Professional Documents
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begin group
note
name
group_welcome
welcome_note
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begin group
select_one operator
acknowledge
group_welcome
group_date
select_operator
informatory_note
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integer
start
note
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begin group
text
text
select_one gender
date
text
select_one employer
text
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begin group
select_one yndkna
select_one yndkna
select_one nocxr
text
text
note
integer
integer
integer
integer
select_one facility_type
text
select_one dkdn
integer
select_one yn
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begin group
select_facility
number
start
start_time
group_date
group_data
first_name
last_name
gender
birth_date
job
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employer_specify
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group_cxr
q10
q11
q12
q12_other
q13
q14
q14_km
q14_min_car
q14_min_bus
q14_min_foot
q15
q15_other
q16_teaser
q16
q17
group_cxr
group_cxr_user
select_one likert
select_one likert
select_one likert
select_one likert
select_one likert
q18
q19
q20
q21
q22
select_one likert
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begin group
q23
group_cxr_user
group_cxr_training
select_one yn
integer
select_one duration
integer
select_one time
integer
integer
integer
integer
integer
integer
select_one time
select_one yndkna
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q24
q25
q25_duration
q26
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q27
q28
q29_tandem
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q30
q31
q31_time
q32
group_cxr_training
group_cxr_quality
select_one yn
select_one freq
integer
select_one yn
select_one cxr_check
text
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text
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integer
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q33
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q34
q35
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q37
q38
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q39
q40_freq
q40
q41
q42
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q44
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q45
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q47
q48
q48_time
group_cxr_quality
group_cxr_logistics
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audio
q49_teaser
q49
q50_audio
text
integer
select_one time
select_multiple results
text
select_multiple results_told
text
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text
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audio
text
text
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integer
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text
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q50
q51
q51_time
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q53_other
q54
q54_other
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q56
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q59
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barcode
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group_goodbye
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label::English
Operational Feasibility Questionnaire
Tuberculosis screening and diagnostic tests
- Radiology staff
Data entry
Welcome,
INSTRUCTIONS
I will read the questions to you and capture your response in
the tablet. Take as much time as you need to respond. Please
answer the questions from your own perspective as it relates
to your work in the TANDEM study. INSTRUCTIONS
Facility name
Questionnaire number
Survey start time: ${start}
Interviewee information
First name:
Surname:
Gender:
Date of birth:
Job title:
Employer:
Specify:
50. What are some of the reasons for not completing a CXR?
51. How long does it usually take to obtain the CXR film/electronic image?
51. How long does it usually take to obtain the CXR film/electronic image?
52. How are the results of the CXR returned to the DM clinic/patient?
52. How are the results of the CXR returned to the DM clinic/patient?
53. When are patients told the results of the CXR?
53. When are patients told the results of the CXR?
54. How are patients told the results?
54. How are patients told the results?
55. Has a CXR for a patient with DM ever been compromised (e. g. damaged, lost, mislabelled) in your department?
56. If yes, please indicate the top three reasons for compromised CXRs:
56.1.
56.2.
56.3.
57. How many TANDEM CXRs have you performed since the start of the TANDEM project?
57. How many non_TANDEM CXRs have you performed since the start of the TANDEM project?
58. Out of all the CXRs that you performed so far, how many have been compromised?
59. In your opinion, do you think the CXR is a useful way of screening patients with DM for TB?
60. If no, please give reasons why you think so:
60. If no, please give reasons why you think so:
61. Are there any additional comments you would like to make about the CXR?
61. Are there any additional comments you would like to make about the CXR?
Scan a barcode
Survey end time: ${end}
label::Romanian
Chestionar Fezabilitate Operaional
Screening pentruTB
Radiologie
hint::English
Introducere date
Bine ai venit,
INSTRUCIUNI
V voi citi aceste ntrebri i nota rspunsurile pe tablet. Ave i
la dispoziie att timp ct considerai dvs. suficient pentru a
rspunde. V rugm s rspundei din perspectiva personal
cu privire la munca depus de dvs. in studiul TANDEM.
Numele instituiei
Numrul chestionarului
Inceputul a acestei nregistrri: ${start}
Informaii
Prenume
Nume de familie
Sexul
Data naterii
Denumirea postului
Angajator
specificai
ot able to get a prescribed CXR at this facility due to the issues in 12 above?
ot able to get a prescribed CXR at this facility due to the issues in 12 above?
plete the CXR on one patient (from the time the patient arrives to when the CXR is completed)? (minutes)
sent back to the health facility or given to the patient (from the time the patient has the CXR to when the film or the report is ready)?
sent back to the health facility or given to the patient (from the time the patient has the CXR to when the film or the report is ready)?
CXRs if this test was rolled out into routine practice for DM patients with suspected TB?
be the process.
be the process.
e x-ray machine?
e x-ray machine?
e maintained?
e maintained?
R film/electronic image?
