Appendix G - Full (blank) copy of the survey instrument (questionnaire)

SIMPATIE EUROPEAN PATIENT SAFETY MAPPING

Country data:

Question 1 - STANDARD DEFINITION OF PATIENT SAFETY USED IN YOUR COUNTRY

The Council of Europe (CoE) has been working on a glossary of terms relating
to patient safety. We would like to find out whether there is a standard recognised
definition of patient safety being used in your country and if so, how does it match
the definitions the CoE are considering. The CoE definitions (see also attachment
by mail) of patient safety are:

Translation:

§ French : sιcuritι des patients
§ Spanish : seguridad clνnica
§ German : patientensicherheit

Definitions being considered by the CoE:

§ patient safety : freedom from accidental injuries during the course of medical care;
activities to avoid, prevent, or correct adverse outcomes which may result from the
delivery of health care. (IOM 2000; AHA&HRET&ISMP, 2002)

§ patient safety : the identification, analysis and management of patient-related risks
and incidents, in order to make patient care safer and minimise harm to patients.
(IOM 2000, NPSA, 2004)




Question 2 - NATIONAL AGENCIES / BODIES and/or INSTITUTIONS

A. Which national agencies/institutions in your country specialise in patient
safety or are responsible for reducing the number of patient safety incidents?
Could you give us their contact details?

B. Is their role principally or only partly related to patient safety?

C. In which areas of patient safety do they operate? eg, adverse events data
collection, the environment of care, medical devices, etc

In this question we ask you to provide us with the contact details of the organi-
sations and your view on their areas of expertise. You can use the framework
below. Please explain any abbreviations you may use.

In particular, please comment on the format of this question – for example, would
additional categories for expertise be useful? If so, what would be useful to add?




Question 3 - TAXONOMY FOR PATIENT SAFETY



Question 4 - STANDARDS AND/OR GUIDELINES

Does your country have patient safety standards and/or guidelines? If so,
can you supply us with copies of them?

A. Which subjects are covered by the standards/guidelines? For example:
medication, blood, infection, medical devices, clinical etc.
B. If the standards/guidelines are written in your own native language,
do you also have translations into other languages?
C. At what level are the guidelines developed? For example: national, local,
by specialised institutions, by groups of professionals, by patient organisations.

In this question we would like you to give information for each standard/guideline,
which your country wants to share. For the internet site we could consider to
translate guidelines from the native language to the English language.

To some questions you have the possibility of more answers.





Question 5 - EXPERTS

Could you provide us with the names, contact details and additional information
of experts in the field of patient safety in your country?

Within national health services there are often a number of professionals with a
high level of expertise in their field. Some of these individuals promote the need
to improve quality of services and reduce risks associated with treatment. We are
interested in learning more from these experts and from their published work.

After you have given us the names and contact details of experts, we will approach
them to ask further information, amongst others their publications and their permis-
sion to add the information on the SIMPATIE website.




Question 6 – NATIONAL REPORTING SYSTEM




Question 7 – LOCAL INCIDENT REPORTING SYSTEMS




Question 8 – NO FAULT COMPENSATION




Question 9 – LEGAL DISCLOSURE OF PATIENT SAFETY INFORMATION




Question 10. – PUBLIC AVAILIBILITY OF PATIENT SAFETY DATA

Is data on the following publicly available?



Question 11. – LIABILITY ARRANGEMENTS




Question 12 – WHISTLE-BLOWING POLICY




Question 13 - PROFESSIONAL PATIENT SAFETY MEMBERSHIP ORGANISATIONS




Question 14 - HEALTHCARE RISK MANAGEMENT QUALIFICATIONS




Question 15 – RISK MANAGEMENT OR PATIENT SAFETY MANAGERS




Question 16 – PATIENT SAFETY TRAINING FOR HEALTHCARE STAFF




Question 17 – SPECIALIST PATIENT SAFETY PATIENT ORGANISATIONS




Question 18 – NATIONAL PATIENT SAFETY CAMPAIGNS



Question 19 – PEER REVIEW SCHEMES



Question 20 – THE ROLE OF EUROPEAN BODIES IN PATIENT SAFETY

In your opinion, is there a role for European bodies in respect of the following?



Question 21 – LEARNING ABOUT PATIENT SAFETY

Are the following resources freely available in the native language for healthcare
professioanls, managers, and policy makers?

By individual clinician By department By healthcare organisation Nationally Mortality data Falls in care settings Deaths while in restraint Deaths in accident and emergency department Deaths while on intensive care Deaths following trauma Healthcare acquired infections Suicide in care settings Suicide within one months of seeking professional advice Maternal deaths Peri-operative deaths Still births Infant deaths within hospitals

11a. Is there a medical defence organisation based in your country? Yes/No 11b. Do clinicians use medical defence organisations based in other countries? Yes/No Please provide some brief details: 11c. Are there any other malpractice protection schemes used in your country? Yes/No Please provide some brief details: 11d. Who are the premiums usually paid by? Individual clinicians Yes/No Employer Yes/No The State Yes/No Any other comments:

Is there a national whistle-blowing policy? Yes/No Please could you provide the details:

13a) Does your country have a professional/membership society for healthcare risk/patient safety managers/specialists? Yes/No b) If yes, please provide the contact details: Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website: c) If yes, are there any entry requirements? Yes/No Please could you provide the details:

14a) Are there professional healthcare risk management qualifications available in your country? Yes/No b) If yes, please provide examples and the contact details of the providing organisations Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website: Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website:

