NHS Purchasing and Supply Agency

Derbyshire Hospitals NHS Foundation Trust

Purchasing for patient safety: Assessment of safety of needle free systems -PHARMACY

Dear Colleague,

We are conducting this research amongst pharmacy staff to assess the needle free systems ChemoaideTM and TevadaptorTM. If you have not used these devices, please forward this document on to a colleague that has done so.

Your views are of great value to us and completion of the questionnaire should take around20 minutes of your time. The research is being conducted by an independent market research agency, Exodus Researchwhich is a full member of the Market Research Society and abides strictly by its Code of Conduct. Your individual answers will not be revealed to the project team or any other individual/ organisation and will be reported collectively with all other respondents.

To complete this document electronically, please use your mouse to select the box against the answers that best meet your views or by typing in your answer.Alternatively, to complete the questionnaire manually, please print this document. Please return your completed form by18 February 2008 (information on how to return the document is provided at the end of the questionnaire). Thank you in advance for your invaluable help.

If you would like a copy of the anonymised results of this research please give your email or name postal address opposite

Section 1: Current practice using needles

1. The following is a list of factors that may influence the ‘ease of use’ of needles for cytotoxic reconstitution. Please rank these to show which you believe to be most influential on ease of use, next most influential and so on. Please tick one box for each factor and ensure overall only one box in each column is selected.
If you wish to comment further, please write in the last row
Factor / Most influential / 2nd most influential / 3rd most influential / 4th most influential / Least influential
Size / 1 / 2 / 3 / 4 / 5
Packaging(ease of removal) / 1 / 2 / 3 / 4 / 5
Shape (ease of handling) / 1 / 2 / 3 / 4 / 5
Complexity of use / 1 / 2 / 3 / 4 / 5
Disposal after use / 1 / 2 / 3 / 4 / 5
Comments:
2. The following is a list of risks that may be associated with the current use of needles. Please rank these to show which you believe to be the highest risk, the next highest and so on. Please tick one box for each risk and ensure overall only one box in each column is selected.
If you wish to comment further, please write in the last row
Risk / Highest risk / 2nd highest risk / 3rd highest risk / 4th highest risk / Least risk
Contamination of environment / 1 / 2 / 3 / 4 / 5
Contamination of operator / 1 / 2 / 3 / 4 / 5
Disposal / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Spillage / 1 / 2 / 3 / 4 / 5
Comments:
3. Are you aware of any other risks associated with the use of needles for preparation of cytotoxic chemotherapy? / No / 1
Yes (please specify below) / 2
4. The following is a list of possible advantages of using needles for reconstitution. Please rank these to show which you believe to be the most advantageous, the next most advantageous and so on. Please tick one box for each advantage and ensure overall only one box in each column is selected.
If you wish to comment further, please write in the last row
Advantages / Most advantageous / 2ndadvantageous / 3rdadvantageous / 4thadvantageous / Least advantageous
Cheap / 1 / 2 / 3 / 4 / 5
Easy to use / 1 / 2 / 3 / 4 / 5
Safe / 1 / 2 / 3 / 4 / 5
Quick (time taken) / 1 / 2 / 3 / 4 / 5
Comments:
5. Are you aware of any other possible advantages of using needles for reconstitution? / No / 1
Yes (please specify below) / 2
6. The following is a list of possibledisadvantages of using needles for reconstitution. Please rank these to show which you believe to be most disadvantageous, the next most disadvantageous and so on. Please tick one box for each disadvantage and ensure overall only one box in each column is selected.
If you wish to comment further, please write in the last row
Disadvantage / Most disadvantageous / 2nd disadvantageous / 3rd disadvantageous / 4th disadvantageous / Least disadvantageous
Costs of consumables / 1 / 2 / 3 / 4 / 5
Complex technique / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Time taken / 1 / 2 / 3 / 4 / 5
Comments:
7. Are you aware of any other possibledisadvantages of using needles for reconstitution? / No / 1
Yes (please specify below) / 2

