While several surveys have been developed to measure the culture of safety in inpatient settings, no outpatient-specific resource yet exists. In this study, funded in part by the Agency for Healthcare Research and Quality (AHRQ), the investigators adapted the Safety Attitudes Questionnaire to address safety culture in the outpatient arena. The resulting 62-item questionnaire was pilot tested in an academic multispecialty practice and was found to reliably identify safety issues. The survey is posted online at the authors' web site.