R film/electronic image?
DM clinic/patient?
DM clinic/patient?
Not required
hint::Romanian
constraint
constraint_message
Nu neaprat necesar
required
appearance
field-list
field-list
field-list
default
field-list
relevant
read_only
calculation
image
audio
image::english
media::audio::chinese
media::video
list_name
name
operator
operator
operator
operator
Riza
Cimpoeru
Cucu
Laurence
LGU
facility
facility
facility
Babe
Leamna
Calafat
facility
facility
Runcu
SCJU
gender
gender
m
f
employer
employer
employer
employer
employer
ministry
centre
TANDEM
university
other
yn
yn
y
n
yndkna
yndkna
yndkna
yndkna
y
n
dk
nap
dkdn
dkdn
dkdn
dkdn
y
ydk
dn
dndk
likert
likert
likert
likert
likert
5
4
3
2
1
time
time
time
time
time
seconds
minutes
hours
days
weeks
duration
duration
duration
duration
duration
hours
days
weeks
months
years
freq
freq
freq
freq
freq
freq
never
day
week
month
year
dk
nocxr
nocxr
nocxr
nocxr
nocxr
nocxr
nomachine
notroutine
faultymachinery
nosupplies
nostaff
other
facility_type
facility_type
facility_type
private
public
other
cxr_format
cxr_format
cxr_format
film
electronic
other
results
results
results
results
results
results
post
clinic
radiology
online
email
other
results_told
results_told
results_told
results_told
results_told
results_told
never
always
abnormal
ask
remember
other
results_by
results_by
results_by
results_by
person
phone
called
other
nosputum
nosputum
nosputum
nosputum
nosputum
notalgorithm
notstaff
notinfrastructure
notsupplies
other
facility_type2
facility_type2
facility_type2
facility_type2
facility_type2
part
privatelab
privatefacility
public
other
notst
notst
notst
notst
notst
notalgorithm
noequipment
nostaff
nosupplies
other
cxr_check
cxr_check
cxr_check
technician
external
other
label::English
label::Romanian
1 - Spitalul Clinic de Boli Infecioase Victor Babe", C1 - Spitalul Clinic de Boli Infecioase Victor Babe", Craiova, jud. Dol
2 - Spitalul de Pneumoftiziologie, com. Leamna, jud. 2 - Spitalul de Pneumoftiziologie, com. Leamna, jud. Dolj
3 - Spitalul Municipal Calafat, Secia exterioar TBC 3 - Spitalul Municipal Calafat, Secia exterioar TBC Pneumologie Po
4 - Spitalul de Pneumoftiziologie Tudor Vladimirescu5 - Spitalul de Pneumoftiziologie Tudor Vladimirescu", com. Runcu, j
5 - Spitalul Clinic Judeean de Urgen Craiova, secia6 - Spitalul Clinic Judeean de Urgen Craiova, secia Diabet i Boli d
male
female
brbat
femeie
Ministry of Health
Health Centre
TANDEM
University
Other
Ministerul Sanatatii
Centru Medical
TANDEM
Universitatea
Altul
Yes
No
Da
Nu
Yes
No
Don't know
Does not apply
Da
Nu
Nu tiu
Nu este cazul
This applies to me
It applies to me, but I don't know
Does not apply, but as far as I know
Does not apply, do not know
Mi se aplica
Mi se aplica, dar nu stiu
Nu mi se aplica, dar din cate
stiu
Nu mi se aplica, nu stiu
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Cu totul de acord
De acord
Nici acord, nici dezacord
Dezacord
Dezacord total
seconds
minutes
hours
days
weeks
secunde
minute
ore
zile
sptmni
hours
days
weeks
months
years
ore
zile
sptmni
luni
ani
Never
times per day
times per week
times per month
times per year
I dont know
niciodat
pe zi
pe sptmn
pe lun
pe an
nu tiu
No x-ray machine
Never part of the diagnosis algorithm for patients at this clinic
Faulty machinery
Supplies unavailable
Trained staff unavailable
Other, please explain
Private
Another public health centre
Other, specify
Film
Electronic
Other, please specify
Paper results by post
Paper results by staff, clinic
Paper results by staff, radiology
Online system
E-mail
Other, please specify
Never
Always
Only when there is an abnormal reading
Only if they ask for it
If I remember
Other, please specify
In person during their next scheduled visit at the clinic
Over the phone
Called and asked to visit the clinic for the results
Other, specify
Not part of any diagnosis algorithm for DM patients
Trained staff unavailable (e.g. to instruct patients on proper sputum production techniques, etc.)
Inadequate infrastructure (e.g. no designated room for producing sputum, etc.)
Supplies unavailable (e.g. sputum pots, request forms, etc.)
Other, please explain
Another part of this facility or hospital
Private lab
Private health facility
Another public health centre
Other, specify
image
form_title
UMFCV_OpFeasibility_TB_CXR