Form 1 AHRQ WebM&M Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

2014-CSS-AHRQ WebMM Users

Voluntary Customer Satisfaction Survey of AHRQ WebM&M Users

OMB: 0935-0179

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AHRQ WebM&M Customer Satisfaction Survey

  1. Visitor Characteristics

1. Approximately how often do you visit AHRQ WebM&M?

  • First time

  • Less than twice a year

  • About once a month

  • About once a week

  • Only when I receive a newsletter from AHRQ WebM&M

2. Which of the following categories best describes you?

  • Administrator or Manager of Hospital, Health Plan, or Medical Group

  • Federal/State Policymaker

  • House Officer/Resident

  • Librarian/Information Specialist

  • Nurse/Nurse Practitioner

  • Patient or consumer

  • Patient safety officer

  • Quality Improvement professional

  • Risk management professional

  • Pharmacist

  • Physician

  • Physician Assistant

  • Student

  • Writer/Reporter/Editor

  • Other (write in)

3. Which of the following best represents your primary institutional affiliation?

      • Academic institution, university, or medical school

      • Hospital or health care system

      • Ambulatory care

      • Federal government agency

      • Insurance company

      • Quality/patient safety organization (excluding federal, state, or local government)

      • State or local government agency

      • Other (write in)

  1. AHRQ WEBM&M SITE-SPECIFIC INTEREST

5. How did you first learn about the AHRQ WebM&M site? (choose one)

      • Link from AHRQ Web site

      • Link from AHRQ Patient Safety Network (PSNet)

      • Social media (e.g., Twitter, Facebook, etc.)

      • Word of mouth from a colleague or friend

      • Web search engine (e.g., Google, Yahoo, etc.)

      • Link from another Web site (excludes AHRQ Web site)

      • Print media (e.g., medical journals, health care publications, newspaper, etc.)

      • AHRQ print media (e.g., brochure, reports, fact sheets, etc.)

      • Conference

      • Other, please describe

6. Which of the following statements most closely describes your primary reason for visiting the AHRQ WebM&M site? (Check ONE)

      • Learn how to improve patient safety

      • Learn how to prevent or mitigate medical errors

      • Obtain teaching materials or training information

      • Submit a case

      • Obtain CME, CEU, or trainee certification

      • Learn more about the activities of AHRQ

      • Other

7. How many cases have you submitted to the AHRQ WebM&M site?

      • None [FILL IN BLANK—If none, please briefly state why.]

      • One

      • Two

      • Three

      • Four

      • Five or more

8. How many times have you used the AHRQ WebM&M site to obtain CME, CEU, or Trainee Certification within the last year?

      • None

      • One

      • Two

      • Three

      • Four

      • Five or more

  1. AHRQ WEBM&M SITE ASSESSMENT

9. If asked for a resource on patient safety, how likely is it that you would recommend AHRQ WebM&M to a friend or colleague?

      • Very likely

      • Somewhat likely

      • Not very likely

      • Not likely

      • Neutral or not applicable

10. How would you rate the educational value of the AHRQ WebM&M site’s content?

  • Excellent

  • Good

  • Fair

  • Poor

  • Neutral or not applicable

11. How would you rate the usefulness/practical value of the AHRQ WebM&M site to you?

      • Very useful

      • Somewhat useful

      • Not very useful

      • Not useful

  • Neutral or not applicable

12. How would you rate the content of AHRQ WebM&M:
[Likert Scale: 1-Excellent; 2-Good; 3-Fair; 4-Poor; 5-Neutral or Not Applicable]

      • Cases

      • Commentaries

      • Perspectives on Patient Safety (essays on patient safety topics)

      • In Conversation With… (interviews with safety newsmakers)

      • Podcasts

      • Patient Safety Primers

      • Glossary

      • Case archive

      • CME, CEU, Trainee Certification

13. Based on your previous visits, how would you rate the following aspects of the AHRQ WebM&M site?
[Likert Scale: 1-Excellent; 2-Good; 3-Fair; 4-Poor; 5-Neutral or Not Applicable]

      • General appearance of the site

      • General ease of navigation

      • Clarity of directions and explanations

      • Search results

      • Submit a case form

      • Links and references

  1. FINAL COMMENTS

1. Please provide any other comments or suggestions on the features/functions/content of AHRQ PSNet:



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorErin Hartman
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File Created2021-02-01

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