Defensas y amarres

In this section, think of your “unit” as the work area, department, or clinical area of the hospital where you spend most of your work time or provide most of your clinical services.

1) What is your primary work area or unit in this hospital? Select One

 Many different units/No specific units  Accident/Emergency Department  Medicine Non-surgical  Psychiatry/Mental Health

 Surgery  Rehabilitation

 Obstetrics  Laboratory

 Pediatrics  Radiology

 Pharmacy  Intensive care unit (any type)

 Theater  Other, please specify………

Please indicate your agreement or disagreement with the following statements about your work area/unit.

2) People support one another in this unit

 Strongly Disagree  Disagree  Neither  Agree  Strongly Agree 3) We have enough staff to handle the workload.

 Strongly Disagree  Disagree  Neither Agree Strongly Agree 4) When a lot of work needs to be done quickly, we work together as a team to get the work

done.

 Strongly Disagree  Disagree  Neither Agree  Strongly Agree 5) In this unit, people treat each other with respect.

 Strongly Disagree  Disagree  Neither Agree Strongly Agree 6) Staff in this unit work longer hours than is best for patient care

65 7) We are actively doing things to improve patient safety.

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 8) We use more agency/temporary staff than is best for patient care

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 9) Staff feels like their mistakes are held against them.

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 10) Mistakes have led to positive changes here.

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 11) It is just by chance that more serious mistakes don’t happen around here

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 12) When one area in this unit gets really busy, others help out

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 13) When an event is reported, it feels like the person is being written up, not the problem  Strongly Disagree Disagree  Neither  Agree Strongly Agree 14) After we make changes to improve patient safety, we evaluate their effectiveness

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 15) We work in "under pressure" trying to do too much, too quickly

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 16) Patient safety is never sacrificed to get more work done

 Strongly Disagree Disagree  Neither  Agree Strongly Agree 17) Staff worry that mistakes they make are kept in their personnel file

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 18) We have patient safety problems in this unit

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 19) Our procedures and systems are good at preventing errors from happening

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 Strongly Disagree  Disagree  Neither  Agree Strongly Agree SECTION B: Your Supervisor/Manager

Please indicate your agreement or disagreement with the following statements about your immediate supervisor/manager or person to whom you directly report.

20) My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree

21) My supervisor/manager seriously considers staff suggestions for improving patient safety  Strongly Disagree  Disagree  Neither  Agree Strongly Agree

22) Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 23) My supervisor/manager overlooks patient safety problems that happen over and over  Strongly Disagree  Disagree  Neither  Agree Strongly Agree

SECTION C: Communications

How often do the following things happen in your work area/unit? Think about your hospital work area/unit…

24) We are given feedback about changes put into place based on event reports  Never  Rarely  Sometimes  Most of the time  Always

25) Staff will freely speak up if they see something that may negatively affect patient care  Never  Rarely  Sometimes  Most of the time  Always 26) We are informed about errors that happen in this unit

 Never  Rarely  Sometimes  Most of the time  Always 27) Staff feel free to question the decisions or actions of those with more authority  Never  Rarely  Sometimes  Most of the time  Always

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28) In this unit, we discuss ways to prevent errors from happening again

 Never  Rarely  Sometimes  Most of the time  Always 29) Staff are afraid to ask questions when something does not seem right

 Never  Rarely  Sometimes  Most of the time  Always

SECTION D: Frequency of Events Reported

In your hospital work area/unit, when the following mistakes happen, how often are they reported?

30) When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?

 Never  Rarely  Sometimes  Most of the time  Always

31) When a mistake is made, but has no potential to harm the patient, how often is this reported?  Never  Rarely  Sometimes  Most of the time  Always

32) When a mistake is made that could harm the patient, but does not, how often is this reported?  Never  Rarely  Sometimes  Most of the time  Always

SECTION E: Patient Safety Grade

33) Please give your work area/unit in this hospital an overall grade on patient safety.  Excellent Very Good Acceptable  Poor  Failing

68 SECTION F: Your Hospital

Please indicate your agreement or disagreement with the following statements about your hospital. Think about your hospital…

34) Hospital management provides a work climate that promotes patient safety

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 35) Hospital units do not coordinate well with each other

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 36) Things “fall between the cracks” when transferring patients from one unit to another  Strongly Disagree  Disagree  Neither  Agree Strongly Agree 37) There is good cooperation among hospital units that need to work together

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 38) Important patient care information is often lost during shift changes

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 39) It is often unpleasant to work with staff from other hospital units

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 40) Problems often occur in the exchange of information across hospital units

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 41) The actions of hospital management show that patient safety is a top priority

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 42) Hospital management seems interested in patient safety only after an adverse event happens  Strongly Disagree  Disagree  Neither  Agree Strongly Agree 43) Hospital units work well together to provide the best care for patients

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree 44) Shift changes are problematic for patients in this hospital

 Strongly Disagree  Disagree  Neither  Agree Strongly Agree SECTION G: Number of Events Reported

45) In the past 12 months, how many event reports have you filled out and submitted?  No event reports  3 to 5 event reports  11 to 20 event report  1 to 2 event reports  6 to 10 event reports  21 event reports or more

69 SECTION H Background information

46) How old are you?

 Below 30 30–40 41–50 Over 50 47) What is your gender?

 Male  Female

48) What is the highest level of education you have completed?

 Junior school or less  Senior High school  College  University or more 49) How long have you worked in this hospital?

 Less than 1 year  6 to 10 years  16 to 20 years  1 to 5 years  11 to 15 years  21 years or more

50) How long have you worked in your current hospital work area/unit?

 Less than 1 year  6 to 10 years  16 to 20 years  1 to 5 years  11 to 15 years  21 years or more

51) Typically, how many hours per week do you work in this hospital?

 Less than 20 hours per week  60 to 79 hours per week  20 to 39 hours per week  40 to 59 hours per week  80 to 99 hours per week 100 hours per week or more 52) What is your staff position in this hospital?

 Medical Doctor Pharmacy Assistant  Nurse/Nurse Assistant  Technician (e.g., Lab, Radiology  Administration/Management  Other, Please Specify……….

53) In your staff position, do you typically have direct interaction or contact with patients?

70 SECTION I: Your Comments

Please feel free to write any comments about patient safety, error, or event reporting in your hospital.

THANK YOU FOR COMPLETING THIS SURVEY

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