Healthcare professionals for compensated interview

Pre-Screener

We are conducting compensated interviews with healthcare professionals. These will be a 60 minute teleweb interviews for those who qualify and participate. Please take the pre-screener to be considered:

Question Title

1. Please let us know how we may reach you (Required.)

Name

Company

City/Town

Country

Email Address

Phone Number

Question Title

2. SQ01. Are you or an immediate family member currently employed by or under contract with any of the following?

Regulatory agency

A marketing or market research company

An advertising agency

A pharmaceutical company or medical device manufacturer

None of the above

Question Title

3. SQ02. Which of the following best describes your role at your facility/organization?

Chief Nursing Officer

Chief Executive Officer/General Manager – Hospital

Chief Operation Officer/Director of Operations

Chief Financial Officer – Hospital/Executive Director Finance

Chief Medical Officer – Hospital/Medical Director

Chief Information Officer [C-SUITE]

Chief Risk Officer/Director Quality & Safety

Chief Technical Officer/Director IT

Director Clinical Services/Clinical Governance

Director of Nursing

Nurse Manager

Nurse Supervisor

Staff Nurse

Director of Pharmacy

Pharmacy Manager

Medication Safety Team

Other (please specify)

Question Title

4. SQ03. Which of the following best describes the facility/organization at which you spend the majority of your professional time?

Public Hospital that is a teaching hospital

Public Hospital that is not a teaching hospital

Private For-Profit Hospital

Private Not-For-Profit Hospital

Private Day Clinic

Cancer Specialty Hospital

Pediatric Specialty Hospital

Outpatient Infusion Center/Clinic

TGA Licensed Third Party Compounder

Other (Please specify) ___________

Other (please specify)

Question Title

5. SQ04. Approximately how many beds are in your hospital?

(Please select one)

<50 beds

50-99 beds

100-199 beds

200-299 beds

300-399 beds

400-499 beds

500-999 beds

1000 beds or more

Question Title

6. SQ05. How many years of overall experience do you have in your current role?

Question Title

7. How many years in total have you been in practice

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8. Which best describes your role in purchasing medication management software solutions in your hospital?

I make decisions regarding the evaluation and purchase of medication management software solutions

I do not make the decisions alone, but I am a member of a committee dedicated to or have a direct role in evaluating and making decisions regarding medication management software solutions

I do not have a direct role in the process, but I do provide input to the people/committee who evaluate and make decisions regarding medication management software solutions

I am not involved in the evaluation and purchase and do not provide input into evaluations or decisions regarding medication management software solutions

Question Title

9. SQ07. Please indicate which of the following brands of infusion pumps are currently used at your hospital.

(Please select one)

[Randomize options except Other and None of the above]

BD Alaris Infusion Pump

B.Braun Space Infusion Pump

Hospira Plum A+ Infusion Pump

Fresenius Agilia Infusion Pump

CME BodyGaurd Infusion Pump

None of the above

Unsure

Other (please specify)

Question Title

10. SQ07b. Do you currently use Dose Error Reduction Software (DERS) for infusion pumps?sometimes also known as a Drug Library Software or a Medication Safety Software.

Yes

Question Title

11. How often do you use Dose Error Reduction Software is sometimes also known as a Drug Library Software or a Medication Safety Software.

Don’t have the software

Not at all

Annually

Monthly

Weekly

Daily

Question Title

12. SQ08. Please indicate which of the following brands of automated dispensing cabinets/systems (ADC/ADM) are currently used at your hospital.

Think only about ADC/ADM’s and not about any other product the below manufacturers might be providing.

(Please select one)

Pyxis MedStation (From CareFusion - now part of Becton Dickinson - BD)

OmniRx (From Omnicell)

Swisslog

None of the above – We do not currently use an ADC/ADM at our hospital but plan to adopt one in the next two years

None of the above – We do not use an ADC/ADM at our hospital and do not plan to adopt one in the next two years

Other (please specify)

Question Title

13. SQ09. Please indicate which of the following is being used as your central pharmacy inventory management system

AutoPharm (From Talyst)

WorkflowRx (From Omnicell)

I-Pharmacy (From DXC Technology)

Swisslog Inventory Management Software

I use the inventory management capabilities that come with my EMR /EHR

I use the inventory management capabilities that come with my Automated Dispensing Cabinet

We manage inventory manually

Other (please specify)

Question Title

14. SQ10. Please indicate which of the following brands of Electronic Medical/Health Records (EMR/EHR) is currently used at your hospital.

