Dear Patient Safety reader,

Patient Safety & Quality Healthcare and BLR are exploring holding a patient safety conference in 2017. We would like you to provide valuable feedback on what patient safety topics most interest you and what you are looking for when you attend a patient safety event.  We are asking you to take about 5 – 10 minutes to complete the below survey.

As always, your responses will be kept anonymous and only looked at in the aggregate of your peers and colleagues.

Thank you in advance for your time and insight.

Regards,

Michelle Clarke

PSQH Editor
mclarke@blr.com

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* 1. Which of the following best describes your place of employment?

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* 2. Which of the following best describes your title/position?

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* 3. What size is your facility?

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* 4. Which of these topics interests you the most?

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* 5. How likely are you to attend an event on one or more of the above topics?

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* 6. Please list suggested speakers you would like to hear speak at the conference. If you or someone from your facility has a topic you would be interested in presenting, please provide your contact information below and a brief ( 2 to 4 sentence) summary on the topic you are considering.

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* 7. Given your schedule and the amount of information you would like to receive, how long of a conference would most interest you?

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* 8. What conference format appeals to you the most? Select all that apply.

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* 9. Which type of session is a more valuable conference experience for you? Rank in order of importance - 1 Most - 3 Least Valuable

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* 10. Where is your preferred location to attend a live event?

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* 11. If you cannot attend a live event, would you consider attending a virtual event if one were offered?

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* 12. All factors considered equal, would you prefer an in-person event or a virtual event?

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* 13. Do you have any additional comments?

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* 14. If you would like to participate in a focus group or call with PSQH or BLR,  please provide your contact information below. Thank you for your time and insight.

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