Patient Safety stories – Questionnaire 
Patient Safety [PS] is a discipline that aims to reduce and prevent risks, errors, and harm that occur during the delivery of healthcare in the government and private healthcare systems, WHO states that annually 2.6 million deaths take place in low and middle-income countries due to unsafe medication practices which are preventable.

NCD Alliance Lanka [NCDAL] and the Diabetes Association of Sri Lanka [DASL] are collaborating with Patient for Patient Safety Network Asia-Pacific (PFPSN-AP) to make healthcare more patient-centric by empowering Patient and family engagement of the Global Patient Safety Action Plan 2021–3 as per WHO strategic objective 4. Using Patient voices and stories of adverse events that have resulted in disability or death can be used as a preventive tool to augment PS. The secretariat of this network is hosted by the Patient Academy for Innovation and Research.

The mission of PFPSN-AP and the NCDAL and DASL is to highlight the need for patient safety, where everyone receives safe and high-quality medical care while reducing avoidable harm due to unsafe care across the globe. To do so, we are conducting a survey to assess the situational analysis of all countries in the AP region. It will only take about 5 minutes to complete. Participation is voluntary and anonymity and confidentiality maintained.
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Share your story to save lives! 

Do you have a personal story about an experience of medical harm with patient safety concerns? We invite you to share with us as we advocate for patient safety, where everyone receives safe and high-quality medical care.
 
Your experiences will be invaluable to avoiding unnecessary harm in the future. Your story matters and can help us advocate for the change that can save lives!

1. Have you or your family members experienced any harm while seeking healthcare? 

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If yes, was it;
2. What type of harm have you or your family member experienced?

3. When did it happen? Year and month? 

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4. Would you like to share your story in detail i.e. what and how did it happen? (Limit- 500 words) 

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5. What were the consequences of the harm to you or your family member? 

6.  Did you bring it to the notice of the medical provider/administration? 

7.  Did they acknowledge the harm?

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8.  How did you manage the event? Did you find a systemic mechanism to address your concerns?

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9. What could have been done to prevent this?

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10. If you could change anything what would you change?

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11. How can we engage patients and families to ensure patient safety?

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12. In your opinion what are the top three (3) areas for patient safety that need urgent attention?  

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