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Book/Report
Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report.
Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0028-EF.
For more than a decade, the Hospital Survey on Patient Safety Culture has been used in hospitals to evaluate aspects of local organizational culture that affect patient safety. Improved patient safety culture scores have been associated with reduced adverse events and better patient outcomes. The Medical Office Survey on Patient Safety Culture expands this widely used tool for application in the medical office setting. The 2016 User Comparative Database includes data from more than 25,000 respondents across 1,528 medical offices that completed the survey between 2013 and 2015. As with similar databases for hospitals and pharmacies, this resource serves as a tool for benchmarking performance and identifying potential areas for improvement. Teamwork and patient care tracking received the strongest positive scores, whereas work pressure and pace was identified as the area with the most potential for improvement. A prior PSNet perspective discussed establishing a safety culture.
Book/Report
National Safety Standards for Invasive Procedures (NatSSIPs).
NHS England Patient Safety Domain, National Safety Standards for Invasive Procedures Group. London, UK: National Health Service; 2015.
Patients face risks when undergoing invasive procedures. This report provides recommendations developed by multidisciplinary consensus and outlines how organizations can implement the standards to improve safety of invasive procedures.
Book/Report
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.
Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF.
This survey expands AHRQ's patient safety culture work to the community pharmacy setting. Approximately 1600 pharmacy staff from 255 community pharmacies voluntarily completed the survey between 2013 and 2014. The database is meant to allow for comparison and benchmarking of safety cultures across pharmacies. However, the current response rate represents less than 1% of total community pharmacies in the United States, and more than half of respondents were chain drugstores or integrated health systems. Most community pharmacies scored well for patient counseling and communication openness, while staffing, work pressure, and pace represented the biggest areas for potential improvement. A prior AHRQ WebM&M interview with J. Bryan Sexton explored the relationship between culture and patient safety.
Book/Report
Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF.
The growing interest in patient safety in ambulatory care led to the development of the AHRQ Medical Office Survey on Patient Safety Culture, which is designed to assess safety culture in outpatient clinics. This second comparative database report—a prior report was published in 2012—provides descriptive results and benchmarking data derived from more than 27,000 respondents (including clinical and support staff) from 935 clinics. The report identifies several areas of strength: 83% of offices reported having fully implemented electronic medical records, and respondents described high levels of teamwork as well as reliable patient tracking and test follow-up systems. However, as was also found in the 2012 report, many offices reported safety concerns relating to production pressures. The database is freely available from AHRQ for benchmarking and comparison purposes.
Book/Report
Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Sorra J, Famolaro T, Yount ND, Smith SA, Wilson S, Liu H. Rockville, MD: Agency for Healthcare Research and Quality; March 2014. AHRQ Publication No. 14-0019-EF.
This annually released report of the AHRQ Hospital Survey on Patient Safety Culture comparative database presents benchmarking data for safety culture from 653 hospitals nationwide, including trending data on changes in safety culture perception over time for more than 300 hospitals. The full report contains detailed comparative data for various hospital characteristics (type and size) and respondent characteristics (work areas, staff positions, and direct patient contact). Areas of strength included teamwork, leadership, and continuous improvement, all of which have been emphasized in patient safety efforts. However, as in prior reports, concerns were voiced about the safety of handoffs. Most respondents reported that staffing was suboptimal for supporting patient safety, and a non-punitive approach to errors remains elusive for most hospitals.
Book/Report
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.
The fifth annual edition of the AHRQ Hospital Survey on Patient Safety Culture comparative database presents benchmarking data for safety culture from more than 1000 hospitals nationwide, including trending data on changes in safety culture perception over time for more than 500 hospitals. The full report contains detailed comparative data for various hospital characteristics (type and size) and respondent characteristics (work areas, staff positions, and direct patient contact). Overall perception of safety culture improved compared with prior reports, and respondents specifically noted improvements in teamwork and management support of safety. However, persistent concerns were voiced about the safety of handoffs, and most respondents did not voluntarily report safety incidents.
Book/Report
Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026.
The Hospital Survey on Patient Safety Culture, a validated tool for measurement of safety culture developed by the Agency for Healthcare Research and Quality (AHRQ), was initially released in 2004. AHRQ has released database reports yearly since 2007 that present benchmarking data for safety culture across different regions, hospital types, hospital size, respondent work areas, and staff positions. This edition presents data from more than 300,000 respondents and greater than 800 hospitals nationwide, and also includes data on changes in safety culture perception over time for a subset of hospitals. Notable findings include widespread concern about a persistent culture of individual blame when errors occur, and concern about the safety of handoffs.
Book/Report
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.
Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030.
