Pharmacy Survey Toolkit

This toolkit consists of surveys, forms, and a userguide.

Pharmacy Survey | Word Version [ Microsoft Word file - 202.5 KB] | PDF Version [ PDF file - 162.25 KB]
This survey asks for your opinions about patient safety in this pharmacy and takes about 15 minutes to complete. Answer only about the pharmacy location/store where you received this survey.

Pharmacy Survey Composites and Items | PDF Version [ PDF file - 110.82 KB]
In this document, the items in the Pharmacy Survey on Patient Safety Culture are grouped according to the safety culture composites they are intended to measure. The item’s survey location is shown to the left of each item. Negatively worded items are indicated. Reliability statistics (Cronbach’s alpha) based on the pilot test data from 60 pharmacies and 496 staff are provided for the composites.

Pharmacy Survey on Patient Safety: User's Guide | PDF Version [ PDF file - 732.02 KB]
The User's Guide provides a general overview of the issues and major decisions involved in conducting a survey and reporting the results. The User's Guide includes information on getting started, determining data collection methods, establishing data collection procedures, conducting the survey, and preparing and analyzing data, and producing reports.

Current as of March 2013
Internet Citation: Pharmacy Survey Toolkit. March 2013. Agency for Healthcare Research and Quality, Rockville, MD.