Allscripts (sunrise)

Meditech

Cerner (Millenium)

clinical works

epic

Telstra Health

Intersystems

EMH/EHR developed in house by my hospital

don't know/unsure

Question Title

15. SQ12. In which state or territory do you work?

NSW

ACT

VIC

TAS

QLD

NZ - North Island

NZ - South Island

Question Title

16. If approved and scheduled for this study please let us know the easiest fastest way to reach you

Other (please specify)

Question Title

17. Please let us know if you agree with the following confidentiality agreement

Confidentiality I understand that I am being asked to participate in a market research study and that my participation is voluntary. I understand that I will be presented with information during the research which may or may not be factual or true and that I may be asked to accept certain representations or make certain assumptions about new products or new labeling to answer various questions for the market research study. I understand that such representations have been made for research purposes and no other purposes, and that information about any FDA-approved product should be obtained from the product prescribing information.I acknowledge that I may receive information during the market research study which is confidential information belonging to the study sponsor. I agree that I will not disclose or use this confidential information, nor discuss with any party, any of the information with which I have been provided or been made aware in connection with my participation in this market research study. The term of this non-disclosure will continue until such time, if ever, the information becomes publicly available.understand that I will be expected to provide honest feedback during the survey. I acknowledge and agree that the market research agency and the study sponsor will have access to my feedback for purposes related to the study objective. I understand that the market research agency and the study sponsor will not disclose any confidential information I provide.

I Agree

I Disagree

Question Title

* 1. Please let us know how we may reach you (Required.)

Question Title

* 2. SQ01. Are you or an immediate family member currently employed by or under contract with any of the following?

Question Title

* 3. SQ02. Which of the following best describes your role at your facility/organization?

Question Title

* 4. SQ03. Which of the following best describes the facility/organization at which you spend the majority of your professional time?

Question Title

* 5. SQ04. Approximately how many beds are in your hospital?

Question Title

* 6. SQ05. How many years of overall experience do you have in your current role?

Question Title

* 7. How many years in total have you been in practice

Question Title

* 8. Which best describes your role in purchasing medication management software solutions in your hospital?

Question Title

* 9. SQ07. Please indicate which of the following brands of infusion pumps are currently used at your hospital.

Question Title

* 10. SQ07b. Do you currently use Dose Error Reduction Software (DERS) for infusion pumps?sometimes also known as a Drug Library Software or a Medication Safety Software.

Question Title

* 11. How often do you use Dose Error Reduction Software is sometimes also known as a Drug Library Software or a Medication Safety Software.

Question Title

* 12. SQ08. Please indicate which of the following brands of automated dispensing cabinets/systems (ADC/ADM) are currently used at your hospital.

Question Title

* 13. SQ09. Please indicate which of the following is being used as your central pharmacy inventory management system

Question Title

* 14. SQ10. Please indicate which of the following brands of Electronic Medical/Health Records (EMR/EHR) is currently used at your hospital.

Question Title

* 15. SQ12. In which state or territory do you work?

Question Title

* 16. If approved and scheduled for this study please let us know the easiest fastest way to reach you

Question Title

* 17. Please let us know if you agree with the following confidentiality agreement

1. Please let us know how we may reach you (Required.)

2. SQ01. Are you or an immediate family member currently employed by or under contract with any of the following?

3. SQ02. Which of the following best describes your role at your facility/organization?

4. SQ03. Which of the following best describes the facility/organization at which you spend the majority of your professional time?

5. SQ04. Approximately how many beds are in your hospital?

6. SQ05. How many years of overall experience do you have in your current role?

7. How many years in total have you been in practice

8. Which best describes your role in purchasing medication management software solutions in your hospital?

9. SQ07. Please indicate which of the following brands of infusion pumps are currently used at your hospital.

10. SQ07b. Do you currently use Dose Error Reduction Software (DERS) for infusion pumps?sometimes also known as a Drug Library Software or a Medication Safety Software.

11. How often do you use Dose Error Reduction Software is sometimes also known as a Drug Library Software or a Medication Safety Software.

12. SQ08. Please indicate which of the following brands of automated dispensing cabinets/systems (ADC/ADM) are currently used at your hospital.

13. SQ09. Please indicate which of the following is being used as your central pharmacy inventory management system

14. SQ10. Please indicate which of the following brands of Electronic Medical/Health Records (EMR/EHR) is currently used at your hospital.

15. SQ12. In which state or territory do you work?

16. If approved and scheduled for this study please let us know the easiest fastest way to reach you

17. Please let us know if you agree with the following confidentiality agreement