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Click ‘Get Form’ to open the agency healthcare research quality document in the editor.
Begin by filling out Section A, which asks for your primary work area/unit. Select the appropriate option from the provided list.
Proceed to Section B, where you will evaluate your supervisor/manager's actions regarding patient safety. Indicate your level of agreement with each statement.
In Section C, assess communication practices within your unit. Rate how often feedback and discussions about errors occur.
Move to Section D to report on the frequency of event reporting in your unit. Indicate how often various types of mistakes are reported.
Complete Section E by providing an overall grade on patient safety for your work area/unit.
Fill out Sections F and G, which cover hospital-wide perceptions and the number of event reports submitted in the past year.
Finally, provide any additional comments in Section I before submitting your completed survey.
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