Measuring safety culture in health care organizations remains a key step in improving patient safety. Many hospitals use the validated Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey on Patient Safety Culture to assess safety culture at the hospital and unit levels. This report, building on 2007 and 2008 versions, presents baseline survey data from more than 600 hospitals to create benchmarks for comparison of different regions, hospital types, hospital size, respondent work areas, and staff positions. This report is the first to provide results showing change over time for 204 hospitals that submitted data more than once.
Book/Report
Hospital Report Card: Ontario 2009.
Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.
Designed to help patients choose hospitals, this report utilized AHRQ quality indicators to analyze the performance of acute-care hospitals in Ontario. Using an interactive online tool, consumers can look up a particular condition or procedure and compare rates of procedure volume, adverse events, deaths, and utilization.
Web Resource > Multi-use Website
Childrens' Hospitals' Solutions for Patient Safety.
Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.
This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a goal of reducing health care–associated conditions, readmissions, and serious safety events.
Web Resource > Government Resource
PSO Privacy Protection Center.
Agency for Healthcare Research and Quality.
This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005 by providing technical assistance and educational materials to Patient Safety Organizations. The site includes updates on the latest definitions and common formats.
Web Resource > Database/Directory
Hospital Survey on Patient Safety Culture Comparative Database.
Rockville, MD: Agency for Healthcare Research and Quality.
This database serves as a central repository for hospitals to report their results from the AHRQ Hospital Survey on Patient Safety Culture. Participating hospitals will be able to measure patient safety culture in their institutions and compare results with other sites.
Book/Report
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2008. AHRQ Publication No. 08-0039.
In order to assist hospitals with measuring safety culture, the Agency for Healthcare Research and Quality (AHRQ) published baseline safety culture measurements from nearly 400 hospitals in 2007. These results were obtained from administering the AHRQ Hospital Survey on Patient Safety Culture, which measures 12 components of safety culture ranging from perceived teamwork to management support of safety activities. The 2008 update is intended to serve as a "rolling benchmark" that hospitals may use for comparative purposes and provides analysis of safety culture results for different regions, hospital types, hospital size, respondent work areas, and staff positions.
Tools/Toolkit > Government Resource
Surveys on Patient Safety Culture.
- Classic
Rockville, MD: Agency for Healthcare Research and Quality; April 2016.
The National Quality Forum's Safe Practices for Healthcare and the Leapfrog Group both mandate hospitals to regularly assess their safety culture. This AHRQ Web site provides validated safety culture survey tools and user guides. Hospitals can also use the AHRQ database to compare their Patient Safety Culture Survey results. In addition, an annual report summarizes the benchmarking data across more than 1000 hospitals nationwide. Poor staff perception of safety culture has been linked to increased error rates in hospitals. Culture has also been described as a key to establishing high reliability organizations. An AHRQ WebM&M perspective discussed how to establish a safety culture.
Book/Report
Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report.
Rockville, MD: Agency for Healthcare Research and Quality; April 2007. AHRQ Publication No. 07-0025.
A key step in improving patient safety involves measurement of the culture of safety at the hospital and unit level, using validated surveys such as the Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey on Patient Safety Culture. This report presents baseline survey data from nearly 400 hospitals, classified by hospital characteristics (eg, teaching status, bed size) and respondent characteristics (eg, hospital work area and staff position). Hospitals may use these data as benchmarks in order to better evaluate their own survey results.
Tools/Toolkit > Government Resource
Prevention Quality Indicators Overview.
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality.
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital admissions data to screen for potential quality lapses on conditions that generally don't require hospitalization if managed effectively at the primary care level.
Web Resource > Government Resource
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.
This Web site provides data on safety incidents from the United Kingdom in the form of workbooks sorted by either organization or region.
Web Resource > Multi-use Website
Patient Safety Improvements In Africa (PASIMPIA).
Burgemeester van Leeuwenlaan 93-3, 1064KP, Amsterdam, The Netherlands.
This Web site provides patient safety information for developing countries.
Web Resource > Government Resource
Hospital Compare.
Centers for Medicare & Medicaid Services.
The Centers for Medicare and Medicaid Services (CMS) provides consumers with publicly available information on the quality of Medicare-certified hospital care through this Web site. The site includes specific information for both patients and hospitals on how to use the data to guide decision-making and improvement initiatives. Most recently, listings from the Hospital-Acquired Condition Reduction Program (HACRP) and data on Department of Veterans Affairs hospitals were added to the reports available.
Web Resource > Database/Directory
Global Patient Safety Alerts.
Canadian Patient Safety Institute.
This Web site provides access to incident reports with the aim of stimulating innovation and driving patient safety improvement efforts.
