I set our analysts loose on the 2007 HospitalCompare data set, to analyze the bottom-50 hospitals in the category "Percent of patients who reported that YES, they would definitely recommend the hospital."
The objective of the analysis was to isolate trends that might point to cultural issues common in the lower performers at this time.
The analysis showed that the worst performance categories for these hospitals were in the areas of 'Staff Explanation'. They showed a general desire by patients to have their treatments, medications, and recovery instructions clearly explained to them.
While it's too soon to tell whether these failures are a cultural issue, the results might certainly be seen as an indicator of a culture-challenge.
To see the results click here: