Periop Quality of Life Survey
Please share your experience working in the Operating Room. Only de-identified data is shared.
How often do communication gaps affect your workday?
Not at All
1
2
3
4
Extremely Often
5
1 is Not at All, 5 is Extremely Often
How easily can you independently overcome obstacles?
Very Easy
1
2
3
4
Extremely Difficult
5
1 is Very Easy, 5 is Extremely Difficult
How accessible is accurate knowledge in your workplace?
Very Easy
1
2
3
4
Extremely Difficult
5
1 is Very Easy, 5 is Extremely Difficult
How often does planning lead to process breakdowns?
Multiple Times a Day
1
2
3
4
Once a Month
5
1 is Multiple Times a Day, 5 is Once a Month
How often do you see process performance metrics?
Multiple Times a Day
1
2
3
4
Once a Month
5
1 is Multiple Times a Day, 5 is Once a Month
How often do you see role-specific performance metrics?
Multiple Times a Day
1
2
3
4
Once a Month
5
1 is Multiple Times a Day, 5 is Once a Month
Regarding your Primary work location
Tell us about your environment.
What is your average turnover time?
What is your monthly case volume?
How many Operating Rooms?
What is your most common service line?
Please Select
Cardiothoracic
Endoscopy
General
Gynecological
Neurology
Oncology
Orthopedics
Otolaryngology
Pain Management
Pediatric
Plastic and Reconstructive
Podiatric
Urological
Vascular
What’s your team’s most common communication method?
By Phone
By Huddle
By Mobile Text Message
By Mobile App
By Vocera
By Email
By EHR Messaging Tools
Other
What are some common challenges you face with this method?
How many technology solutions do you use to plan, communicate, and monitor your work?
What’s your preferred method of communication?
By Phone
By Huddle
By Mobile Text Message
By Mobile App
By Vocera
By Email
By EHR Messaging Tools
Other
What are some of the benefits you gain from this method?
List your current solutions and their purposes.
What mobile apps have you heard of?
Cheify
OpComm
Events
Slack
Microsoft Teams
ORHub
Other
Other Mobile Application:
What challenges do you face with these mobile applications?
What do these applications do well?
What Electronic Medical Record System are you using?
Epic Systems / Optime
LiveData
Picis
Steris
Cerner
MEDITECH
Allscripts
NextGen Healthcare
eClinicalWorks
Agenda
SurgiChart
McKesson
Other
Other Electronic Medical Record System:
What challanges do you have with this EMR?
What does this EMR get right?
Share your Priorities
Tell us what has the most impact on your work.
Clear, complete communication.
Not Important
1
2
3
4
Very Important
5
1 is Not Important, 5 is Very Important
Real-time process status.
Not Important
1
2
3
4
Very Important
5
1 is Not Important, 5 is Very Important
Accessible, accurate information.
Not Important
1
2
3
4
Very Important
5
1 is Not Important, 5 is Very Important
Consistent resource deployment.
Not Important
1
2
3
4
Very Important
5
1 is Not Important, 5 is Very Important
Overall Quality of Life
Share your experience rating.
Access to process knowledge.
1
2
3
4
5
Are you confident in resolving job-related roadblocks?
Communication among team members.
1
2
3
4
5
Is everyone on the same page?
Visibility into your performance.
1
2
3
4
5
Do you have the tools you need to advance your career?
Match team members to cases.
1
2
3
4
5
Is everyone able to experience new things?
Urgent communication quality.
1
2
3
4
5
Does everyone know how to handle emergencies?
Viability to your team’s performance.
1
2
3
4
5
Do you know what you could do better?
What are the biggest challenges in implementing tools to improve knowledge sharing, plan adaptability, and monitor performance in your Operating Room?
Help us understand your experience.
Demographics reveal differences in how OR professionals experience this dynamic environment.
What is your Primary Role?
Please Select
Anesthesia Technologist
Anesthesiologist
Billing & Insurance Specialist
Certified Registered Nurse Anesthetist
Charge Nurse
Circulating Nurse
Clinical Research Coordinator
Medical Records Clerk
Operating Room Manager
Pathologist
Patient Advocate
Patient Transport
Perfusionist
Physician Assistant
Postoperative Nurse
Preoperative Nurse
Purchasing
Radiology Technologist
Recovery Nurse
Resident
Scheduling
Scrub Nurse
Sterile Processing Technologist
Surgeon
Surgery Scheduler
Surgical Assistant
Surgical Technologist
Unit Coordinator
Vendor
What is your Primary Speciality?
Please Select
Cardiothoracic
Endoscopy
General
Gynecological
Neurology
Obstetrics
Oncology
Orthopedics
Otolaryngology
Pain Management
Pediatric
Plastic and Reconstructive
Podiatric
Urological
Vascular
What type of perioperative environments do you work in?
Ambulatory Surgery Center
Trauma Hospital
Community Hospital
Teaching Hospital
What is your gender?
Female
Male
Non-binary
Prefer not to answer
What is your age range?
18-24
25-34
45-54
55-64
65+
Contact & Engage
How can we reach you?
Name
First Name
Last Name
Please share your email address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Interested in Participating?
Expanded Interviews
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Purchase
Invest
Have a question?
Be sure to provide a method to reach you.
Submit
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