Section 2: ChemoaideTM Device

8. How easy was the Chemoaide needle free system to use? Please tick one box. If you wish to comment further please write in the box opposite / Very easy / 1 / Quite easy / 2
Quite difficult / 3 / Very difficult / 4
9. How long did it usually take to reconstitute cytotoxic drugs using the Chemoaide device?If you wish to comment further please write in the box opposite / Less than 10 seconds / 1 / 10 to under 30 seconds / 2 / 30 to under 60 seconds / 3
1 to 5 minutes / 4 / More than five minutes / 5
10. The following is a list of risks that may be associated with the use of Chemoaide compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the highest risk associated with the use of Chemoaide, the next highest and so on. Please tick one box for each risk and ensure overall only one box in each column is selected. If you wish to comment further, please write in the last row
Risk / Highest risk / 2nd highest risk / 3rd highest risk / 4th highest risk / Least risk
Contamination of environment / 1 / 2 / 3 / 4 / 5
Contamination of operator / 1 / 2 / 3 / 4 / 5
Disposal / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Spillage / 1 / 2 / 3 / 4 / 5
Comments:
11. Are you aware of any other risks associated with the use of Chemoaide for preparation of cytotoxic chemotherapy? / No / 1
Yes (please specify below) / 2
12. The following is a list of advantages that may be associated with the use of Chemoaide compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the most advantageous, the next most advantageous and so on. Please tick one box for each factor and ensure overall only one box in each column is selected.If you wish to comment further, please write in the last row
Advantage / Most advantageous / 2nd advantageous / 3rd advantageous / 4th advantageous / Least advantageous
Cheap / 1 / 2 / 3 / 4 / 5
Easy to use / 1 / 2 / 3 / 4 / 5
Safe / 1 / 2 / 3 / 4 / 5
Quick (time taken) / 1 / 2 / 3 / 4 / 5
Comments:
13. Are you aware of any other possible advantages of using Chemoaide for cytotoxic reconstitution? / No / 1
Yes (please specify below) / 2
14. The following is a list of disadvantages that may be associated with the use of Chemoaide compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the most disadvantageous, the next most disadvantageous and so on. Please tick one box for each disadvantage and ensure overall only one box in each column is selected. If you wish to comment further, please write in the last row
Disadvantage / Most disadvantageous / 2nd disadvantageous / 3rd disadvantageous / 4th disadvantageous / Least disadvantageous
Costs of consumables / 1 / 2 / 3 / 4 / 5
Complex technique / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Time taken / 1 / 2 / 3 / 4 / 5
Comments:
15. Are you aware of any other possible disadvantages of using Chemoaide for cytotoxic reconstitution? / No / 1
Yes (please specify below) / 2
16. Did any problems occur during the use of the Chemoaide device (including device failure, difficulty handling or connecting, etc.)? / No / 1
Yes (please specify below) / 2
17. Did any incidents occur during the use of Chemaide that resulted in an IR1 form being completed (e.g. major spillage, needle-stick injury, etc.)? / No / 1
Yes (please specify below) / 2
18. Do you think the use of Chemoaide offers ‘value for money’ for the trust? Please explain why you say this. / No (please specify below) / 1
Yes (please specify below) / 2

