Sandbox:survey: Difference between revisions
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❑Yes | ❑Yes | ||
❑No | ❑No | ||
How long was the shift after which you had an accident/near accident/drowsiness while driving? | |||
What was the extent of damage to you in that accident? | What was the extent of damage to you in that accident? |
Revision as of 17:06, 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
How long was the shift after which you had an accident/near accident/drowsiness while driving?
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