-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
January 01, 2015 - Response to Mistakes
(Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff are treated fairly when they make mistakes.
C4. … Learning, rather than blame, is emphasized when mistakes are made.
C5.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
June 02, 2025 - Blaming the people who made mistakes.
e. Attending the autopsy.
11. … Leaders not make mistakes.
e. Everyone agrees with the plan. … Focus on the safety, not the error
• A debrief would be good, but not to have the nurse “explain her mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Response to Mistakes 89% 95% 79% 91% 94% 80% 76% 78% 77%
7. … Response to Mistakes
1. Staff are treated fairly when they make
mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
January 01, 2016 - Nonpunitive Response to Mistakes
7. Organizational Learning
8. … , and feel safe reporting their mistakes. … when they make mistakes, and feel safe
reporting their mistakes. … ○ Nonpunitive Response to Mistakes—54 percent. … (A10R) 49%
Staff are afraid to report their mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
January 01, 2024 - (Item D11) 82% 81%
Staff are willing to report mistakes they observe in this office. … (Item D12) 81% 77%
% Never/Rarely
Staff feel like their mistakes are held against them. … (Item E1*) 46% 44%
They overlook patient care mistakes that happen over and over. … (Item E1*) 48% 44% 49% 35%
They overlook patient care mistakes that happen over and over. … (Item E1*) 45% 47% 46% 28%
They overlook patient care mistakes that happen over and over.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - Staff feel like their mistakes are held against
them............................................... … Staff are willing to report mistakes they observe
in this office .................................. … They overlook patient care mistakes that
happen over and over ................................ … Our office processes are good at
preventing mistakes that could affect
patients .................. … It is just by chance that we don’t make
more mistakes that affect our patients .......
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
January 01, 2016 - They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … They overlook patient care mistakes that happen over and over. … They overlook patient care mistakes that happen over and over.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
March 01, 2018 - overlook patient safety problems
720/o
Organizational Learning
72% of respondents reported
that mistakes … Response to Error
47% of respondents indicated
that event reports are not held
against them and that
mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
January 01, 2020 - They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
January 01, 2022 - (Item D11) 82% 75%
Staff are willing to report mistakes they observe in this office. … (Item D12) 79% 74%
% Rarely/Never
Staff feel like their mistakes are held against them. … (Item E1*) 46% 34%
They overlook patient care mistakes that happen over and over. … (Item E1*) 46% 44% 46% 50%
They overlook patient care mistakes that happen over and over. … (Item E1*) 42% 45% 44% 31%
They overlook patient care mistakes that happen over and over.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - , and staff are treated fairly when
they make mistakes.
8. … Response to Mistakes 82% 83%
8. … Response to Mistakes 80% 86%
8. … Response to Mistakes 85% 84% 81% 79%
8. … Response to Mistakes 96% 92% 91% 77% 74% 72%
8.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - Staff are afraid to report their mistakes
1
2
3
4
5
9
13. … Staff are treated fairly when they make
mistakes
1
2
3
4
5
9
16. … Staff feel safe reporting their mistakes
1
2
3
4
5
9
SECTION B: Communications
How often do … This nursing home lets the same mistakes happen again and again
1
2
3
4
5
9
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
September 01, 2024 - Staff are afraid to report their mistakes . 1 2 3 4 5 9
13. … Staff are treated fairly when they make
mistakes ............................................... … Staff feel safe reporting their mistakes . … This nursing home lets the same mistakes
happen again and again .............................
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
June 02, 2025 - practice (select one for each row):
Strongly
disagree
Disagree Neutral Agree Strongly
agree
Mistakes … practice
This practice is a place of joy and hope
This practice learns from its mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes 88% 97% 80% 93% 95% 84% 81% 78% 79%
7. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
January 01, 2024 - their
child's care with doctors, nurses, and
other providers
Low Scoring
Measures
Preventing Mistakes … always checked their child's Identity
before giving them medicines and told
them how to report mistakes … new medicines after
leaving the hospital
Low Scoring Items
Providers Told
Parents How to
Report Mistakes … 33%
of respondents reported providers told
parent how to report mistakes
Asked About Things … The lowest scoring measures were
Preventing Mistakes and Helping You Report Concerns (62 percent), and
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
January 01, 2019 - when they make mistakes, and feel safe
reporting their mistakes. … Nonpunitive Response to Mistakes 56% 14.35% 19% 37% 45% 56% 65% 77% 93%
11. … Organizational Learning
This nursing home lets the same mistakes happen again
and again. … Nonpunitive Response to Mistakes
Staff are blamed when a resident is harmed. … (A15) 60% 14.63% 18% 41% 52% 59% 71% 80% 100%
Staff feel safe reporting their mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - when they make mistakes, and feel safe
reporting their mistakes. … Nonpunitive Response to Mistakes 56% 14.35% 19% 37% 45% 56% 65% 77% 93%
11. … Organizational Learning
This nursing home lets the same mistakes happen again
and again. … Nonpunitive Response to Mistakes
Staff are blamed when a resident is harmed. … (A15) 60% 14.63% 18% 41% 52% 59% 71% 80% 100%
Staff feel safe reporting their mistakes.
-
www.ahrq.gov/cahps/surveys-guidance/hospital/about/child-survey-measures.html
May 01, 2016 - the hospital
Q47 Provider talked with teen about care after leaving the hospital
Preventing Mistakes … Providers checked child's identity before giving medicines
Q30 Providers told parent how to report mistakes
-
www.ahrq.gov/cahps/surveys-guidance/hp/about/child-survey-measures.html
June 01, 2017 - leave the hospital
Q47 Provider talked with teen about care after leaving the hospital
Preventing Mistakes … Providers checked child’s identity before giving medicines
Q30 Providers told parent how to report mistakes