15
Patient safety questionnaire
Thinking about the healthcare you have received from the Surgery in the last 12 months, to what extent would you agree that delivering safe care was top of the agenda for the surgery?
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to the diagnosis of your problems ( eg wrong diagnosis)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to the medication prescribed or given to you at the surgery ( e.g. receiving medication for the wrong patient, dose error?
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to other treatments prescribed or administered at the surgery ( e.g. minor surgery, joint injections)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to vaccines prescribed or administered at the surgery ( e.g. receiving a vaccine it was known you were allergic to?)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to blood tests and other laboratory tests ordered or performed at the surgery ( e.g. test results being misplaced)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to diagnostic and monitoring procedures other than blood and laboratory tests ( such as ear examuination or smear) ordered or performed at the surgery? ( e.g. not receiving the procedure when needed)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to communication between you and the healthcare professionals in the surgery ( e.g. not receiving the information you needed about you health problems or healthcare)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to communication and co-ordination between professionals in your GP surgery and other professionals outside of the GP surgery ( e.g. a letter being missed from a hospital consultant)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to your appointments ( e.g. not getting an appointment when you needed one)
Thinking about the healthcare you have received in your GP surgery in the last 12 months do you believe you had any problem related to your health records (e.g. your health record not being available when needed)
Is there a problem we have missed? Please describe.
If you have experienced a safety problem in the last 12 months can you describe what happened?
If you have had a safety problem at the surgery in the last 12 months what did you do about the problem, if anything? Select all the boxes the apply.
Is there anything you would like to share with us to help us in ensuring we are the safest we can be as a GP surgery?