Medical Office Survey on Patient Safety Culture

2014 User Comparative Database Report

Comparative results are provided for the items and patient safety culture dimensions on the AHRQ Medical Office Survey on Patient Safety Culture to allow medical offices to compare their survey results against the results from 935 medical offices and 27,103 staff respondents.

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Prepared for:
U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.ahrq.gov

Contract No. HHSA 290201300003C

Managed and prepared by:
Westat, Rockville, MD 

Joann Sorra, PhD
Theresa Famolaro, MPS.
Naomi Dyer Yount, PhD
Scott Smith, PhD
Willow Burns, MA
Stephen Wilson, MA
Helen Liu
Jianmin Liu, MS
Jafar Haider

Contents

Executive Summary
   Survey Content
   Survey Administration Statistics
   Characteristics of Participating Medical Offices
   Characteristics of Respondents
   Areas of Strength for Most Medical Offices
   Areas With Potential for Improvement for Most Medical Offices
   Results by Medical Office Characteristics
   Results by Respondent Characteristics
   Action Planning for Improvement
Purpose and Use of This Report
Chapter 1. Introduction
   Survey Content
   Data Limitations
Chapter 2. Survey Administration Statistics
Chapter 3. Medical Office Characteristics
   Number of Providers
   Single Specialty vs. Multi-Specialty
   Specialty
   Implementation of Electronic Tools
   Ownership
   Geographic Region
Chapter 4. Characteristics of Respondents
   Staff Position
   Additional Characteristics of Respondents
Chapter 5. Overall Results
   Composite and Item-Level Charts
   Overall Ratings
Chapter 6. Comparing Your Results
   Description of Comparative Statistics
   Composite and Item-Level Comparative Tables
   Appendixes A and B: Overall Results by Medical Office and Respondent Characteristics
Chapter 7. What’s Next? Action Planning for Improvement
   Seven Steps of Action Planning
References
Notes: Description of Data Cleaning and Calculations

Appendixes

Executive Summary
Appendix A—Overall Results by Medical Office Characteristics
Appendix B—Overall Results by Respondent Characteristics

List of Tables

Table 1-1. Patient Safety Culture Composites and Definitions
Table 1-2. Distribution of AHRQ Database Medical Offices (2014) Compared With U.S. Economic Census (2007) and NAMCS (2005-2006) Data by Region
Table 2-1. Overall Response Rate Statistics—2014 Database Medical Offices
Table 2-2. Survey Administration Mode Statistics—2014 Database Medical Offices
Table 2-3. Average Response Rate by Survey Administration Mode—2014 Database Medical Offices
Table 3-1. Number of Providers: Distribution of 2014 Database Medical Offices
Table 3-2. Single Specialty vs. Multi-Specialty: Distribution of 2014 Database Medical Offices
Table 3-3. Specialty: Distribution of 2014 Database Medical Offices
Table 3-4. Implementation Status of Electronic Tools: Distribution of 2014 Database Medical Offices
Table 3-5. Majority Ownership: Distribution of 2014 Database Medical Offices
Table 3-6. Geographic Region: Distribution of 2014 Database Medical Offices and Respondents
Table 4-1. Staff Position: Distribution of 2014 Database Medical Office Respondents
Table 4-2. Tenure in Medical Office: Distribution of 2014 Database Medical Office Respondents
Table 4-3. Hours Worked per Week: Distribution of 2014 Database Medical Office Respondents
Table 6-1. Interpretation of Percentile Scores
Table 6-2. Sample Percentile Statistics
Table 6-3. Composite-Level Comparative Results—2014 Database Medical Offices
Table 6-4. Item-Level Comparative Results—2014 Database Medical Offices
Table 6-5. Item-Level Comparative Results on Patient Safety and Quality Issues—2014 Database Medical Offices
Table 6-6. Item-Level Comparative Results on Information Exchange With Other Settings—2014 Database Medical Offices
Table 6-7. Comparative Results on Average Overall Ratings on Quality and Patient Safety—2014 Database Medical Offices
Table N1. Example of Computing Item and Composite Percent Positive Scores
Table N2. Data Table for Example of How To Compute Percentiles

List of Charts

Chart 5-1. Composite-Level Average Percent Positive Response—2014 Database Medical Offices
Chart 5-2. Item-Level Average Percent Positive Response—2014 Database Medical Offices
Chart 5-3. Item-Level Average Ratings on List of Patient Safety and Quality Issues—2014 Database Medical Offices
Chart 5-4. Item-Level Average Ratings on Information Exchange With Other Settings—2014 Database Medical Offices
Chart 5-5. Item-Level Average Overall Ratings on Quality—2014 Database Medical Offices
Chart 5-6. Item-Level Average Overall Rating on Patient Safety—2014 Database Medical Offices

The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders.

No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

Current as of June 2014
Internet Citation: Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. June 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/index.html