OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database

ICR 202208-0935-002 · OMB 0935-0162 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form Attachment D Data Files Submission Form and Instruction Modified Missing upstream
Form Form # 3 Hospital Information Form Form and Instruction Modified Repair queued
Form Form # 2 Data Use Agreement Form and Instruction Modified Missing upstream
Form Form # 1 Eligibility/Registration Form and Data Submission Form and Instruction Modified Available
Attachment G - Example Screenshots of Hospital SOPS Data Submission Web Site - 3-1-22.docx Supplementary Document Uploaded 2022-08-29 Repair queued
Attachment F - Databases TEP List.docx Supplementary Document Uploaded 2022-08-29 Repair queued
Attachment E - Survey Data File Specifications - 3-1-22.pdf Supplementary Document Uploaded 2022-08-29 Repair queued
Supporting Statement Part B -- HSOPS DB Renewal_3-3-2022.docx Supporting Statement B Uploaded 2022-08-29 Repair queued
Supporting Statement Part A -- HSOPS DB Renewal_3-3-2022 with AHRQ info (002).docx Supporting Statement A Uploaded 2022-09-12 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
236390 Data Files Submission Form and Instruction Modified
191670 Hospital Information Form Form and Instruction Modified
191668 Data Use Agreement Form and Instruction Modified
191667 Eligibility/Registration Form and Data Submission Form and Instruction Modified
ICR Details
0935-0162 202208-0935-002
Received in OIRA 201906-0935-003
HHS/AHRQ 20206
Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database
Reinstatement without change of a previously approved collection   No
Regular 09/13/2022
  Requested Previously Approved
36 Months From Approved
2,040 0
459 0
0 0
The Hospital Survey on Patient Safety Culture (Hospital SOPS) is designed to enable hospitals to assess provider and staff perspectives about patient safety issues, medical error, and error reporting. The Hospital SOPS includes 42 items that measure 12 composites of patient safety culture. AHRQ first made the Hospital SOPS publicly available, along with a Survey User’s Guide and other toolkit materials, in November, 2004, on the AHRQ web site. The Hospital SOPS Database consists of data from the AHRQ Hospital Survey on Patient Safety Culture and may include reportable, non-required supplemental items. Hospitals in the U.S. can voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The Hospital SOPS Database (OMB NO. 0935-0162, last approved on August 21, 2019) was developed by AHRQ in 2006 in response to requests from hospitals interested in tracking their own survey results. Those organizations submitting data receive a feedback report, as well as a report of the aggregated de-identified findings of the other hospitals submitting data. These reports are used to assist hospital staff in their efforts to improve patient safety culture in their organizations. Rationale for the information collection. The Hospital SOPS and the Hospital SOPS Database support AHRQ’s goals of promoting improvements in the quality and safety of health care in hospital settings. The survey, toolkit materials, and database results are all made publicly available on AHRQ’s website. Technical assistance is provided by AHRQ through its contractor at no charge to hospitals, to facilitate the use of these materials for hospital patient safety and quality improvement. This database will: 1) present results from hospitals that voluntarily submit their data, 2) provide data to hospitals to facilitate internal assessment and learning in the patient safety improvement process, and 3) provide supplemental information to help hospitals identify their strengths and areas with potential for improvement in patient safety culture.
US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  
None
Not associated with rulemaking
  87 FR 33795 06/03/2022
87 FR 53749 09/01/2022
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,040 0 0 0 0 2,040
Annual Time Burden (Hours) 459 0 0 0 0 459
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$200,000
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Erwin Brown 301 427-1652 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/13/2022