Measuring & Improving Patient Safety Culture through Surveys
The Agency for Healthcare Research and Quality (AHRQ) developed the Hospital Survey on Patient Safety Culture to measure hospital safety culture, which can be defined as the shared, learned beliefs and behaviors that reflect a hospital's willingness to learn from experience.
NOTE: As of July 2018, the UNMC Patient Safety Team no longer offers services to administer and interpret surveys on patient safety culture. In order for your organization to perform the important work of measuring and continuously improving its patient safety culture, we encourage you to contact the Nebraska Coalition for Patient Safety (NCPS). For more information, please contact Gail Brondum, Executive Director of NCPS.
The UNMC Patient Safety Team has made two adaptations to the original AHRQ Hospital Survey on Patient Safety Culture.
- The rural-adapted version of the survey collapses the work areas and job titles to accurately categorize staff in critical access and small rural hospitals. This adaptation facilitates comparisons of safety culture by work area and job title in small hospitals with less than 50 beds.
- The TeamSTEPPS-adapted version of the survey includes 10 additional items to evaluate implementation of the TeamSTEPPS program according to Kirkpatrick’s four-level taxonomy of training criteria.
- One item measures respondents’ extent of TeamSTEPPS training
- Four items measure learning (Kirkpatrick's Level 2) as knowledge of TeamSTEPPS tools
- Five items measure transfer (Kirkpatrick's Level 3) as a respondent’s perception of the frequency with which TeamSTEPPS tools and strategies are used