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Harms to Patients SurveyChristina2022-06-16T17:43:09+00:00

Harms to Patients Survey

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Provider Type of Survey Respondent*
Over the past 7 days, how often did you receive a problematic handoff? (e.g., information that was clinically important was not given to you, or you received inaccurate information)*
Please keep these definitions in mind when answering the next set of questions.

Minor Harm: Limited clinical consequence—such as a need for more frequent monitoring or transient discomfort, without prolongation of hospitalization, significant organ dysfunction or worsening of clinical condition.

Major Harm: Significant clinical consequences such as deterioration in clinical status, organ dysfunction, prolonged hospitalization, disability beyond discharge, or death.
01234>4
Over the past 7 days, please estimate the number of your patients who experienced a MINOR harm as a result of a problematic handoff that you received.
Over the past 7 days, please estimate the number of your patients who experienced a MAJOR harm as a result of a problematic handoff that you received.
01234567
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