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Pharmacy Patient Safety Culture Survey (AHRQ-Aligned)

Assesses teamwork, communication openness, staffing adequacy, and response to mistakes in a pharmacy setting, modeled on AHRQ's patient safety culture framework. Built for pharmacy managers and quality leads, with an AI follow-up interview that reconstructs a specific near-miss or error to surface the real contributing factors behind the ratings.

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샘플 질문

템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.

질문 14개 · 약 7분
Q01
메시지

Thanks for taking a few minutes to share your honest perspective on safety culture in this pharmacy. Your answers are used to improve how we prevent and respond to medication errors — nothing here is tied to individual performance reviews. About 6-8 minutes.

Q02
매트릭스필수

How much do you agree with the following statements about communication and teamwork in this pharmacy?

4개 행 × 5개 열
  • Staff freely speak up if they see something that may negatively affect patient care.
  • Pharmacy staff work together as an effective team.
  • When one area of this pharmacy gets really busy, others help out.
  • Staff feel comfortable asking questions when something does not seem right with a prescription.
열: Strongly Disagree · Disagree · Neither Agree nor Disagree · Agree · Strongly Agree
Q03
매트릭스필수

How much do you agree with the following statements about staffing and how mistakes are handled here?

4개 행 × 5개 열
  • Staff are treated fairly when they report a mistake.
  • This pharmacy focuses on learning from mistakes rather than placing blame.
  • We have enough staff to handle the workload safely.
  • Staff feel rushed when processing prescriptions.
열: Strongly Disagree · Disagree · Neither Agree nor Disagree · Agree · Strongly Agree
Q04
의견 척도필수

Overall, how would you rate the patient safety culture in this pharmacy?

척도: 0 – 10
최소:Poor최대:Excellent
Q05
객관식필수

In the past 12 months, how many medication errors or near misses have you personally reported?

  • None
  • 1-2
  • 3-5
  • 6-10
  • More than 10
Q06
객관식필수

When a near miss occurs (an error caught before it reached the patient), how often is it reported through this pharmacy's formal reporting process?

  • Never
  • Rarely
  • Sometimes
  • Most of the time
  • Always
Q07
최선·최악 선택형(MaxDiff)필수

Which of these changes would do the most to improve patient safety in this pharmacy?

  • More staffing during peak hours
  • A clearer, simpler error-reporting process
  • Regular safety culture training
  • Fewer interruptions and distractions during dispensing
  • Better communication between shifts
  • A non-punitive response when mistakes happen
  • Standardized double-check procedures for high-risk prescriptions
세트별 최선·최악 선택최선:Most impactful최악:Least impactful
Q08
AI 인터뷰

Ask the respondent to walk through the most recent medication error or near miss they personally witnessed or were involved in: what happened, what contributing factors were present (staffing, distractions, workflow, communication), and whether it was reported. If it wasn't reported, probe specifically why not. If they say they've never experienced one, ask what would make them confident enough to report a hypothetical mistake without fear of blame.

Q09
단문형

What is one change that would make it easier for staff here to speak up about safety concerns or mistakes?

Q10
메시지

Now a few quick questions about your role — these help us compare results across positions and are entirely optional.

Q11
객관식

What is your primary role in this pharmacy?

  • Pharmacist
  • Pharmacy Technician
  • Pharmacy Manager/Owner
  • Intern/Student
  • Other
Q12
객관식

How long have you worked in a pharmacy setting?

  • Less than 1 year
  • 1-3 years
  • 4-9 years
  • 10-19 years
  • 20+ years
  • Prefer not to say
Q13
객관식

What is your employment status at this pharmacy?

  • Full-time
  • Part-time
  • PRN/On-call
  • Prefer not to say
Q14
메시지

Thank you for your candor. Responses across the team are combined into an anonymous safety culture report used to guide staffing, training, and reporting-process improvements — no individual answers are shared with management.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Includes an AI follow-up interview that asks respondents to walk through their most recent medication error or near miss, surfacing the real contributing factors behind their ratings rather than stopping at a number.
  • Combines AHRQ-aligned matrix questions on teamwork/communication and staffing/response-to-mistakes with a MaxDiff prioritization question, so managers see both attitudes and which fixes matter most.
  • Captures concrete incident history (frequency of errors/near-misses, reporting behavior) alongside role, tenure, and employment status for meaningful subgroup comparison.
  • Uses transparent prompts and automated per-response quality scoring, then rolls everything into an anonymized, auto-generated report for pharmacy leadership.

SurveyMonkey

Pharmacy Patient Safety Culture Survey Template | AHRQ

A directly comparable, AHRQ-referenced pharmacy safety culture template from a major survey platform. It's a fielding-ready static questionnaire covering similar culture dimensions, but it stops at collecting ratings rather than exploring the story behind them. Best suited for teams wanting a quick, standard rollout rather than deeper qualitative insight.

잘하는 점

  • Explicitly AHRQ-referenced, matching the same recognized patient safety culture framework
  • Backed by SurveyMonkey's established survey distribution and reporting infrastructure
  • Likely quick to deploy given SurveyMonkey's template library and simple editing tools

아쉬운 점

  • Static question set with no adaptive AI follow-up to probe into specific near-miss incidents
  • No mention of automated per-response quality scoring or transparent prompt methodology
  • No voice AI interview or guided task/screen-share option for richer incident reconstruction

SurveySparrow

Patient Safety Culture Survey Template

A general healthcare patient safety culture template rather than one built specifically for pharmacy settings, so question wording likely needs adaptation for pharmacy workflows. It appears to be a standard conversational-style survey form, useful for broad culture pulse-checks but not tailored incident analysis.

잘하는 점

  • Conversational survey format may improve completion rates over long grid-style forms
  • Positioned within a broader healthcare template category, suggesting some domain familiarity
  • Likely supports basic branching logic typical of SurveySparrow's platform

아쉬운 점

  • Not pharmacy-specific, unlike a template modeled on pharmacy staffing/dispensing realities
  • No adaptive AI interview to reconstruct a specific error or near-miss
  • No stated automated quality scoring or transparent prompt disclosure for respondent answers

QuestionPro

Employee Concern for Patients Survey Template

This template focuses on employee concern for patients broadly, which overlaps only partially with a pharmacy-specific patient safety culture assessment — it's not framed around AHRQ dimensions like staffing adequacy or response to mistakes. It reads as a fielding-ready static form aimed at general employee sentiment rather than incident-level safety culture analysis.

잘하는 점

  • Simple, ready-to-use survey template within an established survey platform
  • Framed around employee sentiment toward patients, which could suit general concern tracking
  • Likely customizable within QuestionPro's standard survey builder

아쉬운 점

  • Not aligned to the AHRQ patient safety culture framework or pharmacy-specific staffing/error dynamics
  • No adaptive AI or voice interview to dig into a specific near-miss or error narrative
  • No automated quality scoring or transparent prompt methodology disclosed

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