Quality Assurance / Quality Improvement

QA/QI
Quality Assurance / Quality Improvement

PATIENT SATISFACTION SURVEY

All information provided will be kept anonymous. Feel free to provide as little or as much information as you want, but keep in mind the more information you provide the better able we are to make the necessary changes. Thank you for your cooperation.

Call Type: Abdominal Pain Allergic Reaction Altered Mental Status Auto Collison Bleeding Burns Cardiac Problem / Chest Pain Difficulty Breathing Dizzyness Injured Person Seizure Sick Person Other (please explain in comments) Poision / Overdose Unconscious

Please Please rate the following:

The quality of your care: excellent good average fair poor

Was your care provided in a friendly manner? I'm not sure No Yes

The clarity of explanations: excellent good average fair poor

The competency of the crew: excellent good average fair poor

Would you feel comfortable if UDECU provided you with care in future emergencies? I'm not sure No Yes

Do you feel you received appropriate care for your injury/illness? I'm not sure No Yes

Did you feel safe during your care? I'm not sure No Yes

Please place any additional below: