2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture

New AHRQ Report Finds Teamwork and Follow-Up as Strengths of Medical Offices but Work Pressure and Pace are Problematic

Teamwork and patient care tracking/follow-up are strengths for medical offices, but work pressure and pace are areas for improvement, according to new results from the AHRQ Medical Office Survey on Patient Safety Culture. Most (84 percent) medical office staff feel they have good teamwork among staff and providers and that the office follows up with patients appropriately (82 percent). But only 46 percent of staff rated the work pressure and pace in their office positively. The first edition of the Medical Office Survey on Patient Safety Culture: 2012 User Comparative Database Report provides results from 23,679 staff from 934 U.S. medical offices. The report helps medical offices compare their patient safety culture scores with other medical offices. It contains detailed comparative data on the survey by number of providers, specialty, ownership, region, and by staff position. Select to access the survey that can be used by medical offices, health systems and researchers to assess the opinions of medical office staff about patient safety issues and overall quality of care. It measures 10 areas of patient safety culture as well as overall ratings on quality and patient safety.

2012 User Comparative Database Report

Medical Office Survey on Patient Safety Culture Comparative results are provided for the items and patient safety culture dimensions on the AHRQ Medical Office Survey on Patient Safety Culture to allow medical offices to compare their survey results against the results from 934 medical offices and 23,679 staff respondents. Select to access the print version (Part 1, PDF File, 3 MB; Part 2, PDF File, 1.7 MB) Plugin Software Help. Prepared for: U.S. Department of Health and Human Services Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.ahrq.gov Managed and prepared by: Westat, Rockville, MD Contract No. HHSA 290200711037 Joann Sorra, PhD Theresa Famolaro, MPS. Naomi Dyer, PhD Scott Smith, PhD Helen Liu Matt Ragan Contents Executive Summary Purpose and Use of This Report Chapter 1. Introduction    Survey Development and Content    2012 Comparative Database Report    Data Limitations Chapter 2. Survey Administration Statistics Chapter 3. Characteristics of Participating Medical Offices    Number of Providers    Single vs. Multispecialty    Specialty    Implementation of Electronic Tools    Ownership    Region    Number of Locations Chapter 4. Characteristics of Respondents    Staff Position    Characteristics of Respondents Chapter 5. Overall Results    Composite and Item-Level Charts    Overall Ratings    Additional Correlational Analyses Chapter 6. Comparing Your Results    Description of Comparative Statistic    Composite and Item-Level Comparative Tables    Appendixes A and B: Overall Results by Medical Office and Respondent Characteristics Chapter 7. What's Next? Action Planning for Improvement References Notes: Description of Data Cleaning and Calculations Appendixes Appendix A: Overall Results by Medical Office Characteristics Appendix B: Overall Results by Respondent Characteristics Tables Table 1-1. Patient Safety Culture Composites and Definitions Table 1-2. Distribution of AHRQ Database Medical Offices (2012) Compared With U.S. Economic Census (2007) and NAMCS (2005-2006) Data by Region Table 2-1. Overall Statistics for 934 Participating Medical Offices Table 2-2. Survey Administration Statistics by Survey Mode Table 2-3. Average Medical Office Response Rate by Mode Table 3-1. Distribution of Medical Offices by Number of Providers Table 3-2. Distribution of Medical Offices by Single vs. Multispecialty Table 3-3. Number of Medical Offices by Specialty Table 3-4. Implementation Status of Electronic Tools Table 3-5. Distribution of Medical Offices by Majority Ownership Table 3-6. Distribution of Database Medical Offices and Respondents by Region Table 3-7. Distribution of Medical Offices by Number of Locations Table 4-1. Distribution of Respondents by Staff Position Table 4-2. Distribution of Respondents by Tenure Table 4-3. Distribution of Hours Worked per Week Table 5-1. Correlation Results for Health IT Implementation and Patient Safety Measures Table 6-1. Interpretation of Percentile Scores Table 6-2. Sample Percentile Statistics Table 6-3. Composite-Level Percentiles for the 2012 Database Table 6-4. Item-Level Percentiles for the 2012 Database Table 6-5. Item-Level Percentiles on Patient Safety and Quality for the 2012 Database Table 6-6. Item-Level Percentiles on Information Exchange for the 2012 Database Table 6-7. Percentiles on Average Overall Ratings on Quality for the 2012 Database Table 6-8. Percentiles on Average Overall Rating on Patient Safety for the 2012 Database Table 6-9. Percentiles on Average Overall Rating on Quality and Patient Safety for the 2012 Database Charts Chart 5-1. Composite-Level Average Percent Positive Response Across All 2012 Database Medical Offices Chart 5-2. Item-Level Average Percent Positive Response Across All 2012 Database Medical Offices Chart 5-3. Item-Level Average Ratings on List of Patient Safety and Quality Issues Across All 2012 Database Medical Offices Chart 5-4. Item-Level Average Ratings on Information Exchange With Other Settings Across All 2012 Database Medical Offices Chart 5-5. Item-Level Average Overall Ratings on Quality Across All 2012 Database Medical Offices Chart 5-6. Item-Level Average Overall Rating on Patient Safety Across All 2012 Database Medical Offices Chart 5-7. Average Overall Rating on Quality and Patient Safety Across All 2012 Database Medical Offices This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders. No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report. AHRQ Publication No. 12-0052 Current as of May 2012 Internet Citation: Sorra J, Famolaro T, Dyer N, et al. 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. (Prepared by Westat, Rockville, MD, under Contract No. HHSA 290200711037). AHRQ Publication No. 12-0052, May 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/mosurvey12/index.html