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Nursing Home Survey on Patient Safety Culture
Data Submission Specifications
Page 1 of 12
AHRQ Nursing Home Survey on Patient Safety Culture
Data Submission Specifications
These specifications are for preparing your respondent-level data from the Nursing Home Survey
on Patient Safety Culture (NH SOPS). The instructions below tell you how to prepare your Excel
data file for submission to the NH SOPS Comparative Database.
INSTRUCTIONS (Excel File Only):
Step 1: Include a header row with the variable name for each column.
Step 2: Submit individual survey response data using the response values indicated in this
document (beginning on page 4).
Step 3: Check your data before for the following things:
•
OUT-OF-RANGE VALUES
You should clean your data before submitting to the database to ensure that there are no
out-of-range values and that the data submitted are free from error. Make sure all response
values match the response value for the question.
•
REVERSE CODED ITEMS
Do not submit reverse coded data on the survey’s negatively worded items—simply submit
each individual’s unmodified responses to the survey items.
For example, survey item A6, “Staff use shortcuts to get their work done faster” is
negatively worded. Regardless, the data should be submitted so that 1=Strongly disagree
and 5=Strongly agree, as originally indicated in the survey, as follows:
1=Strongly Disagree
2=Disagree
3=Neither
4=Agree
5=Strongly Agree
9= Does Not Apply or Don’t Know
•
JOB TITLES/WORK AREAS
If your hospital modified or added new job title (F1) or work area (F7) categories, you
MUST RECODE your specific job title/work areas back to the survey’s original job
title/work area categories. If you added job titles/work areas that do not match any of the
survey’s original job titles/work areas, recode your specific job titles/work areas as
“OTHER” (F1 = “i,” F7 = “e”) before submitting your data.
Page 2 of 12
•
OTHER, PLEASE SPECIFY TEXT
Remove all text from Other-Please Specify questions (questions F1 and F7, and Section G).
While you may find it useful to review this text, it should not be submitted to the Database.
•
SPANISH VERSION OF THE NH SOPS
Please indicate which respondents (if any) completed a Spanish version of the safety culture
survey. You should do so by adding an "S" to the Individual Unique Record ID, e.g., 001S.
Page 3 of 12
Nursing Home Survey on Resident Safety Culture
Survey Question
Record Identifier
Variable
Name
Column
Position
Site ID
SITEID
Column A
Individual Unique Record ID
RECID
Column B
Response Values
If you are submitting data for
multiple nursing homes, then
each site should have a unique
Site ID. If you have data for
only one nursing home, then its
Site ID can be 1.
Each individual record in the
dataset should have a unique ID,
e.g., 001, 002, 003. NOTE: If an
individual completed a Spanish
survey, add an "S" at the end of
the Record ID, e.g., 001S.
SECTION A: Working in This Nursing Home
1. Staff in this nursing home
treat each other with
respect
A1
Column C
2. Staff support one another
in this nursing home
A2
Column D
3. We have enough staff to
handle the workload
A3
Column E
4. Staff follow standard
procedures to care for
residents
A4
Column F
5. Staff feel like they are
part of a team
A5
Column G
Page 4 of 12
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
6. Staff use shortcuts to get
their work done faster
A6
Column H
7. Staff get the training they
need in this nursing home
A7
Column I
8. Staff have to hurry because
they have too much work
to do
A8
Column J
9. When someone gets really
busy in this nursing home,
other staff help out
A9
Column K
10. Staff are blamed when a
resident is harmed
A10
Column L
11. Staff have enough training
on how to handle difficult
residents
A11
Column M
12. Staff are afraid to report
their mistakes
A12
Column N
Page 5 of 12
Response Values
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
13. Staff understand the
training they get in this
nursing home
A13
Column O
14. To make work easier, staff
often ignore procedures
A14
Column P
15. Staff are treated fairly
when they make mistakes
A15
Column Q
16. Residents’ needs are met
during shift changes
A16
Column R
17. It is hard to keep residents
safe here because so many
staff quit their jobs
A17
Column S
18. Staff feel safe reporting
their mistakes
A18
Column T
Page 6 of 12
Response Values
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
Response Values
SECTION B: Communications
1. Staff are told what they
need to know before taking
care of a resident for the
first time
B1
Column U
2. Staff are told right away
when there is a change in a
resident’s care plan
B2
Column V
3. We have all the
information we need when
residents are transferred
from the hospital
B3
Column W
4. When staff report
something that could harm
a resident, someone takes
