Medical Office Survey on Patient Safety Culture


Medical Office Survey on Patient Safety Culture


This survey, designed to be administered to outpatient medical office providers and staff, asks for opinions about the culture of patient safety and health care quality in medical offices.

The survey was designed for medical offices with at least three providers (physicians, either MD or DO; physician assistants; nurse practitioners; or other providers licensed to diagnose medical problems, treat patients, and prescribe medications). Survey administration in solo practitioner or two-provider offices is not recommended. In small offices, rather than administering the survey, it can be used as a tool to initiate open dialogue or discussion about patient safety and quality issues among providers and staff.

The tool includes survey forms and a user's guide that explains the survey process including such topics as overall project planning, data collection procedures, and analysis and report creation. It also includes the following resources and tools:

  • Survey items and dimensions
  • Medical Office Survey feedback report template
  • Comparative database
  • Microsoft Excel ™ data entry and reporting tool


Agency for Healthcare Research and Quality; Westat

Funding Sources:

Agency for Healthcare Research and Quality


Release Date: 2009
Original Summary: March 2009
Last Updated: 01/15/14

Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.

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