SOPSTM Hospital Survey
Version: 2.0
Language: English
Notes
For more information on getting started, selecting a sample, determining data
collection methods, establishing data collection procedures, conducting a web-based
survey, preparing and analyzing data, and producing reports, please read the
HospitalSurvey Version 2.0 User’s Guide.
For the survey items grouped according to the safety culture composite
measures they are intended to assess, please refer to the Hospital Survey Version 2.0
Items and Composite Measures document.
• To participate in the AHRQ Hospital Survey on Patient Safety Culture Database, you
must have administered the survey in its entirety without significant modifications or
deletions:
o No changes to any of the survey item text and response options.
o No reordering of survey items.
o Questions added only at the end of the survey after Section F, before the
backgroundquestions in Section G.
For assistance with this survey, please contact the SOPS Help Line at 1-888-324-9749 or
SafetyCultureSurveys@[Link].
Hospital Survey on Patient Safety(Version 2.0)
Instructions
This survey asks for your opinions about patient safety issues, medical error, and event
reporting in your hospital and will take about 10-15 minutes to complete. If a question does
not apply to you or your hospital or you don’t know the answer, please select “Does Not
Apply or Don’t Know.”
“Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events resulting from the processes of healthcare delivery.
A “patient safety event” is defined as any type of healthcare-related error,
mistake, or incident, regardless of whether or not it results in patient harm.
Your Staff Position
1. What is your position in this hospital?
Select ONE answer.
Nursing Supervisor, Manager, Clinical Leader, Senior
1Advanced Practice Nurse (NP, CRNA, CNS, Leader
CNM) 15 Supervisor, Manager, Department Manager,
2Licensed Vocational Nurse (LVN), Licensed Clinical Leader, Administrator, Director
Practical Nurse (LPN) 16 Senior Leader, Executive, C-Suite
3 Patient Care Aide, Hospital Aide, Nursing
Assistant
Support
4Registered Nurse (RN)
17 Facilities
18 Food Services
Medical 19 Housekeeping, Environmental Services
5Physician Assistant 20 Information Technology, Health Information
6 Resident, Intern Services, Clinical Informatics
7 Physician, Attending, Hospitalist 21 Security
22 Transporter
23 Unit Clerk, Secretary, Receptionist, Office
Other Clinical Position
Staff
8Dietitian
9 Pharmacist, Pharmacy Technician Other
10 Physical, Occupational, or Speech Therapist 24 Other, please specify:
11 Psychologist
12 Respiratory Therapist
13 Social Worker
14 Technologist, Technician (e.g., EKG, Lab,
1
Radiology)
Your Unit/Work Area
2. Think of your “unit” as the work area, department, or clinical area of the hospital where
you spend most of your work time. What is your primary unit or work area in this
hospital?
Select ONE answer.
Multiple Units, No specific unit Surgical Services Support Services
1Many different hospital units, 16 Anesthesiology 29Admitting/Registration
No specific unit 17 Endoscopy, Colonoscopy 30Food Services, Dietary
18 Pre Op, Operating 31 Housekeeping,
Medical/Surgical Units Room/Suite, PACU/Post Op, Environmental Services,
2 Combined Medical/Surgical Peri Op Facilities
Unit 32Security Services
3 Medical Unit (Nonsurgical) Clinical Services 33 Transport
4 Surgical Unit 19 Pathology, Lab
20Pharmacy Other
Patient Care Units 21 Radiology, Imaging 34 Other, please specify:
5 Cardiology 22 Respiratory Therapy
6 Emergency Department, 23 Social Services, Case
Observation, Short Stay Management, Discharge
7 Gastroenterology Planning
8 ICU (All Adult Types)
9 Labor & Delivery, Obstetrics Administration/Management
& Gynecology 24 Administration, Management
10 Oncology, Hematology 25 Financial Services, Billing
11 Pediatrics (including NICU, 26 Human Resources, Training
PICU) 27 Information Technology, Health
12Psychiatry, Behavioral Health Information Management,
13Pulmonology Clinical Informatics
14Rehabilitation, Physical 28 Quality, Risk Management,
Medicine Patient Safety
15 Telemetry
2
SECTION A: Your Unit/Work Area
How much do you agree or disagree with the following statements about your unit/work area?
