Table 2.
Comparison of Hospital Characteristics and Safety Culture Survey Scores among Study Hospitals, Hospitals with at Least One CMS AMI Discharge between 2007 and 2013, and Hospitals in the 2011 AHRQ SOPS User Comparative Database
| CMS Hospitals with >1 AMI Discharge | Hospitals in 2011 AHRQ Database | Study Hospitals | |
|---|---|---|---|
| Hospital characteristics | |||
| No. of hospitals | 3,268 hospitals | 1,032 hospitals | 171 hospitals |
| Data source of characteristics | 2011 AHA survey | AHRQ website | 2011 AHA survey |
| Teaching status | |||
| Teaching | 815 (24.94%) | 351 (34%) | 57 (33.33%) |
| Nonteaching | 2,453 (75.06%) | 681 (66%) | 114 (66.67%) |
| Bed size | |||
| 1: 6–24 beds | 75 (2.29%) | 69 (7%) | 1 (0.58%) |
| 2: 25–49 beds | 341 (10.43%) | 163 (16%) | 10 (5.85%) |
| 3: 50–99 beds | 583 (17.84%) | 185 (18%) | 31 (18.13%) |
| 4: 100–199 beds | 925 (28.30%) | 231 (22%) | 36 (21.05%) |
| 5: 200–299 beds | 550 (16.83%) | 170 (16%) | 38 (22.22%) |
| 6: 300–399 beds | 342 (10.47%) | 82 (8%) | 19 (11.11%) |
| 7: 400–499 beds | 181 (5.54%) | 60 (6%) | 16 (9.36%) |
| 8: 500 or more beds | 271 (8.29%) | 72 (7%) | 20 (11.70%) |
| Region | |||
| 1: New England | 139 (4.25%) | 69 (7%) | 4 (2.34%) |
| 2: Mid‐Atlantic | 369 (11.29%) | 26 (3%) | 20 (11.70%) |
| 3: South Atlantic | 575 (17.59%) | 185 (18%) | 21 (12.28%) |
| 4: Central | 1,523 (46.60%) | 573 (56%) | 108 (63.16%) |
| 5: Mountain | 217 (6.64%) | 73 (7%) | 6 (3.51%) |
| 6: Pacific and associated territories | 445 (13.62%) | 106 (10%) | 12 (7.02%) |
| Safety Culture Survey | Mean | Mean (SD, Min, Max) | |
|---|---|---|---|
| No. of surveys | n/a | 1,032 surveys | 257 surveys |
| Data source | n/a | AHRQ website | Westat data |
| Communication openness | n/a | 0.62 | 0.61 (0.06, 0.39, 0.83) |
| Frequency of events reported | n/a | 0.63 | 0.62 (0.06, 0.43, 0.82) |
| Feedback and communication about error | n/a | 0.64 | 0.64 (0.07, 0.41, 0.82) |
| Handoffs and transitions | n/a | 0.45 | 0.42 (0.08, 0.26, 0.73) |
| Management support for patient safety | n/a | 0.72 | 0.69 (0.08, 0.43, 0.90) |
| Nonpunitive response to error | n/a | 0.44 | 0.43 (0.07, 0.23, 0.72) |
| Organizational learning | n/a | 0.72 | 0.71 (0.06, 0.54, 0.89) |
| Overall perception of patient safety | n/a | 0.66 | 0.65 (0.06, 0.48, 0.85) |
| Staffing | n/a | 0.57 | 0.55 (0.07, 0.38, 0.80) |
| Supervisor actions promoting safety | n/a | 0.75 | 0.74 (0.05, 0.56, 0.92) |
| Teamwork across units | n/a | 0.58 | 0.56 (0.08, 0.36, 0.84) |
| Teamwork within units | n/a | 0.80 | 0.80 (0.05, 0.65, 0.92) |
| Overall Safety Grade | n/a | 0.75 | 0.73 (0.08, 0.52, 0.94) |
| Average domain scores | n/a | 0.63 | 0.62 (0.06, 0.45, 0.82) |
| Average 30‐day mortality rate across 257 unique hospital‐survey combinations, mean (std) | n/a | n/a | 0.16 (0.13) |