Safety Culture in a Nursing Home Survey

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0

Nursing home
0

Job title
0

Rate the safety in the nursing home according to the following :

Poor

Excellent

Staff training

Poor

Excellent

1 Poor

2

3

4

5 Excellent

Staff communication

Poor

Excellent

1 Poor

2

3

4

5 Excellent

Resident communication

Poor

Excellent

1 Poor

2

3

4

5 Excellent

Protocol adherence

Poor

Excellent

1 Poor

2

3

4

5 Excellent

Safety promotion

Poor

Excellent

1 Poor

2

3

4

5 Excellent
0

How active is the staff in improving resident safety?
Unsatisfactory

Poor

Fair

Good

Excellent
0

Have you been injured at work?
Yes

No
0

Please elaborate

0 / 5000
0

Has there been injuries to residents at work?
Yes

No
0

Please elaborate

0 / 5000
0

How often do injuries occur in the nursing home?
Never

Rarely

Monthly

Weekly

Daily
0

Are medical personnel on standby for emergencies?
Yes

No
0

Overall, how satisfied are you with the safety culture in the nursing home?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How can your work safety be improved? Comment briefly below.

0 / 5000