SUBMISSION OF INFORMATION COLLECTION UNDER THE
Request for Approval under AHRQ’s Generic Clearance “Questionnaire and Data Collection Testing, Evaluation, and Research for the Agency for Healthcare Research and Quality” (OMB Control Number: 0935-0124)
DATE OF REQUEST: 02/01/2022
SUB AGENCY (I/C): HHS/AHRQ
TITLE: Pilot Test of the Proposed Workplace Safety Supplemental Item Set
For the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey
GENERIC CLEARANCE UNDER OMB#: 0935-0124 EXP. DATE: 01/31/2024
ABSTRACT: In November 2021, AHRQ released a supplemental item set on workplace safety for the hospital setting. Now there is interest in developing a reliable, public-use item set that is limited in scope so it can be used in conjunction with the AHRQ SOPS Nursing Home Survey. The goal is to develop 15-20 items across 5-6 composite measures rather than developing a full-length survey.
The supplemental item set will be used by nursing homes to enable them to assess the organizational culture factors that contribute to workplace safety, and help them identify strengths and areas for improvement to efficiently target resources to improve workplace safety.
Most existing surveys on workplace safety focus on organizational, management, and provider and staff compliance with regulations, and are more like safety checklists. There is currently a dearth of validated survey items focusing on provider and staff perspectives about aspects of organizational culture that support workplace safety. We have been unable to find instruments that address workplace safety for the nursing home setting, in one, brief instrument, development of which is the objective of this research.
TOTAL ANNUAL BURDEN APPROVED: 8,900.
BURDEN USED TO DATE: 800.
BURDEN THIS REQUEST: 1,431 hours.
FEDERAL COST: ____$21,570______________________.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ___X___ NO ______ N/A
OBLIGATION TO RESPOND:
____x_VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
___x___ WEB SITE
__ _ TELEPHONE INTERVIEW
__ _X__ MAIL RESPONSE [email]
____ IN PERSON INTERVIEW
_____ OTHER: ___________________________________
CONTACT INFORMATION:
NAME: ___________Erwin Brown_____________________
TELEPHONE NUMBER: 301.427.1652______________________
EMAIL ADDRESS: ebrown@ahrq.gov______________________
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Generic Clearance Form - 04/28/2008 |
| Subject | Generic Clearance Form - 04/28/2008 |
| Author | OD/USER |
| File Modified | 0000-00-00 |
| File Created | 2024-07-28 |