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

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

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

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* 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