Skip to content
2017 AHRQ Patient Safety Culture Survey- Home Health Agencies
Section A: List of Patient Safety and Quality Issues
In your best estimate, how often did the following things happen in your agency OVER THE PAST 12 MONTHS?
1.
Please select your agency
(Required.)
Union Regional Home Care
Healthy@Home Blue Ridge
Healthy@Home Cleveland
Healthy@Home Lincolnton
Healthy@Home University
Healthy@Home Charlotte
Healthy@Home Albemarle
Healthy@Home Troy
Roper St. Francis Home Care & Home Infusion
AnMed Home Health
Southeastern Home Health
New Hanover Home Health
Healthy@Home Medical Equipment Stanly
Healthy@Home Medical Equipment Blue Ridge
Healthy@Home Medical Equipment Respiratory
Healthy@Home Corporation Support APC
Healthy@Home Medical Equipment Charlotte
Healthy@Home Medical Equipment Cleveland
AnMed Health Medical Equipment
Healthy@Home Home Infusion
Southeastern Home Medical Equipment
2.
A1: ACCESS TO CARE: A patient was unable to get admitted within 72 hours of hospital discharge or physician referral.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does Not Apply or Do Not Know
3.
A2: PATIENT IDENTIFICATION: The wrong chart/medical record was used for a patient.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does Not Apply or Do Not Know
4.
A3: CHARTS/MEDICAL RECORDS: A patient's chart/medical record was not available when needed.
Daily
Weekly
Monthly
Several in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
5.
A4: CHARTS/MEDICAL RECORDS: Medical information was filed, scanned, or entered into the wrong patient's chart/medical record.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
6.
A5: MEDICAL EQUIPMENT : Medical equipment was not available, working properly, or was in need of repair or replacement.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
7.
A6: MEDICATION: I contacted a physician or pharmacy to clarify or correct a prescription.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
8.
A7: MEDICATION: Medications needed were not available for administration as ordered.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
9.
A8: MEDICATION: A patient's medication list was not updated during his or her visit by our staff.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
10.
A9: DIAGNOSTICS & TESTS: The results from a lab or imaging test were not available when needed.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know
11.
A10: DIAGNOSTICS & TESTS: A critical abnormal result from a lab or imaging test was not followed up within 1 business day.
Daily
Weekly
Monthly
Several times in the past 12 months
Once or twice in the past 12 months
Not in the past 12 months
Does not Apply or Do Not Know