15. Are healthcare organisations required to have a risk management or patient safety manager? Yes/No If yes, please provide details:

16. Is patient safety training a required part of training in respect of: a) Medical undergraduates? Yes/No If yes, please provide details: b) Medical postgraduates? Yes/No If yes, please provide details: c) Qualified nursing staff? Yes/No If yes, please provide details: d) Other clinical staff? Yes/No If yes, please provide details: d) Healthcare Managers? Yes/No If yes, please provide details:

17. Are there any patient organisations the main focus of whose mission is patient safety? Yes/No If yes, please provide contact details: Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website: Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website:

18. Within the past three years, have there been any national patient safety campaigns? a) Addressed to healthcare professionals? Yes/No If yes, please provide details: b) Addressed to healthcare managers Yes/No If yes, please provide details: c) Addressed to healthcare purchasers Yes/No If yes, please provide details: d) Addressed to patients or the public Yes/No If yes, please provide details:

19a. Are there any professional peer review systems with the aim of reducing healthcare mishaps? Yes/No b) If yes, please could you provide details? c) Please could you provide contact details for the scheme? Organisation: Contact name: Address: Postcode: Country: Telephone number(s): Email: Website:

Issue Yes No If yes, which body What should that body be doing? a) Patient safety generally b) Reduction of medication errors c) Wrong site surgery d) Sharing information about incompetent/dismissed clinicians e) Setting patient safety standards f) Improving patient safety informa-tion to professionals g) Improving patient safety infor-mation to the patients or the public h) Reducing blood borne infections i) Reducing hospital acquired infections j) Suicide prevention incare settings k) Reducing falls in care settings l) Reducing falls in the community m) Other – please state]

Resource Yes If no, would this be helpful? a) Institute of Medicine Report “To err is human” b) Building a Safer NHS c) Seven steps to patient safety d) NPSA Risk Alerts e) Joint Commission Risk Alerts f) Details of the IHI “Saving 100,000 lives” campaign g) Danish Patient Safety Law a) Examples of patient safety standards from other countries? (give examples) b) Any other resources? Please provide examples

9a) Is information collected on clinical incidents protected from legal discovery/disclosure? Yes/No Comments: 9b) Is there any legal requirement to inform the patient of any adverse event that has effected them during their course of care? Yes/No Comments:

a) Is there a no fault compensation system? Yes/No Comments: b) If yes, what are the contact details of the organisation co-ordinating the no fault compensation system? Comments:

7a) Are healthcare organisations required to have a local incident reporting system? Yes/No If yes, please answer points b) to h) b) Please provide details of the requirement to have such a system (eg, is it a national standard, legal requirement, good practice, etc) c) Are systems required to collect information on near misses? Yes/No d) Is the data protected from legal inquiry? Yes/No e) Are the systems connected in any way to litigation? Yes/No f) How is the data collected used? Please briefly explain g) If yes to question 7e, what systematic approaches are used? (eg, root cause analysis, process mapping). Please list - - h) Can patients report incidents directly to such local reporting systems Always/Never/Sometimes

6a) Is there a national incident reporting system? Yes/No If yes, please answer points b) to i) b) Please provide contact details: a) Address: Postcode: Country: Telephone number(s): Email: Website: c) Does the system collect information on near misses? Yes/No d) Is the data protected from legal inquiry? Yes/No e) Is the system connected in any way to litigation? Yes/No f) How is the data collected used? (Please briefly describe) g) Is there a system for analysing reported events? Yes/No h) If yes to question 6f, what systematic approaches are used? (eg, root cause analysis, process mapping). Please list - - i) Can patients report incidents directly to the national reporting system Yes/No

Expert Name X: Area of expertise: Address: Postcode: Country: Telephone number(s): Email: Website: Additional info:

Guideline X �� �� please attach …………………………………………………………………………………………….. Relating to: �� Medication �� Blood �� Infection �� Medical devices �� Clinical �� Other: …………. Language: �� Native language �� Translated into: ……………………………… Developed: �� At national level �� At local level �� By specialised institutions �� By groups of professionals �� By patient organisations

Does your country have a taxonomy to classify incidents or adverse events relating to patient safety? A. In your native language? �� Yes �� �� please attach �� No B. Translated into another language? �� Yes �� �� please attachment �� French �� Spanish �� German �� Other: ………………………………… �� No Comments re: Question 3:

Organisation name: Website: �� Principal role is patient safety �� Patient safety accounts for only part of their role Address, postcode, place, telephone number etc. Expertise: �� infection control �� medicines management �� adverse events/near miss reporting �� adverse events reduction �� issuing risk alerts �� environment of care �� safe medical devices use �� implementing standards relating to patient safety �� training for better patient safety �� mobilising patient/consumer input to safer care �� awareness raising on patient safety �� others (please state) ……………….. �� ALL OF THE ABOVE

Does your country have a recognised definition on patient safety? (The definition should be recognised by some official authority rather than a definition used by custom and practice) A. In your native language? If yes, could you send us your definition? �� Yes �� see attachment �� No �� go to next question B. Is this definition, as mentioned in translated in other languages? �� Yes �� see attachment �� French �� Spanish �� German �� Other: ………………………………… �� No C. What is the national authority which has recognised this definition? Name: Website address: D. Do you consider there are significant differences between your country’s definition and those being considered by the Council of Europe? �� Yes �� see remarks below �� No E. Remarks and additional information