Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation

Documents and forms in this information collection

Document Name	Document Type
Form 1 Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 1 Appendix A: Setting Demographics Survey Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 2 Appendix B: Individual Respondent Characteristics (Providers) Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form
Form 3 Appendix C: Individual Respondent Characteristics (Staff) Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 4 Appendix D: Individual Respondent Characteristics (Admin) Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 5 Appendix E: Organizational Readiness for Implementation Change (ORIC) Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 6 Appendix F: Pilot Test Interview Protocol for Providers – TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 7 Appendix G: Pilot Test Interview Protocol for Providers – No TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 8 Appendix H: Pilot Test Evaluation Protocol for Staff – TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 9 Appendix I: Pilot Test Evaluation Protocol for Staff – No TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 10 Appendix J: Pilot Test Evaluation Protocol for Administrators – TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 11 Appendix K: Pilot Test Evaluation Protocol for Administrators – No TeamSTEPPS® Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
Form 12 Appendix L: Training Observation Tool Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation	Form and Instruction
1 Appendix A: Setting Demographics Survey Appendix A_final cg 11 12 20.docx	Form and Instruction
1 Appendix A: Setting Demographics Survey Appendix A_final cg 11 12 20.docx	Form and Instruction
2 Appendix B: Individual Respondent Characteristics (Provi Appendix B_final_v2 cg 11 12 20.docx	Form
2 Appendix B: Individual Respondent Characteristics (Provi Appendix B_final_v2 cg 11 12 20.docx	Form
3 Appendix C: Individual Respondent Characteristics (Staff Appendix C_final_v2 cg 11 12 20.docx	Form and Instruction
3 Appendix C: Individual Respondent Characteristics (Staff Appendix C_final_v2 cg 11 12 20.docx	Form and Instruction
4 Appendix D: Individual Respondent Characteristics (Admin Appendix D_final_v2 cg 11 12 20.docx	Form and Instruction
4 Appendix D: Individual Respondent Characteristics (Admin Appendix D_final_v2 cg 11 12 20.docx	Form and Instruction
5 Appendix E: Organizational Readiness for Implementation Appendix E.docx	Form and Instruction
5 Appendix E: Organizational Readiness for Implementation Appendix E.docx	Form and Instruction
6 Appendix F: Pilot Test Interview Protocol for Providers Appendix F.docx	Form and Instruction
6 Appendix F: Pilot Test Interview Protocol for Providers Appendix F.docx	Form and Instruction
7 Appendix G: Pilot Test Interview Protocol for Providers Appendix F.docx	Form and Instruction
7 Appendix G: Pilot Test Interview Protocol for Providers Appendix F.docx	Form and Instruction
8 Appendix H: Pilot Test Evaluation Protocol for Staff – T Appendix H.docx	Form and Instruction
8 Appendix H: Pilot Test Evaluation Protocol for Staff – T Appendix H.docx	Form and Instruction
9 Appendix I: Pilot Test Evaluation Protocol for Staff – N Appendix I.docx	Form and Instruction
9 Appendix I: Pilot Test Evaluation Protocol for Staff – N Appendix I.docx	Form and Instruction
10 Appendix J: Pilot Test Evaluation Protocol for Administr Appendix J.docx	Form and Instruction
10 Appendix J: Pilot Test Evaluation Protocol for Administr Appendix J.docx	Form and Instruction
11 Appendix K: Pilot Test Evaluation Protocol for Administr Appendix K.docx	Form and Instruction
11 Appendix K: Pilot Test Evaluation Protocol for Administr Appendix K.docx	Form and Instruction
12 Appendix L: Training Observation Tool Appendix L.docx	Form and Instruction
12 Appendix L: Training Observation Tool Appendix L.docx	Form and Instruction
OMB Cover Letter.docx Cover Letter	IC Document
OMB Cover Letter.docx Cover Letter	IC Document
Supporting Statement Part A.docx Supporting Statement	IC Document
Supporting Statement Part A.docx Supporting Statement	IC Document

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.