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Accessibility/Section 508

AFMA SCN
AF20-101SE - AF20-114SE

[=]

MED OPS Survey (SCN DD-USAF-2803)

Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.

We cannot provide confidentiality to a participant regarding comments involving criminal activity/behavior, or statements that pose a threat to yourself or others.

INFORMED CONSENT. This survey is voluntary, per Office of People Analytics guidance. This is your opportunity to anonymously provide concerns to your commander via write-in comments. Please be specific.

Your responses are anonymous. Demographic information will be used only to help us analyze results. No results will be reported unless there are five or more members of a demographic group. This prevents the use of demographics to identify individual survey participants.

SURVEY INSTRUCTIONS:

Respondents may skip individual survey items that they do not want to answer. ALL demographics must be answered.
Once all survey items are completed, click on the Submit button at the bottom of the page.
A "Thank You" note will appear. You have then completed the survey.

Please select one:
Military Civilian

7-Digit PIN:

Grade/Rank

Your age

Your time in this unit

Your status

Military

Federal Civil Service

Civilian, Non-civil service

Resident

Temporary employee

Other

No response

Your military affiliation

Active Duty

Traditional Reservist

Individual Mobilization Augmentee (IMA)

Active Guard-Reserve (AGR)

Air Reserve Technician (ART)

Full-time Reserve Technician

N/A

No response

Your service

Your total number of operational tours

Your primary position

Your primary work area

Total years in career field

ORGANIZATIONAL PROCESSES

The use of operating instructions is enforced in my organization

Characters remaining: 400 Enter any comment here:

Required written guidance is current in my organization

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My organization has effective time-outs.

Characters remaining: 400 Enter any comment here:

Members of my organization are comfortable reporting all adverse incidents.

Characters remaining: 400 Enter any comment here:

Members of my organization incorporate risk management into daily activities.

Characters remaining: 400 Enter any comment here:

Personnel must possess the appropriate skills to earn qualifications in my organization.

Characters remaining: 400 Enter any comment here:

Members of my organization know the standards of performance for which they are accountable.

Characters remaining: 400 Enter any comment here:

Medical Readiness training is conducted as required in my organization.

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Members follow Situation, Background, Assessment, Recommendations (SBAR) when handing off high-risk patients.

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Following all steps in written guidance is the best way to accomplish daily tasks.

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Members of my organization have huddles at least weekly.

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Members of my organization encourage use of helping resources when needed.

Characters remaining: 400 Enter any comment here:

Members of my organization have no fear of reprisal when submitting an event in Patient Safety Report (PSR).

Characters remaining: 400 Enter any comment here:

All members of my organization have the authority to halt unsafe activities until the hazards/risks are addressed.

Characters remaining: 400 Enter any comment here:

ORGANIZATIONAL CLIMATE

My organization has a reputation for high-quality performance.

Characters remaining: 400 Enter any comment here:

Additional duties do not adversely affect my primary duties in my unit.

Characters remaining: 400 Enter any comment here:

My duty day ends at a predictable time.

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My organization effectively communicates information.

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Members of my organization assist coworkers when workload is high.

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Personal conflicts between team members are addressed effectively.

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Feedback is delivered in a way that promotes positive behavior change.

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Members of my organization share information that enables timely decision making.

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LEADERSHIP/SUPERVISION

Individuals in my organization are comfortable communicating with their supervisor about personal issues.

Characters remaining: 400 Enter any comment here:

Morale in my organization is high.

Characters remaining: 400 Enter any comment here:

RESOURCES

My unit has sufficient qualified personnel to execute healthcare delivery mission.

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My unit has sufficient qualified personnel to execute medical readiness mission.

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I am provided adequate materiel resources to accomplish my job.

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My current assignment allows me to practice my specialty to the full extent.

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My unit manpower document reflects the correct personnel to perform organization's mission.

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Senior leaders model collaborative team behavior.

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Senior leaders share information with team leaders.

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Senior leaders in my organization care about my quality of life.

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Senior leaders view mistakes as learning opportunities.

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Senior leaders conduct leadership rounds on a regular basis.

Characters remaining: 400 Enter any comment here:

Senior leaders in my organization set a good example for following standards.

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Senior leaders in my organization react well to unexpected changes.

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STANDARD OPEN-ENDED RESPONSE ITEMS

Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.

The next patient safety error will be caused by...

No Response My Response Is

Characters remaining: 400

The most significant action(s) my organization can take to improve patient safety is(are)...

No Response My Response Is

Characters remaining: 400

The most important thing Military Treatment Facilities (MTF) could do to improve the referral process is...

No Response My Response Is

Characters remaining: 400

The MTF promotes patient safety reporting by...

No Response My Response Is

Characters remaining: 400

What is my organization doing right and why?

No Response My Response Is

Characters remaining: 400

Use this space to provide any concern that you would like to comment upon.

No Response My Response Is

Characters remaining: 400