AAEECE Worlwide Patient Safety Initiative Proposed Solutions Rating Worksheet for PATIENTS
1. Default Section
| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONE ONLY | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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| EXCELLENT-5 | VERY GOOD-4 | GOOD-3 | FAIR-2 | POOR-1 |
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| SELECT ONLY ONE: | | | | | |
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