Does Not
Neither Apply or
Strongly Agree nor Strongly Don’t
Think about your unit/work area: Disagree Disagree Disagree Agree Agree Know
1. In this unit, we work together as an effective
1
team............................................................................. 2 3 4 5 9
2. In this unit, we have enough staff to handle the
workload...................................................................... 1 2 3 4 5 9
3. Staff in this unit work longer hours than is best
for patient care 1 2 3 4 5 9
4. This unit regularly reviews work processes to
determine if changes are needed to improve
patient safety 1 2 3 4 5 9
5. This unit relies too much on temporary, float, or
PRN staff 1 2 3 4 5 9
6. In this unit, staff feel like their mistakes are held
against them 1 2 3 4 5 9
7. When an event is reported in this unit, it feels
like the person is being written up, not the
problem 1 2 3 4 5 9
8. During busy times, staff in this unit help each
other 1 2 3 4 5 9
9. There is a problem with disrespectful behavior
by those working in this unit 1 2 3 4 5 9
10. When staff make errors, this unit focuses on
learning rather than blaming individuals 1 2 3 4 5 9
11. The work pace in this unit is so rushed that it
negatively affects patient safety 1 2 3 4 5 9
12. In this unit, changes to improve patient safety
are evaluated to see how well they worked 1 2 3 4 5 9
13. In this unit, there is a lack of support for staff
involved in patient safety errors 1 2 3 4 5 9
14. This unit lets the same patient safety problems
keep happening 1 2 3 4 5 9
3
SECTION B: Your Supervisor, Manager, or Clinical Leader
How much do you agree or disagree with the following statements about your immediate
supervisor, manager, or clinical leader?
Does Not
Neither Apply or
Strongly Agree nor Strongly Don’t
Disagree Disagree Disagree Agree Agree Know
1. My supervisor, manager, or clinical leader
seriously considers staff suggestions for
1
improving patient safety............................................... 2 3 4 5 9
2. My supervisor, manager, or clinical leader
wants us to work faster during busy times, even
if it means taking shortcuts 1 2 3 4 5 9
3. My supervisor, manager, or clinical leader takes
action to address patient safety concerns that
are brought to their attention 1 2 3 4 5 9
SECTION C: Communication
How often do the following things happen in your unit/work area?
Does Not
Apply or
Some- Most of Don’t
Think about your unit/work area: Never Rarely times the Time Always Know
1. We are informed about errors that happen in
this unit 1 2 3 4 5 9
2. When errors happen in this unit, we discuss
ways to prevent them from happening again 1 2 3 4 5 9
3. In this unit, we are informed about changes that
are made based on event reports 1 2 3 4 5 9
4. In this unit, staff speak up if they see something
that may negatively affect patient care 1 2 3 4 5 9
5. When staff in this unitsee someone with more
authority doing something unsafe for patients,
they speak up 1 2 3 4 5 9
6. When staff in this unit speak up, those with
more authority are open to their patient safety
concerns 1 2 3 4 5 9
7. In this unit, staff are afraid to ask questions
when something does not seem right 1 2 3 4 5 9
4
SECTION D: Reporting Patient Safety Events
Does Not
Apply or
Some- Most of Don’t
Think about your unit/work area: Never Rarely times the Time Always Know
1. When a mistake is caught and corrected before
reaching the patient, how often is this
reported? 1 2 3 4 5 9
2. When a mistake reaches the patient and could
have harmed the patient, but did not, how often
1
is this reported?............................................................ 2 3 4 5 9
3. In the past 12 months, how many patient safety events have you reported?
a. None
b. 1 to 2
c. 3 to 5
d. 6 to 10
e. 11 or more
SECTION E: Patient Safety Rating
1. How would you rate your unit/work area on patient safety?
Poor Fair Good Very Good Excellent
▼ ▼ ▼ ▼ ▼
1 2 3 4 5
SECTION F: Your Hospital
How much do you agree or disagree with the following statements about your hospital?
Does Not
Neither Apply or
Strongly Agree nor Strongly Don’t
Think aboutyour hospital: Disagree Disagree Disagree Agree Agree Know
1. The actions of hospital management show that
patient safety is a top priority....................................... 1 2 3 4 5 9
2. Hospital management provides adequate
resources to improve patient safety............................. 1 2 3 4 5 9
3. Hospital management seems interested in
patient safety only after an adverse event
1
happens....................................................................... 2 3 4 5 9
4. When transferring patients from one unit to
another, important information is often left out............. 1 2 3 4 5 9
5. During shift changes, important patient care
information is often left out .......................................... 1 2 3 4 5 9
5
6. During shift changes, there is adequate time to
1
exchange all key patient care information.................... 2 3 4 5 9
SECTION G: BackgroundQuestions
1. How long have you worked in this hospital?
a. Less than 1 year
b. 1 to 5 years
c. 6 to 10 years
d. 11 or more years
2. In this hospital, how long have you worked in your current unit/work area?
a. Less than 1 year
b. 1 to 5 years
c. 6 to 10 years
d. 11 or more years
3. Typically, how many hours per week do you work in this hospital?
a. Less than 30 hours per week
b. 30 to 40 hours per week
c. More than 40 hours per week
4. In your staff position, do you typically have direct interaction or contact with patients?
a. YES, I typically have direct interaction or contact with patients
b. NO, I typically do NOT have direct interaction or contact with patients
SECTION H: Your Comments
Please feel free to provide any comments about how things are done or could be done in
your hospital that might affect patient safety.
6
Thank you for completing this survey.