care of it
B4
Column X
5. In this nursing home, we
talk about ways to keep
incidents from happening
again
B5
Column Y
6. Staff tell someone if they
see something that might
harm a resident
B6
Column Z
7. Staff ideas and suggestions
are valued in this nursing
home
B7
Column AA
Page 7 of 12
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
8. In this nursing home, we
discuss ways to keep
residents safe from harm
B8
Column AB
9. Staff opinions are ignored
in this nursing home
B9
Column AC
10. Staff are given all the
information they need to
care for residents
B10
Column AD
11. It is easy for staff to speak
up about problems in this
nursing home
B11
Column AE
Response Values
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
1=Never
2=Rarely
3=Sometimes
4=Most of the time
5=Always
9=Does Not Apply or Don’t Know
SECTION C: Your Supervisor
1. My supervisor listens to
staff ideas and suggestions
about resident safety
2. My supervisor says a good
word to staff who follow
the right procedures
C1
Column AF
C2
Column AG
C3
Column AH
3. My supervisor pays
attention to safety
problems in this nursing
home
Page 8 of 12
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
Response Values
SECTION D: Your Nursing Home
1. Residents are well cared
for in this nursing home
D1
Column AI
2. Management asks staff
how the nursing home can
improve resident safety
D2
Column AJ
3. This nursing home lets the
same mistakes happen
again and again
D3
Column AK
4. It is easy to make changes
to improve resident safety
in this nursing home
D4
Column AL
5. This nursing home is
always doing things to
improve resident safety
D5
Column AM
Page 9 of 12
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
6. This nursing home does a
good job keeping residents
safe
D6
Column AN
7. Management listens to
staff ideas and suggestions
to improve resident safety
D7
Column AO
8. This nursing home is a
safe place for residents
D8
Column AP
9. Management often walks
around the nursing home
to check on resident care
D9
Column AQ
10. When this nursing home
makes changes to improve
resident safety, it checks to
see if the changes worked
D10
Column AR
Page 10 of 12
Response Values
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
1=Strongly Disagree
2=Disagree
3=Neither Agree nor Disagree
4=Agree
5=Strongly Agree
9=Does Not Apply or Don’t Know
Nursing Home Survey on Resident Safety Culture
Variable
Name
Column
Position
1. I would tell friends that
this is a safe nursing home
for their family
E1
Column AS
2. Please give this nursing
home an overall rating on
resident safety
E2
Column AT
Survey Question
Response Values
SECTION E: Overall Rating
A=Yes
B=Maybe
C=No
1=Poor
2=Fair
3=Good
4=Very Good
5=Excellent
SECTION F: Background Information
A=Administrator/Manager
B=Physician (MD, DO)
C=Other Provider
D=Licensed Nurse
E=Nursing Assistant/Aide
1. What is your job in this
F1
Column AU
F=Direct Care Staff
nursing home?
G=Administrative Support Staff
H=Support Staff
I=Other (Please write the title of
your job)
*
TEXT FOR OTHER, PLEASE SPECIFY [F1, item i] - DO NOT SUBMIT TO DATABASE
A=Less than 2 months
B=2 to 11 months
2. How long have you
C=1 to 2 years
worked in this nursing
F2
Column AV
D=3 to 5 years
home?
E=6 to 10 years
F=11 years or more
A=15 or fewer hours per week
3. How many hours per week
B=16 to 24 hours per week
do you usually work in this
F3
Column AW
C=25 to 40 hours per week
nursing home?
D=More than 40 hours per week
A=Days
4. When do you work most
F4
Column AX B=Evenings
often?
C=Nights
5. Are you paid by a staffing
A=Yes
agency when you work for
F5
Column AY B=No
this nursing home?
6. In your job in this nursing
A=YES, I work directly with
home, do you work
residents most of the time
F6
Column AZ
directly with residents
B=NO, I do NOT work directly with
most of the time?
residents most of the time
Page 11 of 12
Nursing Home Survey on Resident Safety Culture
Survey Question
Variable
Name
Column
Position
Response Values
A=Many different areas or units in
this nursing home/No specific area or
unit
7. In this nursing home,
where do you spend most
F7
Column BA B=Alzheimer’s / Dementia unit
C=Rehab unit
of your time working?
D=Skilled nursing unit
E=Other area or unit (Please specify)
*
TEXT FOR OTHER, PLEASE SPECIFY [F7, item e] - DO NOT SUBMIT TO DATABASE
SECTION G: Your Comments
*
Please feel free to write any comments about resident care and safety in this nursing home - DO NOT
SUBMIT TO DATABASE
*
DO NOT SUBMIT OTHER-SPECIFY TEXT OR TEXT IN COMMENTS TO THE
DATABASE (ITEMS IN SHADED ROWS).
Page 12 of 12
File Type | application/pdf |
File Title | AHRQ Nursing Home Survey on Patient Safety Culture Data Submission Specifications |
Subject | Nursing Home Survey on Patient Safety Culture Data File Layout |
Author | Agency for Healthcare Research and Quality (AHRQ) |
File Modified | 2010-09-16 |
File Created | 2010-08-30 |