Tools

Health IT and Practice Redesign
Interview Guide for Clinicians and Office Staff
Clinician and Office Staff Survey
Pre-Visit Questionnaire
Patient Interview Guide

Human Factors in Computer & Information Security
Pilot Study Questionnaire
Explanation of Topics in Questionnaire

Implementation of Chlorhexidine Bathing to Reduce Healthcare-Associated Infections
Voiceover PowerPoint: Use of 2% Chlorhexidine Wipes for Bathing Treatments
Observation Manual for CHG Intervention
Interview Guide For Infection Preventionist I-Care Project
Interview Guide For Icu Nurse Manager/ Assistant I-Care Project

Keystone Beacon Community
Baseline Health Information Exchange Questionnaire – Clinicians
Beacon Care Manager Survey
Beacon Clinician Questionnaire
Care Manager Questionnaire
Care Manager and Clinician Questionnaire
KBC Process Evaluation Questionnaire
Patient Satisfaction with Hospital Care Questionnaire
Case Manager Observation Guide
KBC MMA’s Interview/Observation Guide
Care Coordination Interview Guide – Case Managers
Care Coordination Interview Guide – Others
Case Manager Interview Guide
Case Manager Final Interview Guide
KBC Management Team Interview Guide
Patient Satisfaction with KBC Care Management Interview Guide
KBC Care Manager Focus Groups Process
Patient Focus Group

Mychart Bedside
Parent Survey
MCB Pre-Implementation Survey
MCB Pre-Implementation Survey Nurses
MCB Post-Implementation Survey

Nursing Work Obstacles
Performance Obstacles of ICU Nurses Questionnaire

Paths to Retention & Turnover in the IT Workforce
Full Length Version of Questionnaire
Shortened Version of Questionnaire
Comparison of Initial & Revised Questionnaire

Patient Safety Learning Lab (PSLL)
SNF Group Interview Guide
Interview Guide ED disposition and transition
Contextual Inquiry on Disposition Decision Making in the ED Tool

Pediatric Family Centered Rounds
Children’s Hospital Safety Climate Questionnaire
Family-Centered Rounds Toolkit

SAFE – C
Instructions for Nurses and MAs
Patient Scenarios to be used during training sessions
Physician Overview of the Patient Overview Process
Teamwork-Huddle Training
Training Evaluation
Patient Overview Document
Patient Overview Document with Sample Questions and Cues

Smart IV Pump Implementation
BCMA Observation Form
Pre-Implementation Pump Observation Guide
Post-Implementation Pump Observation Guide
Post-Pump Observation Interview Guide
Usability Testing Script & Data Collection Guide
Usability Testing Questionnaire – Anesthesiology
Usability Testing Questionnaire – Nursing
Pre-Implementation Questionnaire
3 Months Post-Implementation Questionnaire
One Year Post-Implementation Questionnaire
Team Evaluation Interview Guide

Teamwork and Care Transitions in Pediatric Trauma
Evaluation of Design Session Survey
Pediatric Trauma Expert Interview Guide Problem List
Pediatric Trauma Transitions Interview Guide
AHRQ Patient Safety Survey in Peds Trauma Transition Interviews
Adult OR to TLC Trauma Transitions Interview Guide
Teamwork Transitions Technology (T3) for Pediatric Trauma Patients Interview Guide
T3 Evaluation Mock-Up Survey Tool: Physicians
T3 Evaluation Mock-Up Survey Tool: Residents
T3 Evaluation Mock-Up Survey Tool: Staff

Virtual ICU
Tele – ICU Characteristics Survey
Tele – ICU Observation & Interview Guide
Tele – ICU Manager Interview Guide
Tele – ICU Nurse Interview Guide
Tele – ICU Questionnaire

VTE and Health IT
PE Dx CDS Implementation Survey
VTE diagnosis – PEDxCDS Implementation Interview Guide
VTE Prophylaxis Risk Assessment Tool Survey: Physicians
VTE Prophylaxis Risk Assessment Tool Survey: Nurses
VTE Prophylaxis Risk Assessment Tool Survey: Pharmacists
Multidisciplinary Rounds Observation Tool
VTE diagnosis – VTE Diagnosis and Treatment Interview Guide
VTE prophylaxis – VTE Interview Guide
Decision Confidence Card Session 1
PE DX Questionnaire Session 2 Final