Always Safe 2.0 - 2024 Survey

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* 1. What is your profession?

APRN

Nurse

Pharmacist

Physician (DO/MD)

Social worker

Health professions student

Other (please specify)

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* 2. Please rate the faculty who presented your session

	Excellent	Very Good	Good	Fair	Poor
Teri Baker	Teri Baker Excellent	Teri Baker Very Good	Teri Baker Good	Teri Baker Fair	Teri Baker Poor
Kimberly Beal	Kimberly Beal Excellent	Kimberly Beal Very Good	Kimberly Beal Good	Kimberly Beal Fair	Kimberly Beal Poor
Melonie Boatner	Melonie Boatner Excellent	Melonie Boatner Very Good	Melonie Boatner Good	Melonie Boatner Fair	Melonie Boatner Poor
Lisa Burke	Lisa Burke Excellent	Lisa Burke Very Good	Lisa Burke Good	Lisa Burke Fair	Lisa Burke Poor
Daniel Cox	Daniel Cox Excellent	Daniel Cox Very Good	Daniel Cox Good	Daniel Cox Fair	Daniel Cox Poor
Kyle Galbraith	Kyle Galbraith Excellent	Kyle Galbraith Very Good	Kyle Galbraith Good	Kyle Galbraith Fair	Kyle Galbraith Poor
Tammie Height	Tammie Height Excellent	Tammie Height Very Good	Tammie Height Good	Tammie Height Fair	Tammie Height Poor
Kimberly Hollis	Kimberly Hollis Excellent	Kimberly Hollis Very Good	Kimberly Hollis Good	Kimberly Hollis Fair	Kimberly Hollis Poor
Aimee Maner	Aimee Maner Excellent	Aimee Maner Very Good	Aimee Maner Good	Aimee Maner Fair	Aimee Maner Poor
Ellen McCoy	Ellen McCoy Excellent	Ellen McCoy Very Good	Ellen McCoy Good	Ellen McCoy Fair	Ellen McCoy Poor
Joy Smith	Joy Smith Excellent	Joy Smith Very Good	Joy Smith Good	Joy Smith Fair	Joy Smith Poor
Other presenter not listed	Other presenter not listed Excellent	Other presenter not listed Very Good	Other presenter not listed Good	Other presenter not listed Fair	Other presenter not listed Poor

Other presenter, please specify

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* 3. Please rate the overall quality of this educational activity

Excellent

Very good

Average

Needs improvement

Excellent

Very good

Average

Needs improvement

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* 4. This session is scientifically sound, evidenced-based, and free from commercial bias.

True

False

N/A

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* 5. What was done well with this activity?

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* 6. What suggestions do you have to improve the activity?

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* 7. Please rate the overall impact of this educational activity on your professional practice:

Definite impact on professional practice

Some impact on professional practice

Neutral

Little impact on professional practice

No impact on professional practice

Definite impact on professional practice

Some impact on professional practice

Neutral

Little impact on professional practice

No impact on professional practice

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* 8. As a result of participating in this activity, I have made the following change(s) in my individual approach to patient care: (JAC 11)

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* 9. As a result of participating in this activity (check all that apply)

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
My communication skills with other members of the team have improved	My communication skills with other members of the team have improved Strongly agree	My communication skills with other members of the team have improved Agree	My communication skills with other members of the team have improved Neutral	My communication skills with other members of the team have improved Disagree	My communication skills with other members of the team have improved Strongly disagree
I have acquired new strategies and skills to improve patient outcomes	I have acquired new strategies and skills to improve patient outcomes Strongly agree	I have acquired new strategies and skills to improve patient outcomes Agree	I have acquired new strategies and skills to improve patient outcomes Neutral	I have acquired new strategies and skills to improve patient outcomes Disagree	I have acquired new strategies and skills to improve patient outcomes Strongly disagree
There is mutual respect between members of the team	There is mutual respect between members of the team Strongly agree	There is mutual respect between members of the team Agree	There is mutual respect between members of the team Neutral	There is mutual respect between members of the team Disagree	There is mutual respect between members of the team Strongly disagree
I better understand my role and that of the other members of the team	I better understand my role and that of the other members of the team Strongly agree	I better understand my role and that of the other members of the team Agree	I better understand my role and that of the other members of the team Neutral	I better understand my role and that of the other members of the team Disagree	I better understand my role and that of the other members of the team Strongly disagree
The performance of the team has improved	The performance of the team has improved Strongly agree	The performance of the team has improved Agree	The performance of the team has improved Neutral	The performance of the team has improved Disagree	The performance of the team has improved Strongly disagree
I know the Standard Work of Always Safe 2.0	I know the Standard Work of Always Safe 2.0 Strongly agree	I know the Standard Work of Always Safe 2.0 Agree	I know the Standard Work of Always Safe 2.0 Neutral	I know the Standard Work of Always Safe 2.0 Disagree	I know the Standard Work of Always Safe 2.0 Strongly disagree
I can describe the error prevention tools within SAFE	I can describe the error prevention tools within SAFE Strongly agree	I can describe the error prevention tools within SAFE Agree	I can describe the error prevention tools within SAFE Neutral	I can describe the error prevention tools within SAFE Disagree	I can describe the error prevention tools within SAFE Strongly disagree
I can use the language of the error prevention tools	I can use the language of the error prevention tools Strongly agree	I can use the language of the error prevention tools Agree	I can use the language of the error prevention tools Neutral	I can use the language of the error prevention tools Disagree	I can use the language of the error prevention tools Strongly disagree
I can give and receive information respectfully, thanking the person/team for the communication	I can give and receive information respectfully, thanking the person/team for the communication Strongly agree	I can give and receive information respectfully, thanking the person/team for the communication Agree	I can give and receive information respectfully, thanking the person/team for the communication Neutral	I can give and receive information respectfully, thanking the person/team for the communication Disagree	I can give and receive information respectfully, thanking the person/team for the communication Strongly disagree
I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model	I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model Strongly agree	I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model Agree	I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model Neutral	I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model Disagree	I can remain in continuous learning mode and participate in team de-brief to reinforce the Shared Mental Model Strongly disagree

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* 10. Your information

Name

Location of Educational Activity (Facility or practice site)

Date of Course Completion