1 | Communication openness |
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C2 | Staff will freely speak up if they see something that maynegatively affect patient care |
C4 | Staff feel free to question the decisions or actions of thosewith more authority |
C6r | Staff are afraid to ask questions when something does notseem right |
2 | Feedback and communication about error |
C1 | We are given feedback about changes put into place based onevent reports |
C3 | We are informed about errors that happen in this unit |
C5 | In this unit, we discuss ways to prevent errors fromhappening again |
3 | Frequency of error reporting |
D1 | When a mistake is made, but is caught and corrected beforeaffecting the patient, how often is this reported? |
D2 | When a mistake is made, but has no potential to harm thepatient, how often is this reported? |
D3 | When a mistake is made that could harm the patient, but doesnot, how often is this reported? |
4 | Handoffs and transitions between units and shifts |
F3r | Things “fall between the cracks” whentransferring patients from one unit to another |
F5r | Important patient care information is often lost during shiftchanges |
F7 | Problems often occur in the exchange of information acrossunits |
F11 | Shift changes are problematic for patients in this unit |
5 | Executive management support for patient safety |
F1 | Executive management provides a work climate that promotespatient safety |
F8 | The actions of executive management show that patient safetyis a top priority |
F9 | Executive management seems interested in patient safety onlyafter an adverse event happens |
6 | Nonpunitive response to error |
A8 | Staff feel like their mistakes are held against them |
A12 | When an event is reported, it feels like the person is beingwritten up, not the problem |
A16 | Staff worry that mistakes they make are kept in theirpersonnel file |
7 | Organizational learning–continuous improvement |
A6 | We are actively doing things to improve patient safety |
A9 | Mistakes have led to positive changes here |
A13 | After we make changes to improve patient safety, we evaluatetheir effectiveness |
8 | Overall perceptions of safety |
A15 | Patient safety is never sacrificed to get more work done |
A18 | Our procedures and systems are good at preventing errors fromhappening |
A10 | It is just by chance that more serious mistakes don´thappen around here |
A17 | We have patient safety problems in this unit |
9 | Staffing |
A2 | We have enough staff to handle the workload |
A5 | Staff in this unit work longer hours (scheduled hoursincluding overtime) than is best for patient care |
A7 | We use more agency/temporary staff than is best for patientcare |
A14 | We work in “crisis mode”, trying to do too much,too quickly |
10 | Supervisor/manager expectations and actions promotingsafety |
B1 | My supervisor/manager says a good word when he/she sees a jobdone according to established safety procedures. |
B2 | My supervisor/manager seriously considers staff suggestionsfor improving patient safety |
B3 | Whenever pressure builds up, my supervisor/manager wants usto work faster, even if it means taking shortcuts |
B4 | My supervisor/manager overlooks patient safety problems thathappen over and over |
11 | Teamwork across units |
F4 | There is good cooperation among units that need to worktogether |
F10 | Units work well together to provide the best care forpatients |
F2 | Units do not coordinate well with each other |
F6 | It is often unpleasant to work with staff from otherunits |
12 | Teamwork within the unit |
A1 | People support one another in this unit |
A3 | When a lot of work needs to be done quickly, we work togetheras a team to get the work done |
A4 | In this unit, people treat each other with respect |
A11 | When one area in this unit gets really busy, others helpout |
13 | Information and support to patients and family who havesuffered an adverse event |
G3 | In this unit, apologies and regrets are given to patients andfamilies who have suffered an adverse event |
G4 | In this unit, patients and families who have suffered anadverse event are informed about the event, its causes andactions taken to prevent it from happening again |
G5 | In this unit, patients and families who have suffered anadverse event, receive help and support in order to managethe situation |
G6 | In this unit, patients and families who have suffered anadverse event, are informed about the possibility to applyfor economic compensation from the Patient Insurance |
14 | Information and support to staff who have been involvedin an adverse event |
G7 | In this unit, staff who have been involved in an adverseevent, receive information about actions taken to preventthe event from happening again |
G8 | In our unit, staff who have been involved in an adverseevent, receive help and support in order to manage thesituation |
15 | Patient safety grade |
E | Please give your unit an overall grade on patient safety |
16 | Number of events reported |
G1 | In the past 12 months, how many event reports have you filledout and submitted? |
17 | Number of risks reported |
G2 | In the past 12 months, how many risk reports have you filledout and submitted? |