Course Evaluation
TeamSTEPPS® Instructor Manual
Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS)
Location: ______________________________________ Date: __________________________________________ |
Rating Scale (Circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Module 01: Introduction - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe the TeamSTEPPS Master Trainer course................................ | 1 | 2 | 3 |
2. Describe the impact of errors and why they occur.................................... | 1 | 2 | 3 |
3. Describe the TeamSTEPPS framework.................................................. | 1 | 2 | 3 |
4 State the outcomes of the TeamSTEPPS framework.................................. | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?............... | 1 | 2 | 3 |
Comments:
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Module 02: Team Structure - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Discuss benefits of teamwork and structure............................................... | 1 | 2 | 3 |
2. Define a "team" ........................................................................................ | 1 | 2 | 3 |
3. Identify the role of patients and their families as part of the care team.......... | 1 | 2 | 3 |
4. Describe the components and composition of a multi-team system................ | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?................. | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Module 03: Communication - 45 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe how communication affects team processes and outcomes............... | 1 | 2 | 3 |
2. Define effective communication..................................................................... | 1 | 2 | 3 |
3. Identify communcation challenges..................................................................... | 1 | 2 | 3 |
4. Identify TeamSTEPPS tools and strategies that can improve a team’s communication | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?............ | 1 | 2 | 3 |
Module 04: Leading Teams - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe how leadership affects team processes and outcomes......................... | 1 | 2 | 3 |
2. Identify different types of team leaders.............................................................. | 1 | 2 | 3 |
3. Describe the activities involved in successfully leading teams.............................. | 1 | 2 | 3 |
4. Describe the tools for leading teams, including briefs, huddles, and debriefs....... | 1 | 2 | 3 |
5. Describe strategies for team leaders to include team huddles and debriefs......... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?................... | 1 | 2 | 3 |
Comments:
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Module 05: Situation Monitoring - 45 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Discuss how situation monitoring affects team processes and outcomes.............. | 1 | 2 | 3 |
2. List components of the STEP mnemonic............................................................ | 1 | 2 | 3 |
3. Explain situation awareness and identify undermining conditions.......................... | 1 | 2 | 3 |
4. Define a shared mental model and how it is cultivated within a team............... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?...................... | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Module 06: Mutual Support - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Define a shared mental model and how it is cultivated within a team................ | 1 | 2 | 3 |
2. Discuss specific strategies to foster mutual support (e.g., task assistance, feedback). | 1 | 2 | 3 |
3. Identify specific tools to facilitate mutual support............................................. | 1 | 2 | 3 |
4. Describe conflict resolution strategies.............................................................. | 1 | 2 | 3 |
Comments:
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Module 07: Summary-Putting It All Together - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Discuss how to use the tools and strategies presented in this training................. | 1 | 2 | 3 |
2. Demonstrate how to appropriately apply the tools and strategies in clinical situations | 1 | 2 | 3 |
Comments:
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Module 08: Change Management: How to Achieve a Culture of Safety - 60 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. List the Eight Steps of Change............................................................... | 1 | 2 | 3 |
2. Identify errors common to organizational change..................................... | 1 | 2 | 3 |
4. Discuss what is involved in creating a new culture.................................... | 1 | 2 | 3 |
5. Begin planning your organizational change strategy.................................. | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?............. | 1 | 2 | 3 |
Comments:
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Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Module 09: Coaching Workshop - 75 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Define coaching and its outcomes........................................................... | 1 | 2 | 3 |
2. Describe the role of a TeamSTEPPS coach........................................... | 1 | 2 | 3 |
3. List competencies of an effective coach................................................. | 1 | 2 | 3 |
4. Describe how to implement coaching in TeamSTEPPS........................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.......... | 1 | 2 | 3 |
Comments:
|
Rating Scale (circle 1) 1 = Poor, inadequate, did not meet, ineffective 2 = Good, adequate, met, satisfactory, effective 3 = Excellent, more than adequate, exceeded, very effective |
Module 10: Measurement - 50 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe the importance of measurement........................................................ | 1 | 2 | 3 |
2. Describe the Kirkpatrick model of training evaluation....................................... | 1 | 2 | 3 |
3. Identify measures that can be used to assess the impact of TeamSTEPPS........ | 1 | 2 | 3 |
4. Describe the AHRQ Surveys on Patient Safety Culture.................................. | 1 | 2 | 3 |
5. Prepare a plan for determining if TeamSTEPPS worked................................. | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?................. | 1 | 2 | 3 |
Comments:
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Module 11: Implementation Planning Workshop - 150 minutes | |||
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Instructor Name: | Poor | Good | Excellent |
To what extent was the speaker knowledgeable, organized, & effective in his/her presentation? | 1 | 2 | 3 |
To what extent did you achieve the objective(s) of this session? | |||
1. Describe the steps involved in implementing TeamSTEPPS......................... | 1 | 2 | 3 |
2. Develop a TeamSTEPPS implementation plan........................................... | 1 | 2 | 3 |
To what extent were the teaching methods and aids used effectively?.............. | 1 | 2 | 3 |
Comments:
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Rate the following:
The activity:
Was well organized, using the scheduled time efficiently. | [__] Agree | [__] Neutral | [__] ;Disagree |
Provided practical, useful information. | [__] Agree | [__] Neutral | [__] ;Disagree |
Used a sequence that facilitated learning. | [__] Agree | [__] Neutral | [__] ;Disagree |
Was up-to-date in terms of current practice and issues. | [__] Agree | [__] Neutral | [__] ;Disagree |
Please respond to the following questions regarding disclosure of commercial support:
Were you provided disclosure of significant support or substantial financial relationships between faculty and commercial entities? | [__] Yes | [__] Neutral | [__] No |
Was bias in favor of a product present to the extent that the presentation was unbalanced or represented commercial promotion? | [__] Yes | [__] Neutral | [__] No |
If you feel any of the presentations were unbalanced, please elaborate.
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What changes will you make in your practice as a result of this activity?
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How can the educational aspects of this activity be improved?
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What recommendations do you have for future speakers or topics?
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Additional Comments:
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