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Community Pharmacy Survey on Patient Safety Culture Data Submission
Welcome to the AHRQ Community Pharmacy Survey on Patient Safety Culture Data Submission System. In response to interest from pharmacies using the AHRQ Community Pharmacy Survey on Patient Safety Culture, AHRQ has established the Community Pharmacy Comparative Database as a central repository for this survey data. The result of this database, a Community Pharmacy Comparative Database Report, will provide average scores and percentiles on the survey items and composites to help pharmacies assess their own results to identify strengths and opportunities for improvement.
We are working on the schedule for pharmacy data submission. Please check back for the exact dates.
Definition of a Pharmacy
- A pharmacy is defined as a community pharmacy in a specific location.
- Each pharmacy that is part of a pharmacy chain or health care system is considered a separate pharmacy.
What You Will Need for Submission
- Data Use Agreement: Each pharmacy is required to sign a Data Use Agreement (DUA) and fax it to 1-888-852-8277.
- Community Pharmacy Survey on Patient Safety Culture Data Use Agreement (PDF, 142 KB, PDF HELP)
- Community Pharmacy Survey on Patient Safety Culture Questionnaire(s) Administered: Users will need to upload a copy of the actual questionnaire(s) administered. If you used a copy of the Spanish questionnaire, please upload this questionnaire as well. We will review the submitted questionnaire(s) and users will receive an approved/not approved email within 3 business days.
NOTE: Your questionnaire will not be approved if
- You made changes to any of the questionnaire item text and/or response options.
- You reordered questionnaire items A1−E2.
- You added new questions between items A1 and E2 and did not add new questions at the end of the questionnaire after Section E, before the demographic questions in Section F.
- Pharmacy Site Information: Users can upload pharmacy site information in one of two ways: one at a time on the Data Submission Web site or all at once in an Excel spreadsheet.
- Community Pharmacy Survey on Patient Safety Culture Site-Level Specifications (PDF, 161 KB, PDF HELP)
- Sample Pharmacy Site Information Data File (XLSX, 11 KB)
- Community Pharmacy Survey on Patient Safety Culture Data: Users will need to upload their pharmacy survey data, conforming to the Community Pharmacy Survey on Patient Safety Culture Data Specifications..
- Community Pharmacy Survey Data Specifications (PDF, 174 KB, PDF HELP)
- Sample Pharmacy Survey Data File (XLSX, 16 KB)
Technical Assistance
For technical assistance on data submission, email DatabasesOnSafetyCulture@westat.com or call 1-888-324-9790.
