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Accessibility/Section 508

AFMA SCN
AF20-101SE - AF20-114SE

[=]

MED PT Safety Survey (SCN AF20-104SE)

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.

Additionally, ensure NOT to place any Patient Safety or HIPPA protected information in the comment areas of this survey.

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 PCS assignments

Your primary position

Your primary work area

My unit adequately updates safety standards/operating procedures.

Characters remaining: 400 Enter any comment here:

Violations of official written guidance are rare in my unit

Characters remaining: 400 Enter any comment here:

During the Continuous Process Improvement (CPI) project, leaders in my unit ask for data on processes before implementing solutions.

Characters remaining: 400 Enter any comment here:

I am empowered to improve my work processes.

Characters remaining: 400 Enter any comment here:

My leadership coaches our work team on how to improve processes.

Characters remaining: 400 Enter any comment here:

Members of my unit do not cut corners to accomplish their job/mission.

Characters remaining: 400 Enter any comment here:

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

Characters remaining: 400 Enter any comment here:

Individuals in my unit are free to report unsafe behaviors.

Characters remaining: 400 Enter any comment here:

My unit makes good use of special staff (e.g., legal, chaplain, family services) to help manage high-risk personnel

Characters remaining: 400 Enter any comment here:

My duty day ends at a predictable time.

Characters remaining: 400 Enter any comment here:

The level of our unit's operational demands permits members to obtain sufficient rest to perform their jobs.

Characters remaining: 400 Enter any comment here:

Additional duties do not adversely affect organizational safety in my unit.

Characters remaining: 400 Enter any comment here:

I find satisfaction in my current duties and opportunities.

Characters remaining: 400 Enter any comment here:

My organization has a reputation for high quality performance.

Characters remaining: 400 Enter any comment here:

Members of my unit speak up about potentially dangerous patient safety situations.

Characters remaining: 400 Enter any comment here:

Effective time-outs in my unit are conducted before patient procedures or operations.

Characters remaining: 400 Enter any comment here:

All members of my unit have the authority to "Stop the Line" during perceived unsafe activities until the hazard/risks are addressed.

Characters remaining: 400 Enter any comment here:

Members of my unit have no fear of reprisal when submitting a patient safety event in Patient Safety Report (PSR).

Characters remaining: 400 Enter any comment here:

Unit members are comfortable approaching supervisors about personal problems.

Characters remaining: 400 Enter any comment here:

Members of my section follow Situation, Background, Assessment, Recommendations (SBAR) in sharing information when handing-off patients/responsibilities.

Characters remaining: 400 Enter any comment here:

Members of my section assist coworkers when workload is high.

Characters remaining: 400 Enter any comment here:

My team helps one another through emotional and physical problems.

Characters remaining: 400 Enter any comment here:

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

Characters remaining: 400 Enter any comment here:

My organization has enough experienced personnel to perform its current tasks.

Characters remaining: 400 Enter any comment here:

Our Military Treatment Facility (MTF) leaders demonstrate commitment to patient safety before an adverse event occurs.

Characters remaining: 400 Enter any comment here:

The stress level in my work section is manageable.

Characters remaining: 400 Enter any comment here:

Morale in my unit is high.

Characters remaining: 400 Enter any comment here:

At my MTF, patients speak up about their care needs, preferences, and values.

Characters remaining: 400 Enter any comment here:

My MTF used patient feedback to improve care in the past 12 months.

Characters remaining: 400 Enter any comment here:

If a medical error occurred, my healthcare team has notified patients after it was discovered.

Characters remaining: 400 Enter any comment here:

At my MTF, patients actively participate in making decisions about their care.

Characters remaining: 400 Enter any comment here:

Senior leaders in my unit prohibit cutting corners to accomplish the job/mission.

Characters remaining: 400 Enter any comment here:

Senior leaders in my unit set a good example for compliance with written guidance.

Characters remaining: 400 Enter any comment here:

Senior leaders in my unit react well to unexpected changes.

Characters remaining: 400 Enter any comment here:

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

Characters remaining: 400 Enter any comment here:

Feedback among members of my unit is delivered in a way that promotes positive interactions.

Characters remaining: 400 Enter any comment here:

Personal conflicts between team members are addressed effectively.

Characters remaining: 400 Enter any comment here:

Senior leaders view honest mistakes as learning opportunities.

Characters remaining: 400 Enter any comment here:

Senior leaders share information with team members.

Characters remaining: 400 Enter any comment here:

Our flight leaders model collaborative team behavior (e.g., team huddles).

Characters remaining: 400 Enter any comment here:

Senior leaders model collaborative team behavior.

Characters remaining: 400 Enter any comment here:

Senior leaders conduct leadership rounds at least weekly.

Characters remaining: 400 Enter any comment here:

Senior leaders listen to front-line workers regardless of rank, position, or title.

Characters remaining: 400 Enter any comment here:

I am comfortable speaking up about concerning, uncomfortable, and patient safety issues.

Characters remaining: 400 Enter any comment here:

Senior leaders in my unit consistently respond to patient safety events in a fair manner.

Characters remaining: 400 Enter any comment here:

My team is held accountable for its actions.

Characters remaining: 400 Enter any comment here:

Senior leaders in my unit set clear expectations regarding patient safety.

Characters remaining: 400 Enter any comment here:

What challenges do you face when attempting to improve to processes?

No Response My Response Is

Characters remaining: 400

What do you think the next patient safety error will be caused by?

No Response My Response Is

Characters remaining: 400

The most significant action my unit can take to improve patient safety is?

No Response My Response Is

Characters remaining: 400

What is the most important thing my unit can do to improve delayed diagnosis?

No Response My Response Is

Characters remaining: 400

How does the MTF promote patient safety reporting?

No Response My Response Is

Characters remaining: 400

How are members in my unit treated when they speak up about potential patient safety errors (enter a PSR) or are directly involved in a PSR?

No Response My Response Is

Characters remaining: 400

What is my unit doing right and why?

No Response My Response Is

Characters remaining: 400

Use this space to provide any concerns you would like to comment

No Response My Response Is

Characters remaining: 400