AHRQ – Building Diagnostic Safety Capacity
Provider Interviews – TeamSTEPPS® Course Pilot Test Evaluation
MedStar Health Research Institute (MHRI) will conduct interviews and/or focus groups with providers with TeamSTEPPS® experience from up to ten (n=10) settings. Evaluation will be completed within 3-6 months after implementation of the TeamSTEPPS® Course.
60 cognitive interviews with providers (up to 6 providers per setting x 10 settings); each interview will last approximately 45 minutes
Recruitment Criteria
We will aim to recruit providers and staff in the following manner:
Providers who have been exposed to the TeamSTEPPS® Course to improve communication among providers related to diagnosis
Providers who have prior experience using TeamSTEPPS® strategies
Diversity among practice staff and providers
MHRI staff will work with the practice coordinators to identify individuals to participate in the interviews.
Interview Goals
The goals of the focus groups/interviews will be to:
Obtain feedback on the Course materials
Obtain feedback on the barriers and facilitators encountered for the Course
Obtain feedback on satisfaction with the Course
Obtain feedback on receptivity and enhancements to the Course to improve adoption
Materials
Copies of the TeamSTEPPS® Course materials
Informed consent documents
Digital recorder
Location
Interviews will take place at the information collection setting at a time convenient to the provider and/or staff members. Interviews may also take place over the phone or other videoconferencing software to enhance ability to recruit and retain clinicians.
Informed Consent Procedures
Participants will complete the informed consent process prior to starting the interview.
Participant Stipends
None.
Each interview will take no more than 45 minutes.
Form
Approved
OMB No. xxxx-xxxx
Exp.
Date xx/xx/20
Provider Interviews – TeamSTEPPS® Pilot Test Evaluation
WELCOME AND INTRODUCTION
Thank you for agreeing to speak with me today.
My name is [INSERT NAME OF INTERVIEWER] and I am here to ask you a few questions about the AHRQ’s TeamSTEPPS® Course to improve communication among providers related to diagnosis.
With your permission we will be audio recording the session. This will help make sure that we don’t miss anything that you say and can share with other people who are working on this project. The recording will be deleted after we have the notes transcribed and we are sure that all of your comments are accurately captured.
TODAY/TONIGHT I will be asking you questions about your experiences with the AHRQ’s TeamSTEPPS® Course to improve communication among providers related to diagnosis.
Everything you say here will be kept confidential and included as part of our assessment of the feasibility of implementing the TeamSTEPPS® Course into practice. We will not share your name or attribute any of your words directly to you.
Do you have any questions before we begin?
Ok, great. Let’s get started.
This survey is authorized under 42 U.S.C. 299a. The confidentiality of your responses to this survey is protected by Sections 944(c) and 308(d) of the Public Health Service Act [42 U.S.C. 299c-3(c) and 42 U.S.C. 242m(d)]. Information that could identify you will not be disclosed unless you have consented to that disclosure. Public reporting burden for this collection of information is estimated to average 15 minutes per response, the estimated time required to complete the survey. 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: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 5600 Fishers Lane, Room #07W42, Rockville, MD 20857.
Experience with TeamSTEPPS®
Before I ask you about the specific materials for this course, please rate your experience using TeamSTEPPS®:
Novice
Intermediate
Expert
TeamSTEPPS® Master Trainer
General TeamSTEPPS® Course Questions
When you were first given the TeamSTEPPS® Course what did you think?
How did you feel about using it?
Can you describe your practice’s implementation process?
How did you make decisions on which elements of the TeamSTEPPS® Course to use?
How easy or challenging did you find the TeamSTEPPS® Course implementation to be?
Were any elements of the TeamSTEPPS® Course that were easier or harder to implement? If yes, can you describe which ones and what made them more challenging?
What can we do to make them more effective? Easier to implement?
What was the best thing about the TeamSTEPPS® Course from your perspective?
What was your least favorite thing about the TeamSTEPPS® Course?
What would you have changed about the TeamSTEPPS® Course to make it more user friendly?
What do you think your patients felt about their diagnostic teams following implementation of this Course?
Can you give me an example of a patient experience that was positive?
How about a negative one? Is there anything that could have been done to make it a more positive experience for that patient?
TeamSTEPPS® Course Modules
Thank you for your response(s). Next, I’d like to ask you some specific questions about each of the Course modules.
Which TeamSTEPPS® Course modules did you participate in? [Checklist]
Module 1 – Introduction
Module 2 – Team Structure
Module 3 – Communications
Module 4 – Leadership
Module 5 – Situation Monitoring
Module 6 – Mutual Support
Module 7 – Pulling it All Together
Module 1: Introduction
From your perspective as a provider, what is the most important thing for providers to know when beginning a TeamSTEPPS® training?
Did the TeamSTEPPS® Course meet your expectations for the introductory module?
Is there anything about this module that you would improve/change?
What was your first impression after completing Module 1?
Did you learn anything new about diagnostic errors from this module?
Was there anything in the first module that stuck out to you as being particularly important? If yes, what?
Was there something that we should have included or emphasized more? If yes, please describe.
Module 2: Team Structure
What is important for providers to understand about team structure?
From your perspective, how can the TeamSTEPPS® course better address this?
How did this module impact the way you think about team structure related to diagnosis?
What recommendations do you have that could make this module more impactful?
Module 3: Communications
From your perspective as a provider, what is the most important thing for diagnostic teams to understand about communication?
What changes to the course might need to be made to better address this?
How did this course impact the way you apply communication skills with other diagnostic team members?
With the patient?
Outside your practice?
What changes to the course would you make to better enhance communication among the diagnostic team?
Module 4: Leadership
From your perspective as a provider, what skills of effective leadership are most helpful in supporting communication among providers related to diagnosis?
From your perspective, how can the TeamSTEPPS® course better emphasize these particular skills?
How effective was the module at meetings its learning objectives?
How would you define “effective leadership related to diagnosis?
What skills are most helpful to facilitating the improvement of diagnosis-related provider communication in your setting?
How did this module impact the leadership of your diagnostic team? Leadership in your health system related to diagnosis?
What would you change about the module to make it more effective?
Module 5: Situation Monitoring
What do you think is the most important thing for providers to understand about situation monitoring?
Situational awareness?
Creating a shared mental model?
How well do you feel that the course addressed this concept? What changes do you recommend we make to better highlight this topic?
Module 6: Mutual Support
What is most important for diagnostic teams to understand about mutual support?
Can you describe how well the TeamSTEPPS® Course improved your understanding of mutual support within the diagnostic team?
How would you describe the overall impact of Module 6: Mutual Support on communication in the diagnostic process in your healthcare setting?
With the patient?
Outside your practice?
How could we improve the module to make it more useful for other practices to adopt?
Module 7: Pulling it All Together
Please describe the overall impact of Module 7 on the implementation of this TeamSTEPPS® Course to improve communication among providers related to diagnosis.
Please describe how your practice/leader used this module to support implementation.
TeamSTEPPS® Course Workbook
Now I would like you to consider the materials from the TeamSTEPPS® Course Participant Workbook that you have in front of you for this next series of questions.
How did your organization use the infographic during the training?
What other materials would have been useful to help you or your leader introduce the topic of diagnosis, diagnostic error, and team communication?
What are your thoughts about the format of the materials? Is there a better way for us to think about presenting them?
To leaders? To clinicians? To administrators?
Was there anything on the infographic that stuck out to you?
How might we improve this to create a more powerful impact?
Who should this be shared with to create the most lasting impact?
Can you describe how your practice used the team synchronization exercise? Was this helpful when defining your diagnostic team?
Who did your practice end up including in their diagnostic team?
How could we improve this tool to make it easier for other practices/organizations to adopt?
Which of the strategies for communication did your practice include in its training?
Diagnostic-focused referral tool
Tool to help communicate the diagnosis to the patient
Call-outs
SBAR
Can you describe how receptive you were to the tool(s)?
What could we do to improve the tool?
Which of the strategies introduced during the Leadership module were included in your practice/organizations implementation?
Briefs
Debriefs
Huddles
How easy/challenging were these to learn from the materials provided?
Are there other materials that might be important to include (e.g., more case examples; scripts; etc.) to help facilitate learning?
Which of the following Module 5: Situation Monitoring materials did you find most helpful?
Activity to develop a shared mental model
STEP process
How could we improve the tools and training materials to better support the uptake of these strategies by clinicians? By the team?
Which of the strategies within the Mutual Support module did you receive training on? Find most helpful?
Task assistance
Feedback
Two-challenge rule
CUS
Advocacy and assertion
DESC script
How could we improve the tools and training materials to better support the uptake of these strategies by clinicians? By the team?
How important were the supplemental resources for your learning?
Have you used any since you were trained?
Would your training have benefited from including them?
If yes, which ones should we include in the formal training?
How about the reflective practice exercise? Can you describe your experience with that?
How well do you think that the reflective practice concept relates to diagnosis and diagnostic improvement?
How did these concepts (Listen, Think, Act) impact the way you communicate with other providers?
What about the way you communicate with staff? Patients?
Please describe how your practice used the Team Assessment .
What could we do to improve how we explain the Team Assessment and how practices/organizations should use it?
What was your first reaction to the Case Story? Did this resonate with you? How important was it to have a case to help convey the opportunities for diagnostic improvement that are learned during this TeamSTEPPS® course?
TeamSTEPPS® Course Facilitator Guide [TEAM LEADERS ONLY]
How important was it to have the facilitators guide as part of the TeamSTEPPS® course?
How could the facilitator guide be improved?
Those were all the questions I had today. Are there any questions that I should have asked that I did not?
Thank you for your time and participation in this interview. Your comments will be very helpful to this project and will help us to make important improvements to the TeamSTEPPS® Course!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Hill, Mary A |
File Modified | 0000-00-00 |
File Created | 2025-01-25 |