OMB control number

Medical Office Survey on Patient Safety Culture Comparative Database

OMB 0935-0196 · HHS/AHRQ.

OMB 0935-0196

In 1999, the Institute of Medicine called for health care organizations to develop a “culture of safety” such that their workforce and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Medical Office Survey on Patient Safety Culture with OMB approval (OMB NO.0935-0131; Approved July 5, 2007). The survey is designed to enable medical offices to assess provider and staff perspectives about patient safety issues, medical error, and error reporting. The survey includes 38 items that measure 10 composites of patient safety culture. In addition to the composite items, 14 items measure staff perceptions how often medical offices have problems exchanging information with other settings as well as other patient safety and quality issues. AHRQ made the survey publicly available along with a Survey User’s Guide and other toolkit materials in January 2009 on the AHRQ website. The AHRQ Medical Office SOPS Database consists of data from the AHRQ Medical Office Survey on Patient Safety Culture and may include reportable, non-required supplemental items . Medical offices in the U.S. can voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The Medical Office SOPS Database (OMB NO. 0935-0196, last approved on September 10, 2018) was developed by AHRQ in 2011 in response to requests from medical offices 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 medical offices submitting data. These reports are used to assist medical office staff in their efforts to improve patient safety culture in their organizations. Rationale for the information collection. The Medical Office SOPS and the Medical Office SOPS Database support AHRQ’s goals of promoting improvements in the quality and safety of health care in medical office 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 medical offices, to facilitate the use of these materials for medical office patient safety and quality improvement.

The latest form for Medical Office Survey on Patient Safety Culture Comparative Database expires 2028-08-31 and is listed under ICR 202504-0935-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #4 Medical Office Data Submission EmailsForm and Instruction
Form Form #4 Medical Office SOPS Data Submission EmailsForm and Instruction
Form Form #3 Medical Office SOPS Data Use AgreementForm and Instruction
Form Form #3 Medical Office SOPS Data Use AgreementForm and Instruction
Form Form #2 Medical Office Site Information FormForm and Instruction
Form Form #2 Medical Office Site Information FormForm and Instruction
Form Form #1 Medical Office Eligibility and Registration FormForm and Instruction
Form Form #1 Medical Office Eligibility and Registration FormForm and Instruction
Supporting Statement Part B -- 0935-0196 Medical Office SOPS_Extension.docxSupporting Statement B
Supporting Statement Part B -- 0935-0196 Medical Office SOPS_Extension.docxSupporting Statement B
Supporting Statement Part A -- 0935-0196 Medical Office SOPS_Extension - OMB_passback_CLEAN.docxSupporting Statement A
Supporting Statement Part A -- 0935-0196 Medical Office SOPS_Extension.docxSupporting Statement A
Attachment F - SOPS Technical Expert Panel (TEP) List.docxSupplementary Document
Attachment F - SOPS Technical Expert Panel (TEP) List.docx Supplementary Document
Attachment E - AHRQ Medical Office SOPS Survey Data File Specifications.pdfSupplementary Document
Attachment E - AHRQ Medical Office SOPS Survey Data File Specifications.pdf Supplementary Document
Attachment G - Example Screenshots of MO SOPS Data Submission Website Information Collection.docxSupplementary Document
Attachment G - Example Screenshots of MO SOPS Data Submission Website Information Collection.docx Supplementary Document
Medical Office SOPS Data Submission Emails Form and Instruction
Medical Office SOPS Data Submission Emails Form and Instruction
Medical Office SOPS Data Use Agreement Form and Instruction
Medical Office SOPS Data Use Agreement Form and Instruction
Medical Office Site Information Form Form and Instruction
Medical Office Site Information Form Form and Instruction
Medical Office Eligibility and Registration Form Form and Instruction
Medical Office Eligibility and Registration Form Form and Instruction

OMB Details

Medical Office Eligibility and Registration Form

Federal Enterprise Architecture: Health - Consumer Health and Safety

Information collection instruments
FormNameElectronic accessType
Form Form #1Medical Office Eligibility and Registration FormFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.