inputSchema: type: object properties: title: Patient Safety Assessment Survey pages: - id: 1 name: patient_safety_risks label: What are the perceived safety risks to the patient? hint: null type: text options: [] required: false - id: 2 name: patient_safety_suggestions label: How would you suggest patient safety protocols? hint: null type: text options: [] required: false - id: 3 name: patient_safety_response label: How safe do you feel when receiving care from our healthcare team? hint: null type: date options: [] required: false - id: 4 name: patient_safety_team_interactions label: How safe do you feel when interacting with our healthcare team? hint: null type: select_one options: - Always - Sometimes - Rarely required: false - id: 5 name: safety_incidents label: Have you experienced any safety incidents or near misses? hint: null type: checkbox options: - Option A - Option B required: false - id: 6 name: patient_safety_training label: Do you feel we provide adequate training on patient safety? hint: null type: select_one options: - Agree - Disagree - Neutral required: false - id: 7 name: safety_issues label: Have you noticed any safety-related issues or concerns? hint: null type: text options: [] required: false - id: 8 name: patient_safety_perception label: What is your overall perception of patient safety in our healthcare setting? hint: null type: text options: [] required: false - id: 9 name: patient_safety_suggestions_improve label: What is your experience with reporting safety incidents in our healthcare setting? hint: null type: text options: [] required: false - id: 10 name: patient_safety_protocol_implement label: What safety protocols do you suggest we implement to prevent future incidents? hint: null type: text options: [] required: false - id: 11 name: patient_safety_response_time label: Patient Safety Response Time hint: null type: time options: [] required: false - id: 12 name: patient_safety_suggestions_improvement label: Do you have any safety-related suggestions for improvement? hint: null type: text options: [] required: false - id: 13 name: patient_safety_reporting label: Patient Safety Reporting hint: null type: text options: [] required: false - id: 14 name: patient_safety_response_protocol label: How do you feel about our response to patient safety concerns? hint: null type: select_multiple options: - Always - Mostly - Sometimes - Rarely - Never required: false - id: 15 name: patient_safety_suggestions_improve_incident label: What safety-related incidents have you noticed? hint: null type: text options: [] required: false - id: 16 name: patient_safety_suggestions_improvement_incident label: Patient Safety Suggestions Improvement Incident hint: null type: text options: [] required: false - id: 17 name: patient_safety_response_time_protocol label: Patient Safety Response Time Protocol hint: null type: date options: [] required: false - id: 18 name: patient_safety_response_concerns label: What is your feedback on our response to patient safety concerns? hint: null type: text options: [] required: false