Appendix B. Sample Data Collection Protocol for the Community Pharmacy Point of Contact: Web Survey

Community Pharmacy Survey User's Guide

Data Collection Tasks and Schedule for the Community Pharmacy Survey on Patient Safety Culture

Listed below are the schedule and tasks for administering the Web survey. Fill in the dates for your survey. Post this protocol in your office to remind you of the schedule.

Target Date Activity

One week before starting data collection

Date: __________

Print and post publicity materials. Post survey flyers throughout the pharmacy (e.g., on bulletin boards, in work areas). Promote survey throughout the data collection period.

A few days before starting data collection

Date: __________

Email the prenotification message about survey. Send the invitation to all staff with Email  access in the pharmacy. You can share the message with staff without Email  access.

Beginning of Week 1

(Start of Survey Data Collection)

Date: __________

Email the survey invitation (or announce the start of data collection). If the survey is hosted on the Web, include a hyperlink (URL) and password in the Email  invitation. If the survey is hosted on the pharmacy Intranet, provide instructions for locating and taking the survey.

One week later

Date: __________

Distribute first reminder notice. Email your prepared reminder notices or distribute reminder cards to all staff. If you are using identifiers to track respondents, Email /distribute reminders only to nonrespondents. It may be sufficient to remind staff in person to complete the survey.

One week after first reminder

Date: __________

Distribute second reminder notice. Email your second reminder notice to all staff (or only to nonrespondents if you are using reminders). It may be sufficient to remind staff in person to take the survey.

Near end of Week 3

Closeout Date: __________

Calculate preliminary response rate. If the rate is high enough, close out data collection at the end of Week 3.

To increase your response rate, extend data collection by a few days or a week. If your response rate is lower than 50 percent, Email  or distribute third reminders to all staff (or only to nonrespondents if you are using identifiers). It may be sufficient to remind staff in person to complete the survey.

New Closeout Date: _________ Close out extended data collection.

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Page last reviewed April 2014
Internet Citation: Appendix B. Sample Data Collection Protocol for the Community Pharmacy Point of Contact: Web Survey: Community Pharmacy Survey User's Guide. April 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/pharmsopsuserguideb.html