Questionnaire/survey

QualityTools

Clinician & Group Survey and Reporting Kit 03/19/08

This kit contains survey instruments and the information needed to administer the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Clinician & Group Survey and to analyze and report the results.

Materials in this kit include:

  • Questionnaires for adults and children who have visited a physician:
    • Adult primary care
    • Adult specialty care
    • Child primary care
  • Protocols and sample...
Patient- and Family-Centered Care Organizational Self-Assessment Tool 03/19/08

This self-assessment tool, developed by the Institute for Healthcare Improvement (IHI) in conjunction with the National Initiative for Children’s Healthcare Quality (NICHQ), allows organizations to understand the range and breadth of elements under patient- and family-centered care and to assess where they are against the leading edge of practice.

The tool can help providers assess their ability to integrate patients and family members into the care process in ways that help them...

15+ Make Time to Listen--Take Time to Talk...About Bullying 12/17/07

This material is part of “15+ Make Time to Listen Take Time to Talk,” an initiative to promote healthy child development and prevent youth and school-based violence. The Web site provides interactive questions to encourage 15 or more minutes of undivided conversation per day between parents/caregivers and children. Schools, adults, and children can use these questions to start conversations about bullying and how to prevent it.

The Web site provides questions in the...

Tips to Weight Loss Success 12/17/07

This tool offers patients simple tips and suggestions on creating a successful weight loss plan. It includes the following:

  • Tips on eating and engaging in physical activity in order to lose weight
  • Self-administered questionnaire to determine the patient’s weight and health profile
Medical Expenditure Panel Survey (MEPS) 12/17/07

The Medical Expenditure Panel Survey (MEPS) is a set of large-scale surveys of families and individuals, their medical providers, and employers across the United States. MEPS is the most complete source of data on the cost and use of health care and health insurance coverage.

MEPS collects data on the specific health services that Americans use, how frequently they use them, the cost of these services, and how they are paid for, as well as data on the cost, scope, and breadth of...

Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory Pharmacy 12/17/07

This self assessment is a comprehensive tool designed to help health care providers and their staff assess the safety of medication practices in their pharmacy, identify opportunities for improvement, and compare their experience with the aggregate experiences of demographically similar community pharmacies around the Nation.

It is divided into the following 10 elements:

 

  • Patient information
  • Drug information
  • Communication of drug orders...
Checklist of Hand Hygiene Interventions 12/17/07

This checklist offers interventions to increase overall compliance with hand hygiene guidelines in a health care setting.

The interventions on this checklist address the following areas:

  • Making changes on the walls and countertops and in the supply closet
  • Actions for infection control professionals, patient safety managers, quality managers, nurses, and supply personnel
  • Required policies/rules/training/awareness
  • Promoting culture change
  • Agency...
The Heart Truth: Questions to Ask Your Doctor/What's Your Risk? 12/17/07

This tool presents questions that patients can ask their doctors about heart health, as well as a quiz for assessing heart attack risk. It is part of the Heart Truth campaign to raise awareness about heart disease among women.

2005 ISMP Medication Safety Self Assessment(r) for Antithrombotic Therapy in Hospitals 12/17/07

This tool is designed to help hospitals assess their medication safety practices surrounding the use of antithrombotic therapy. Many of the items included in the tool represent system improvements and safeguards that the Institute for Safe Medication Practices (ISMP) has recommended in response to the analysis of medication errors reported to the U.S. Pharmacopeia-ISMP Medication Errors Reporting Program, problems identified during on-site consultations with hospitals, and guidelines in the...

Check For Safety: A Home Fall Prevention Checklist for Older Adults 12/17/07

This 15-page checklist will help consumers find and fix hazards in their homes that may result in falls. The checklist asks about hazards found in each room and tells how to fix the problem.

The checklist includes the following sections:

  • Floors in each room
  • Stairs and steps inside and outside of the home
  • Kitchen and eating areas
  • Bedrooms
  • Bathrooms
  • Other things you can do to prevent falls
  • Other safety tips

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