The Agency for Healthcare Research and Quality has developed a free, downloadable survey that focuses on patient safety culture in outpatient medical offices.
The "Medical Office Survey on Patient Safety Culture" is designed specifically for outpatient medical office providers and staff and asks for their opinions about the culture of patient safety and healthcare quality in their medical offices.
The survey was designed for medical offices with at least three providers.
Survey administration in solo practitioner or two-provider offices is not recommended because it would not be possible to maintain the confidential nature of individual responses. In small offices, rather than administering the survey, it can be used as a tool to initiate open dialog or discussion about patient safety and quality issues among providers and staff.
Download the medical office survey form (PDF or DOC format) for use in your facility.
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