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  
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:

 

 

Module 02: Team Structure - 50 minutes  
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:

 

 

  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  
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  
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:

 

 

Module 05: Situation Monitoring - 45 minutes  
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:

 

 

  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  
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:

 

 

Module 07: Summary-Putting It All Together - 50 minutes  
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:

 

 

Module 08: Change Management: How to Achieve a Culture of Safety - 60 minutes  
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:

 

 

  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  
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  
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:

 

 

Module 11: Implementation Planning Workshop - 150 minutes  
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:

 

 

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.

 

 

What changes will you make in your practice as a result of this activity?

 

 

How can the educational aspects of this activity be improved?

 

 

What recommendations do you have for future speakers or topics?

 

 

Additional Comments:

 

 

 

 


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Current as of March 2014
Internet Citation: Course Evaluation: TeamSTEPPS® Instructor Manual. March 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/reference/smpcefm.html