ResultsfromtheAHRQHospitalSurveyonPatientSafety.pptVIP

Results from the AHRQ Hospital Survey on Patient Safety Culture Joann Sorra, Ph.D. Westat AHRQ Annual Conference 2008: Promoting Quality…Partnering for Change September 2008 Bethesda, MD Westat 1650 Research Blvd. Rockville, MD 20850 joannsorra@ 301-294-3933 Objectives Present results from the AHRQ Hospital Survey on Patient Safety Culture Discuss future activities and long-term AHRQ support for the Surveys on Patient Safety (SOPS) Background Hospital Survey on Patient Safety Culture (HSOPS) Developed by Westat, funded by AHRQ Survey development process: Reviewed literature existing surveys Interviewed hospital staff Identified key areas of safety culture Developed survey items pretested Obtained input from researchers stakeholders Pilot tested in 21 hospitals with 1,437 respondents Final survey released November 2004 /qual/hospculture HSOPS Patient Safety Culture Dimensions 42 items assess 12 dimensions of patient safety culture 1. Communication openness 2. Feedback communication about error 3. Frequency of event reporting 4. Handoffs transitions 5. Management support for patient safety 6. Nonpunitive response to error 7. Organizational learning--continuous improvement 8. Overall perceptions of patient safety 9. Staffing 10. Supv/mgr expectations actions promoting patient safety 11. Teamwork across units 12. Teamwork within units Patient safety “grade” (Excellent to Poor) Number of events reported in past 12 months HSOPS Comparative Database AHRQ has funded an HSOPS comparative database Annual reports (2007 2008) /qual/hospsurvey08/ Purposes: Comparison—of survey results in efforts to establish, improve and maintain a culture of patient safety Assessment and Learning—in patient safety improvement process (rather than basis for determining punitive actions or external judgment of hospital performance) Supplemental Information—to help hospitals identify strengths and areas with potentia