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Health Central Process Improvement Questionnaire

Your completion and return of this survey implies your consent to use your feedback for quality and process improvement purposes.

Instructions:

Please click on your answers and/or type in your responses where necessary. Answer only the questions that apply to your position at the hospital.

 
 
 
Department
   
Position (Job)
   
Date
   
 
 
 
How comfortable are you with the current process of documenting and reporting critical lab values?
 
Very comfortable
 
Somewhat comfortable
 
Neutral
 
Not comfortable
 
No experience with this process
 
 
 
Do you document expected critical lab values?
 
Yes
 
No
 
Not sure
 
 
 
If your answer to the previous question was no is this due to:
 
Lack of time
 
Forgetfulness
 
It is not a priority if the critical lab value is expected
 
The process is unclear to me
 
I am not sure
 
This does not apply to me
 
Other
 
 
 
 
How often do you find yourself recording critical lab values?
 
None or 1 per shift
 
2-3 times per shift
 
4-6 times per shift
 
Over 6 times per shift
 
Unsure
 
 
 
How long have you worked in the department?
 
Less than 6 months
 
6 months to 1 year
 
2-3 years
 
4-5 years
 
Over 5 years
 
 
 
Would you say that the training you received in documenting critical lab values was sufficient?
 
Yes
 
No
 
Not Sure
 
 
If your answer to the previous question was no:
Yes No Not Sure
Did you report to a superior that you felt additional training was necessary?
Did you feel that others shared your opinion of the training?
Would you say that perhaps your trainer did a poor job in explaining the process?
 
 
 
Do you feel that the process of recording both expected and unexpected critical lab values would be better handled utilizing computer technology rather than paper documentation?
 
Yes
 
No
 
Maybe
 
Unsure
 
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