Patient Safety Culture Survey for the Miniha Family Medicine Unit

The aim of this survey is to assess aspects of patient safety in the facility and the unit you work in. Please read each question carefully and select the answer that best fits your situation.

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1. How long have you worked in this hospital? (How long have you been working in the hospital you are currently at?)

2. In this hospital, how long have you worked in your current unit/work area? (How long have you been working in the department you currently work in, in the hospital you are currently at?)

3. Typically, how many hours per week do you work in this hospital? (Typically, how many hours do you work per week in the hospital?)

4. In your staff position, do you typically have direct interaction or contact with patients? (In your current position in the hospital, do you usually have direct interaction or contact with patients?)

6. During shift changes, there is adequate time to exchange all key patient care information (During shift changes, is there enough time to exchange all key patient care information?)

How would you rate your unit/work area on patient safety? (In your opinion, how would you rate the department you work in regarding its concern for patient safety?)

When a mistake is caught and corrected before reaching the patient, how often is this reported? (When a mistake is discovered and corrected before reaching the patient, how often is it reported?)

When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported? (When a mistake reaches the patient and does not cause harm, how often is it reported?)

In the past 12 months, how many patient safety events have you reported? (In the past 12 months, how many patient safety events have you reported?)

How would you rate your unit/work area on patient safety? (In your opinion, how would you rate the department you work in regarding its concern for patient safety?)

When a mistake is caught and corrected before reaching the patient, how often is this reported? (When a mistake is discovered and corrected before reaching the patient, how often is it reported?)

When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported? (When a mistake reaches the patient and does not cause harm, how often is it reported?)

In the past 12 months, how many patient safety events have you reported? (In the past 12 months, how many patient safety events have you reported?)

We are informed about errors that happen in this unit (Are staff informed about any errors that occur in the department?)

When errors happen in this unit, we discuss ways to prevent them from happening again (When errors occur in the department you work in, are ways to prevent the same errors from happening again discussed?)

In this unit, we are informed about changes that are made based on event reports (In the department you work in, are staff informed about changes that are made based on event reports?)

In this unit, staff speak up if they see something that may negatively affect patient care (In the department you work in, do staff express their opinions if they see something that may negatively affect patient care?)

When staff in this unit see someone with more authority doing something unsafe for patients, they speak up (When staff in the department see someone in authority doing something unsafe for patients, do they speak up?)

When staff in this unit speak up, those with more authority are open to their patient safety concerns (When staff in the department express their concerns about patient safety, are those in authority open to them?)

In this unit, staff are afraid to ask questions when something does not seem right (In the department you work in, are staff afraid to ask questions when something seems wrong?)

My supervisor, manager, or clinical leader seriously considers staff suggestions for improving patient safety (My direct manager seriously considers staff suggestions for improving patient safety.)

My supervisor, manager, or clinical leader wants us to work faster during busy times, even if it means taking shortcuts (My direct manager wants us to work faster during busy times even if it requires taking shortcuts.)

My supervisor, manager, or clinical leader takes action to address patient safety concerns that are brought to their attention (My direct manager takes action to address patient safety concerns that are presented to them.)

This unit lets the same patient safety problems keep happening (In the department you work in, do the same patient safety issues keep happening continuously?)