Anticoagulation Manager Mobile App User Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

04_ACM Survey Instrument screen shot 02-02-2018

Anticoagulation Manager Mobile App User Feedback

OMB: 0920-0974

Document [pdf]
Download: pdf | pdf
Fast Track Anticoagulation Manager Mobile App Survey

Thank you for taking this voluntary survey to help us understand how well the Anticoagulation
Manager (ACM) mobile app has been serving the needs of our intended users. The feedback you
provide will also inform app updates.
The survey questions will take approximately 5 minutes to complete. Your responses will be
anonymous and no unique identifying information will be sought or kept. The feedback we receive
will be used by our program in aggregate only.
INSTRUCTIONS:
Please respond to each question by clicking on the button beside the option(s) that best reflect(s)
your opinion. When you have completed answering the questions, click on the ‘thank you for taking
the survey’ button, then exit the page.
Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0974).

Did you encounter any difficulties using the app? (Select all that apply)
Difficulty with the navigation tools at the bottom of the screen.
Difficulty determining where I was in the application.
Buttons did not take me where I expected to go.
Choices were difficult to understand.
References and popup notes were not as relevant or useful as they could have been.
Technical difficulties such as error messages, app crashes, etc.
No difficulties
Other (please specify)

1

For the following statements, please select the responses which most accurately reflect your opinions
about using the app:
Strongly
Disagree

Disagree

Neutral

Agree

Strongly Agree

N/A

This app provides me
with the right information
necessary to manage a
patient on
anticoagulants: (Select
One)
I am more confident
managing patients on
anticoagulants using this
app: (Select One)
When I use this app, I
am more likely to
prescribe the optimal
anticoagulant dose for
the patient: (Select One)

What is your gender?
Male
Female

What is your age group?
20-29 years old
30-39 years old
40-49 years old
50-59 years old
60-69 years old
70-89 years old

2

* Why are you interested in the ACM App (Select all that apply)?
I am a physician
I am a pharmacist
I am a registers nurse
I am a nurse practitioner
I am a medical student
I am a physician assistant
I am a clinical laboratory scientist
I am a patient taking anticoagulants
Other (please specify)

3

Fast Track Anticoagulation Manager Mobile App Survey

Describe your medical training experience.
Post-graduate/Residency Year 1
Post-graduate/Residency Year 2
Post-graduate/Residency Year 3 or higher
Practicing 1-5 years
Practicing 6-10 years
Practicing 11-20 years
Practicing 21 years or more

4

Fast Track Anticoagulation Manager Mobile App Survey

Describe your practice setting: (select all that apply)
Solo practice (private)
Group practice - single specialty
Group practice - multi-specialty
Hospital employed physician practice (integrated health care delivery)
Academic hospital
Community hospital
Veterans Administration (VA)
Other (please specify)

5

Fast Track Anticoagulation Manager Mobile App Survey

What are your specialties? (Select all that apply)
Family Medicine
General Internal Medicine
Emergency Medicine
Critical Care (Intensivist)
Hospitalist
Pediatrics
Hematology
Oncology
Cardiology
Pathology
Ob/Gyn
Surgery
Laboratory Medicine
Other (please specify)

6

Fast Track Anticoagulation Manager Mobile App Survey

Please select all of the following statements that apply:
Overall, I found this application was easy to use.
Overall, I found this application was quick to use.
Overall, I found the terms used in this application were clear.
Overall, I feel satisfied using the app to navigate to the correct clinical recommendation.
I felt more confident in the validity of the clinical decisions I make by using the app.
I would use this as a resource to help manage patients on anticoagulants.
I would recommend this application to others.

Thank you for taking the survey. If you have further comments please contact us through [email protected]

7


File Typeapplication/pdf
File TitleView Survey
File Modified2018-02-02
File Created2018-02-01

© 2024 OMB.report | Privacy Policy