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AHRQ developed the Surveys on Patient Safety Culture® (³§°¿±Ê³§Â®) Ambulatory Surgery Center Survey in response to interest from ambulatory surgery centers (ASCs) in assessing patient safety culture in their facilities. This survey is designed specifically for ASC staff and asks for their opinions about the culture of patient safety in their facility.

ASCs are facilities: (1) where patients have surgeries, procedures, and treatments and are not expected to need an inpatient stay, and (2) that have been certified and approved to participate in the .

Ambulatory Surgery Center

Survey Form

• Ambulatory Surgery Center Survey—English (Word, 513 KB; PDF, 317 KB).
• Ambulatory Surgery Center Survey—Spanish (Word, 54 KB; PDF, 87 KB).

Survey Items and Composite Measures

• Ambulatory Surgery Center Survey Items and Composite Measures—English (PDF, 174 KB).
• Ambulatory Surgery Center Survey Items and Composite Measures—Spanish Version and Description of Translation Process (PDF, 164 KB).

Survey Guidance

• Ambulatory Surgery Center Survey on Patient Safety: User's Guide (PDF, 735 KB). The User's Guide provides a general overview of the issues and major decisions involved in conducting a survey and reporting the results. The User's Guide includes information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, preparing and analyzing data, and producing reports.
• Frequently Asked Questions Â鶹´«Ã½ the SOPS Ambulatory Surgery Center Survey.

Additional Resources

The SOPS Program offers resources to assist survey users, including an Action Planning Tool, Data Entry and Analysis Tool, Improvement Resources, SOPS Bibliography, and frequently asked questions.

Webcasts, Podcasts, and Announcements

Learn more about the AHRQ-sponsored webcasts, podcasts, and announcements on the SOPS Program.