Tools for Data Collection to Determine Facility Readiness to Treat Sepsis~Pediatric Sepsis Data CoLab Environmental Scan

Step 4 Caretaker Satisfaction Questionnaire - Assesses the patient-caretakers’ perspective of the quality of care they/their child received while at the facility. Step 5 Health Worker Satisfaction Questionnaire - Assesses health workers’ perspectives of the quality of care provided at the facility. Environmental Scan Feedback Survey - To be completed by data collector(s) and asks questions pertaining to the Scan’s relevancy and usability.

The intention of this form is to collect suggestions on what elements of the Scan to add, eliminate, or modify to inform future module updates. Written Report Of Results Feedback Survey - This survey asks questions pertaining to the presentation and value of the results report. NOTE for restricted files: If you are not yet a CoLab member, please complete our membership application survey to gain access to restricted files within 2 business days.

Some files may remain restricted to CoLab members. These files are deemed more sensitive by the file owner and are meant to be shared on a case-by-case basis. Please contact the CoLab coordinator on this page under "collaborate with the pediatric sepsis colab."