AHRQ Safety Program for Mechanically Ventilated Patients
What Is the Purpose of This Tool?
The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient safety.
Who Should Use This Tool?
All health care providers and administrative staff on the unit should use this tool.
When Should This Tool Be Used?
Assessing safety should be considered an iterative process with no defined end. It can be completed by any health care provider at any time. All health care providers on the unit should complete this tool at least twice a year.
How Should This Tool Be Used?
Provide as much detail as possible when answering the questions. Leave your completed safety assessment form at the location designated by the safety program team. You may complete the tool anonymously.
Staff Safety Assessment Tool
| Name: |
| Unit: |
| Date: |
| How do you think the next patient in your unit/clinical area will be harmed? |
| What do you think can be done to prevent or minimize this harm? |
| In your opinion, how can we get patients off the ventilator faster? |
Thank you for helping to improve safety on your unit.
