Pilot Test - CDI

Appendix MM4 Pilot test C diff questions Responses.docx

Improving the Impact of Laboratory Practice Guidelines: A New Paradigm for Metrics- American Society for Microbiology

Pilot Test - CDI

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Appendix MM4


C. difficile Current Practice Survey


Please read through each survey question with the following elements in mind—

        1. Consistency: Question made sense, logical possible responses.

        2. Navigation: Easy to move through survey, any technical difficulties.

        3. Text: Easy to read.

        4. Other: Comments and/or suggestions for how to improve the question (e.g., there was not an answer that fit my laboratory, too few or too many responses).

  • If you have no comments on the question, please write “no comment” in the “Other” box.

  • If there are more questions fields on the form than you answered, disregard them.

  • Keep track of how many minutes it takes you to complete the survey (not the collection form).

Name: ________________________________________________________________

Question

Elements

Specific Observations

21. Do you test for C. difficile? Yes/no

  1. Do you use more than one algorithm depending on your patient population?

Other

More than 1 algorithm, but not dependent on patient population

  1. Which population(s) do you have more than one algorithm? (comment box)

  1. Which of the following is your primary algorithm?
    NAAT alone
    GDH --> EIA
    GDH --> EIA --> NAAT
    GDH + EIA --> NAAT
    GDH --> NAAT
    EIA --> NAAT

Other

NAAT done on indeterminate Ag+1Toxin – or Ag-1Toxin+

  1. Which of the following is your secondary algorithm?
    NAAT alone
    GDH --> EIA
    GDH --> EIA --> NAAT
    GDH + EIA --> NAAT
    GDH --> NAAT
    EIA --> NAAT
    Not Applicable

  1. Do you perform testing for C. difficile on all shifts? Yes/No

  1. Which shifts do you test?

-Day

-Evening
-Third Shift

  1. Do you know what percent of your tests are positive? Yes/no

Other

No, but data can easily be obtained & calculated from LIS

  1. Do you know what percent of your tests are positive? (comment box)

Other

Could have a multiple choice with several different ranges.

  1. Does your facility perform fecal transplants? Yes/no

Other

When you say “does your facility” -> does that refer to the hospital where the lab is located or all the hospitals that the lab serves? i.e. larger hospital system with a centralized micro lab


How many minutes did it take you to complete the Current Practice survey (not the collection form)? _10 mins, 3 mins, 5 mins, 5 mins, skipped

OVERALL SURVEY EVALUATION

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

(Place an “X” to indicate your level of agreement for each statement below).

1

2

3

4

5

12. The survey questions are easy to understand.




3

2

13. I was always able to find an appropriate answer to choose.




3

2

14. The answer choices are clearly written.




3

2

15. There were not enough choices of answers.


2

2


1

16. I always found the answer that fit the circumstances in my laboratory.


1


2

2


17. Overall, the length of the survey was… (circle your answer)

too short

appropriate (5)

too long

18. What did you like best about the survey (strengths, weaknesses)?

-It was easy to take and got right to the point

-Simple, direct questions

19. Additional thoughts/comments:

Easy to navigate & read




1 The first survey question is the “name” field.


2



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File TitleRed Blood Cell Morphology Pilot Test
AuthorOWCD/TSD
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File Created2021-01-24

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