Appendix C. Sample Data Collection Protocol for the Pharmacy Point of Contact: Mixed-Mode Survey

Pharmacy Survey User's Guide

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

Listed below are the schedule and tasks for administering the survey when you are using both Web and paper surveys in the same pharmacy. 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 the Web 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.

Beginning of Week 2

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 take the survey.

Beginning of Week 3

Date: __________

Distribute paper survey packets. Distribute paper survey packets to all staff (or only to nonrespondents if you are using identifiers).

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 your data collection by a few days or a week and distribute second reminders to all staff (or only to nonrespondents if you are using identifiers). It may be sufficient to do in-person reminders.

New Closeout Date: _________ Close out extended data collection.

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Current as of March 2013
Internet Citation: Appendix C. Sample Data Collection Protocol for the Pharmacy Point of Contact: Mixed-Mode Survey: Pharmacy Survey User's Guide. March 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/pharmsopsuserguidec.html