 FRANCE Success stories booklet... 349 Annex 14 GERMANY Hospital survey on patient safety culture (Poster)... 355 Annex 15 GERMANY Barriers and facilitators: CSS SOP (Poster)... 357 Annex 16 GERMANY Adaptation and implementation (Poster)... 361 Annex 17 THE NETHERLANDS High 5s Project implementation support... 365 Annex 18 THE NETHERLANDS Implementation experience summary report... 373 Annex 19A THE NETHERLANDS SOP implementation yearly interview 2011... 391 Annex 19B THE NETHERLANDS SOP implementation yearly Interview 2012 Group 1 - Round 2... 401 Annex 19C THE NETHERLANDS SOP implementation yearly interview 2012 Group 2 - Round 1... 415 Annex 20 THE NETHERLANDS List of dissemination activities, articles and posters... 425 Annex 21 USA Baylor s sampling request... 431 Annex 22 Summary of the First International High 5s Hospitals Meeting... 435 The High 5s Project Interim Report 126
Annex 1 The High 5s Project and LTAs websites
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Annex 2 Culture survey: international comparative report
The High 5s Project Interim Report 130
Table of Contents Highlights from the High 5s International Comparative Report... 133 1. Introduction... 134 Survey Content... 134 The High 5s International Comparative Report... 136 AHRQ Hospital Survey on Patient Safety Culture 2011 Comparative Database Report... 136 Data Limitations... 136 2. Survey Administration Statistics... 138 3. Characteristics of High 5s Hospitals... 141 4. Characteristics of High 5s Respondents... 142 5. High 5s Comparative Results for Composites and Items... 143 High 5s Comparative Results: Item Level... 152 High 5s Comparative Results by Staff Position... 158 Appendix A: Explanation of Calculations... 163 131 Annex 2. Culture survey: international comparative report
List of Tables Table 1-1. Patient Safety Culture Composites and Definitions... 135 Table 2-1. Survey Administration Statistics and Standard Operating Procedure (SOP) Implemented... 138 Table 2-2. Survey Administration Statistic Ranges... 139 Table 2-3. Survey Administration Statistics... 139 Table 2-4. Average Hospital Response Rate by Mode... 140 Table 2-5. Work Areas/Units Surveyed by High 5s Hospitals... 140 Table 3-1. Hospitals by Bed Size... 141 Table 3-2. Hospitals by Teaching Status and Government Ownership... 141 Table 4-1. Respondents With Direct Interaction With Patients... 142 Table 4-2. Respondents by Staff Position... 142 Table 5-1. Composite-level Average Percent Positive Response by Country... 151 Table 5-2. Item-level Average Percent Positive Response by Country... 153 Table 5-3 Average Percent Response on Patient Safety Grade by Country... 157 Table 5-4 Average Percent Response on Number of Events Reported in the Past 12 Months by Country... 157 Table 5-5. Composite-level Average Percent Positive Response for All Physicians by Country... 159 Table 5-6. Composite-level Average Percent Positive Response for Nurses/Nursing Assistants by Country... 160 Table 5-7. Composite-level Average Percent Positive Response for Allied Health Professionals by Country... 161 Table 5-8. Composite-level Average Percent Positive Response for Administration/ Management by Country... 162 List of Charts Chart 5-1. Teamwork Within Units by Country... 143 Chart 5-2. Organizational Learning-Continuous Improvement by Country... 144 Chart 5-3. Supervisor/Manager Expectations & Actions Promoting Patient Safety by Country... 144 Chart 5-4. Communication Openness by Country... 145 Chart 5-5. Feedback & Communication About Error by Country... 145 Chart 5-6. Frequency of Events Reported by Country... 146 Chart 5-7. Overall Perceptions of Patient Safety by Country... 146 Chart 5-8. Management Support for Patient Safety by Country... 147 Chart 5-9. Teamwork Across Units by Country... 147 Chart 5-10. Nonpunitive Response to Error by Country... 148 Chart 5-11. Staffing by Country... 148 Chart 5-12. Handoffs & Transitions by Country... 149 Chart 5-13. Average Composite Score by Country... 149 Chart 5-14. Average Patient Safety Grade by Country... 150 Chart 5-15. Average Reporting One or More Events by Country... 150 The High 5s Project Interim Report 132
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