Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Objectives:

  • - Open discussion guided by several specific questions. - Time together: 60 minute discussion groups. - This discussion is INFORMAL. Relax and enjoy yourself. - There are no right or wrong answers. We are interested in your opinions, no matter what they are. - Please be considerate of other opinions. If you disagree with what someone else said feel free to talk about it. But we want to keep this discussion friendly. - Assurance: Confidential discussion where open, honest feedback is critical. Objective is to learn about the organization's culture from the employees' and leaders' perspectives.

  • 1. Please tell me your name and role.

  • 2. Tell me about what is going well at this organization?

  • 2 - Additional Notes

  • 3. If you could change one thing to improve the patient experience here, what would it be?

  • 3 - Additional Notes

  • 4. Give me an example of a time when change was implemented successfully from senior leadership down to front line staff.

  • 4a. What made that change so successful?

  • 4a - Additional Notes

  • 4b. If none, what have been the biggest barriers/break downs in previous change initiatives?

  • 4b - Additional Notes

  • 5. Tell me how your patient experience scores are used in your department. Is the patient experience a priority here?

  • 5 - Additional Notes

  • 6a. Do you feel this is a great work environment? (look for strengths and/or gaps for a satisfied/engaged workforce)

  • 6a - Additional Notes

  • 7. How would you assess your relationship with physicians? How do you support them and how do they support you?

  • 7 - Additional Notes

  • 8. Describe how leaders are held accountable?

  • 8 - Additional Notes

  • 9. Can you explain how staff are held accountable here at (name of hospital)?

  • 9 - Additional Notes

  • 10a. How are high achievers recognized?

  • 10a - Additional Notes

  • 10b. How are under achievers dealt with?

  • 10b - Additional Notes

  • 11. Do you feel like you receive the information you need to do your job? Explain.

  • 11 - Additional Notes

  • 12. Do you feel like your input is valued? Explain.

  • 12 - Additional Notes

  • 13. What do you believe is the ideal culture for (name of hospital)? What would you define as success?

  • 13 - Additional Notes

  • 13a. What is already in place to support that culture?

  • 13a - Additional Notes

  • 13b. What barriers do you have that are preventing that culture?

  • 13b - Additional Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.