Sandbox:survey: Difference between revisions
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Please add questions to this page that can be used for a survey regarding a study sleep deprivation related accidents of health care professionals. | |||
Please use this check mark to add options to your question. ❑ | |||
==Questions== | |||
*What kind of health care professional are you? | |||
❑Intern | |||
❑Resident | |||
❑Attending | |||
❑RN | |||
❑Tech | |||
❑Administrative position | |||
❑ | |||
❑ | |||
❑ | |||
*Which specialty do you belong to? | |||
❑Internal Medicine | |||
State subspecialty : ______ | |||
❑Surgery | |||
❑Radiology | |||
❑Anesthesia | |||
❑FM | |||
*Do you drive? | |||
*How long is your commute? | |||
*Have you ever been in a near accident? | |||
*Have you ever been in an accident after your shift? | |||
*How many hours do you sleep? | |||
What healthcare role do you have in the hospital setting? | What healthcare role do you have in the hospital setting? | ||
❑Intern | |||
❑Resident | |||
❑Fellow | |||
❑Attending | |||
❑Other healthcare professionals | |||
How do you go back home after duty hours? | How do you go back home after duty hours? | ||
❑Drive | |||
❑Commute | |||
❑Walk | |||
How many hours a week do you work? | How many hours a week do you work? | ||
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Have you ever felt drowsy/fatigued after the shift? | Have you ever felt drowsy/fatigued after the shift? | ||
❑Yes | |||
❑No | |||
Have you ever felt drowsy while driving after the shift? | Have you ever felt drowsy while driving after the shift? | ||
❑Yes | |||
❑No | |||
Have you ever had an accident while driving after the shift? | Have you ever had an accident while driving after the shift? | ||
❑Yes | |||
❑No | |||
What was the extent of damage to you in that accident? | What was the extent of damage to you in that accident? | ||
❑Minor | |||
❑Moderate | |||
❑Severe | |||
What was the extent of damage to the health of other persons involved in the accident? | What was the extent of damage to the health of other persons involved in the accident? | ||
❑Minor | |||
❑Moderate | |||
❑Severe | |||
What was the extent of damage to the vehicle you were driving? | What was the extent of damage to the vehicle you were driving? | ||
❑Minor | |||
❑Moderate | |||
❑Severe | |||
What was the extent of damage to other vehicles involved in the accident? | What was the extent of damage to other vehicles involved in the accident? | ||
❑Minor | |||
❑Moderate | |||
❑Severe | |||
Revision as of 17:04, 4 August 2017
Please add questions to this page that can be used for a survey regarding a study sleep deprivation related accidents of health care professionals. Please use this check mark to add options to your question. ❑
Questions
- What kind of health care professional are you?
❑Intern ❑Resident ❑Attending ❑RN ❑Tech ❑Administrative position ❑ ❑ ❑
- Which specialty do you belong to?
❑Internal Medicine State subspecialty : ______ ❑Surgery ❑Radiology ❑Anesthesia ❑FM
- Do you drive?
- How long is your commute?
- Have you ever been in a near accident?
- Have you ever been in an accident after your shift?
- How many hours do you sleep?
What healthcare role do you have in the hospital setting? ❑Intern ❑Resident ❑Fellow ❑Attending ❑Other healthcare professionals
How do you go back home after duty hours? ❑Drive ❑Commute ❑Walk
How many hours a week do you work?
What is the duration of your maximum shift?
Have you ever felt drowsy/fatigued after the shift? ❑Yes ❑No
Have you ever felt drowsy while driving after the shift? ❑Yes ❑No
Have you ever had an accident while driving after the shift? ❑Yes ❑No
What was the extent of damage to you in that accident? ❑Minor ❑Moderate ❑Severe
What was the extent of damage to the health of other persons involved in the accident? ❑Minor ❑Moderate ❑Severe
What was the extent of damage to the vehicle you were driving? ❑Minor ❑Moderate ❑Severe
What was the extent of damage to other vehicles involved in the accident? ❑Minor ❑Moderate ❑Severe