>SOPS Hospital Survey
SOPS Hospital Survey 2018-03-13T13:45:51+00:00

SOPS Hospital Survey

**This survey is completely anonymous**

Hospital Survey on Patient Safety
Instructions
This survey asks for your opinions about patient safety issues, medical error, and event reporting in your hospital and will take about 10 to 15 minutes to complete.

If you do not wish to answer a question, or if a question does not apply to you, you may leave your answer blank.

• An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm.
• “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events resulting from the processes of health care delivery.

SECTION A: Your Work Area/Unit
In this survey, 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.
What is your primary work area or unit in this hospital? Select ONE answer.
a. Many different hospital units/No specific unitb. Medicine (non-surgical)c. Surgeryd. Obstetricse. Pediatricsf. Emergency departmentg. Intensive care unit (any type)h. Psychiatry/mental healthi. Rehabilitationj. Pharmacyk. Laboratoryl. Radiologym. Anesthesiologyn. Other, please specify in text box

Please indicate your agreement or disagreement with the following statements about your work area/unit.
Think about your hospital work area/unit…
1. People support one another in this unit
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
2. We have enough staff to handle the workload
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
3. When a lot of work needs to be done quickly, we work together as a team to get the work done
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
4. In this unit, people treat each other with respect
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
5. Staff in this unit work longer hours than is best for patient care
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
6. We are actively doing things to improve patient safety
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
7. We use more agency/temporary staff than is best for patient care
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
8. Staff feel like their mistakes are held against them
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
9. Mistakes have led to positive changes here
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
10. It is just by chance that more serious mistakes don’t happen around here
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
11. When one area in this unit gets really busy, others help out
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
12. When an event is reported, it feels like the person is being written up, not the problem
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
13. After we make changes to improve patient safety, we evaluate their effectiveness
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
14. We work in "crisis mode" trying to do too much, too quickly
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
15. Patient safety is never sacrificed to get more work done
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
16. Staff worry that mistakes they make are kept in their personnel file
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
17. We have patient safety problems in this unit
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
18. Our procedures and systems are good at preventing errors from happening
Strongly DisagreeDisagreeNeitherAgreeStrongly 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.
1. My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
2. My supervisor/manager seriously considers staff suggestions for improving patient safety
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
3. Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
4. My supervisor/manager overlooks patient safety problems that happen over and over
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree

SECTION C: Communications
How often do the following things happen in your work area/unit?
Think about your hospital work area/unit…
1. We are given feedback about changes put into place based on event reports
NeverRarelySometimesMost of the timeAlways
2. Staff will freely speak up if they see something that may negatively affect patient care
NeverRarelySometimesMost of the timeAlways
3. We are informed about errors that happen in this unit
NeverRarelySometimesMost of the timeAlways
4. Staff feel free to question the decisions or actions of those with more authority
NeverRarelySometimesMost of the timeAlways
5. In this unit, we discuss ways to prevent errors from happening again
NeverRarelySometimesMost of the timeAlways
6. Staff are afraid to ask questions when something does not seem right
NeverRarelySometimesMost of the timeAlways

SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes happen, how often are they reported?
1. When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?
NeverRarelySometimesMost of the timeAlways
2. When a mistake is made, but has no potential to harm the patient, how often is this reported?
NeverRarelySometimesMost of the timeAlways
3. When a mistake is made that could harm the patient, but does not, how often is this reported?
NeverRarelySometimesMost of the timeAlways

SECTION E: Patient Safety Grade
Please give your work area/unit in this hospital an overall grade on patient safety.
ExcellentVery GoodAcceptablePoorFailing

SECTION F: Your Hospital
Please indicate your agreement or disagreement with the following statements about your hospital.
Think about your hospital…
1. Hospital management provides a work climate that promotes patient safety
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
2. Hospital units do not coordinate well with each other
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
3. Things “fall between the cracks” when transferring patients from one unit to another
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
4. There is good cooperation among hospital units that need to work together
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
5. Important patient care information is often lost during shift changes
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
6. It is often unpleasant to work with staff from other hospital units
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
7. Problems often occur in the exchange of information across hospital units
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
8. The actions of hospital management show that patient safety is a top priority
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
9. Hospital management seems interested in patient safety only after an adverse event happens
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
10. Hospital units work well together to provide the best care for patients
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree
11. Shift changes are problematic for patients in this hospital
Strongly DisagreeDisagreeNeitherAgreeStrongly Agree

SECTION G: Number of Events Reported
In the past 12 months, how many event reports have you filled out and submitted?

SECTION H: Background Information
This information will help in the analysis of the survey results.
1. How long have you worked in this hospital?
a. Less than 1 yearb. 1 to 5 yearsc. 6 to 10 yearsd. 11 to 15 yearse. 16 to 20 yearsf. 21 years or more
2. How long have you worked in your current hospital work area/unit?
a. Less than 1 yearb. 1 to 5 yearsc. 6 to 10 yearsd. 11 to 15 yearse. 16 to 20 yearsf. 21 years or more
3. Typically, how many hours per week do you work in this hospital?
a. Less than 20 hours per weekb. 20 to 39 hours per weekc. 40 to 59 hours per weekd. 60 to 79 hours per weeke. 80 to 99 hours per weekf. 100 hours per week or more
4. What is your staff position in this hospital? Select ONE answer that best describes your staff position.
a. Registered Nurseb. Physician Assistant/Nurse Practitionerc. LVN/LPNd. Patient Care Asst/Hospital Aide/Care Partnere. Attending/Staff Physicianf. Resident Physician/Physician in Trainingg. Pharmacisth. Dieticiani. Unit Assistant/Clerk/Secretaryj. Respiratory Therapistk. Physical, Occupational, or Speech Therapistl. Technician (e.g., EKG, Lab, Radiology)m. Administration/Managementn. Other, please specify in text box

5. In your staff position, do you typically have direct interaction or contact with patients?
a. YES, I typically have direct interaction or contact with patients.b. NO, I typically do NOT have direct interaction or contact with patients.
6. How long have you worked in your current specialty or profession?
a. Less than 1 yearb. 1 to 5 yearsc. 6 to 10 yearsd. 11 to 15 yearse. 16 to 20 yearsf. 21 years or more

SECTION I: Your Comments