Culture Change Is In The Air
In October 2019, the Agency for Healthcare Research and Quality (AHRQ) released a revised version of the Hospital Survey on Patient Safety Culture after 15 years.
AHRQ Comparative Databases have included over 2 million survey respondents across the United States. Internationally, the survey has been used across 93 countries in 40 different languages!
What Changed on the Survey?
40 total questions
Questions have a “N/A” | “Do not know” response option
10 “Composites” (overall safety and teamwork across units dropped)
Extensive and clear options for role and medical domain
51 total questions
Participants told to “skip” questions that don’t apply
12 “Composites” (aspects of safety culture)
Basic options of participant role and medical domain
Changes to HSOPS 1.0 questions reflected in HSOPS 2.0
Why Does It Matter To My Health System?
Response option for “N/A”
More clinical areas and role types
Increased clarity of questions
Direct comparisons between 1.0 and 2.0 are not possible
1.0 benchmarks will no longer be updated after 2020
Comparative data from pilot study only includes 25 hospitals
AHRQ gives some guidance, but the best approach for transitioning between surveys is not yet clear
The organizational cost to re-orient leaders and staff to the new tool is unknown
What Do I Do Next?
Define Transition Timeline Soon
Immediately review the implications and options your organization has for transitioning from HSOPS 1.0 to HSOPS 2.0. After 2020, new benchmarks will not be available for HSOPS 1.0, so it is strongly advised to make the transition within the next 24 months.
Define Transition Approach
The best approach for transitioning from HSOPS 1.0 to HSOPS 2.0 will vary depending on your system size and historical data quality. They primary options include:
- Option 1: Administer HSOPS 2.0 for the next survey cycle
- Option 2: Administer HSOPS 1.0 for a final time and then transition to HSOPS 2.0 twelve months later
- Option 3: Conduct a simultaneous administration of HSOPS 1.0 and HSOPS 2.0
Develop a Safety Culture Roadmap
Any new change brings an opportunity to do things better. Although HSOPS 1.0 enabled many organizations to become more aware of patient safety culture issues, most organizations failed to act on the information in a systematic way.
Transition from HSOPS 1.0 to 2.0.
We can help you develop a seamless plan.
Risk / Quality Manager
Doctors’ Memorial Hospital