Section 3: TevadaptorTM Device

19. How easy was the Tevadaptor needle free system to use? Please tick one box. If you wish to comment further please write in the box opposite / Very easy / 1 / Quite easy / 2
Quite difficult / 3 / Very difficult / 4
20. How long did it usually take to reconstitute cytotoxic drugs using the Tevadaptor device?If you wish to comment further please write in the box opposite / Less than 10 seconds / 1 / 10 to under 30 seconds / 2 / 30 to under 60 seconds / 3
1 to 5 minutes / 4 / More than five minutes / 5
21. The following is a list of risks that may be associated with the use of the Tevadaptor system compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the highest risk associated with the use of Tevadaptor, the next highest and so on. Please tick one box for each risk and ensure overall only one box in each column is selected. If write any further comments in the last row
Risk / Highest risk / 2nd highest risk / 3rd highest risk / 4th highest risk / Least risk
Contamination of environment / 1 / 2 / 3 / 4 / 5
Contamination of operator / 1 / 2 / 3 / 4 / 5
Disposal / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Spillage / 1 / 2 / 3 / 4 / 5
Comments:
22. Are you aware of any other risks associated with the use of Tevadaptor for preparation of cytotoxic chemotherapy? / No / 1
Yes (please specify below) / 2
23. The following is a list of advantages that may be associated with the use of Tevadaptor compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the most advantageous, the next most advantageous and so on. Please tick one box for each factor and ensure overall only one box in each column is selected. If you wish to comment further, please write in the last row
Advantage / Most advantageous / 2nd advantageous / 3rd advantageous / 4th advantageous / Least advantageous
Cheap / 1 / 2 / 3 / 4 / 5
Easy to use / 1 / 2 / 3 / 4 / 5
Safe / 1 / 2 / 3 / 4 / 5
Quick (time taken) / 1 / 2 / 3 / 4 / 5
Comments:
24. Are you aware of any other possible advantages of using Tevadaptor for cytotoxic reconstitution? / No / 1
Yes (please specify below) / 2
25. The following is a list of disadvantages that may be associated with the use of the Tevadaptor system compared to current practice of using needles for cytotoxic reconstitution. Please rank these to show which you believe to be the most disadvantageous, the next most disadvantageous and so on. Please tick one box for each disadvantage and ensure overall only one box in each column is selected. If you wish to comment further, please write in the last row
Disadvantage / Most disadvantageous / 2nd disadvantageous / 3rd disadvantageous / 4th disadvantageous / Least disadvantageous
Costs of consumables / 1 / 2 / 3 / 4 / 5
Complex technique / 1 / 2 / 3 / 4 / 5
Needle stick injury / 1 / 2 / 3 / 4 / 5
Time taken / 1 / 2 / 3 / 4 / 5
Comments:
26. Are you aware of any other possible disadvantages of using Tevadaptor for cytotoxic reconstitution? / No / 1
Yes (please specify below) / 2
27. Did any problems occur during the use of the Tevadaptor device (including device failure, difficulty handling or connecting, etc.)? / No / 1
Yes (please specify below) / 2
28. Did any incidents occur during the use of Tevadaptor that resulted in an IR1 form being completed (e.g. major spillage, needle-stick injury, etc.)? / No / 1
Yes (please specify below) / 2
29. Do you think the use of Tevadaptor offers ‘value for money’ for the trust? Please explain why you say this. / No (please specify below) / 1
Yes (please specify below) / 2

Section 4: Overall perceptions of devices and additional comments

30. Please rank the following devices in terms of their overall benefits, and what would you say is the single greatest benefit of eachPlease tick one box for each device and ensure overall only one box in each column is selected. If you wish to comment further, please write in the last row
Device / Best overall benefits / 2nd best overall benefits / 3rd best overall benefits / Single greatest benefit
Current administration / 1 / 2 / 3
Chemoaide device / 1 / 2 / 3
Tevadaptor device / 1 / 2 / 3
Comments:
31. Which of the following devices would you prefer to use and why? Please tick one box and give reason for preference in the box opposite / Current administration / 1
Chemoaide device / 2
Tevadaptor device / 3
Reason:
Please write any further comments on needle free systems that may affect patient safety, in the space opposite.

THANK YOU FOR YOUR TIME.

Please save your completed questionnaire as a Word document and return it by 18 February 2008 in one of the following ways:

  1. Send it as an attachment (otherwise the selected boxes will be deselected in transmission) to . OR
  2. Print and fax your form to 01934 750176 OR
  3. Print and free-post (no stamp required) to the following address:

Exodus Market Research Ltd

FREEPOST (SWB1735)

WESTON SUPER MARE

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