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Table 2 TeamSTEPPS® Teamwork Perceptions Questionnaire Percent Positive Scores by Post-Fall Huddle Participation

From: The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project

Dimensions and Items

Post-Fall Huddle Participation

p value

Yes

(n varies 256 to 266) a

No

(n varies 440 to 472) a

Team Structure (α = .92)

92

90

.63

 1. The skills of all hospital staff overlap sufficiently so that work related to fall-risk-reduction can be shared when necessary.

92

91

.62

 2. All hospital staff are held accountable for their actions related to fall-risk reduction.

87

89

.49

 3. Staff within my unit/department share information that enables timely decision making about fall-risk reduction by the direct patient care team.

95

89

.009

 4. My unit/department makes efficient use of resources related to fall-risk reduction (e.g., staff, supplies, equipment, information).

94

92

.37

 5. Staff within my unit/department understand their roles and responsibilities related to fall-risk reduction.

95

95

.77

 6. My unit/department has clearly articulated goals for fall-risk reduction.

93

86

.003

 7. My unit/department operates at a high level of efficiency when it comes to fall-risk reduction.

91

88

.29

Leadership (α = .96)

91

82

<.001

 1. My supervisor/manager considers staff input when making decisions about fall-risk reduction.

93

86

.01

 2. My supervisor/manager provides opportunities to discuss the unit/department’s performance after a patient fall.

91

78

<.001

 3. My supervisor/manager takes time to meet with staff to discuss the fall-risk-reduction program.

88

74

<.001

 4. My supervisor/manager ensures that adequate resources (e.g., staff, supplies, equipment, information) are available to support the fall-risk-reduction program.

92

88

.09

 5. My supervisor/manager successfully resolves conflicts involving the fall-risk-reduction program.

87

81

.04

 6. My supervisor/manager models appropriate team behavior in support of the fall-risk-reduction program.

92

87

.06

 7. My supervisor/manager ensures that staff are aware of any situations or changes that may affect the fall-risk-reduction program.

91

83

.004

Situation Monitoring (α = .89)

90

87

.26

 1. Staff effectively anticipate each other’s needs when implementing fall-risk-reduction interventions.

92

88

.08

 2. Staff monitor each other’s performance when implementing fall-risk-reduction interventions.

84

82

.60

 3. Staff exchange relevant information to decrease the risk of falls as it becomes available.

94

91

.08

 4. Staff continuously scan the environment for important information to decrease the risk of falls.

93

90

.02

 5. Staff share information regarding potential complications that may increase a patient’s risk of falls (e.g., change in status, previous fall).

95

91

.07

 6. Staff meet to reevaluate a patient’s fall-risk-reduction plan of care when aspects of the situation have changed.

88

82

.049

 7. Staff correct each other’s mistakes to ensure that fall-risk-reduction procedures are followed properly.

84

84

.96

Mutual Support (α = .92)

89

87

.42

 1. Staff assist fellow staff to decrease the risk of falls during a high workload.

93

91

.24

 2. Staff request assistance from fellow staff to implement fall-risk-reduction interventions when they feel overwhelmed.

91

93

.47

 3. Staff caution each other about potentially dangerous situations that may increase the risk of patient falls.

94

93

.54

 4. Feedback between staff about fall-risk reduction is delivered in a way that promotes positive interactions and future change.

90

88

.30

 5. Staff advocate for patients who are at risk for falls even when their opinion conflicts with that of a senior member of the unit/department.

90

90

.98

 6. When staff have a concern about a patient’s risk of falling, they challenge others until they are sure the concern has been heard.

84

80

.24

 7. Staff resolve their conflicts about fall-risk reduction, even when the conflicts have become personal.

82

76

.07

Communication (α = .94)

92

90

.24

 1. Information about fall-risk reduction is explained to patients and their families in lay terms.

95

91

.06

 2. Staff relay relevant information about fall-risk reduction in a timely manner.

95

92

.18

 3. When communicating with patients about fall-risk reduction, staff allow enough time for questions.

93

92

.63

 4. Staff use common terminology when communicating with each other about fall-risk reduction.

96

94

.15

 5. Staff verbally verify information about a patient’s fall risk that they receive from each other.

93

90

.23

 6. Staff follow a standardized method of sharing fall risk information when handing off patients.

89

87

.44

 7. Staff seek fall-risk-reduction information from all available sources.

84

85

.96

  1. Bold p values indicate differences between groups that are statistically significant at p < .05 or of interest with p < .10
  2. aNumber of respondents varies for each dimension due to the requirement to complete at least five items to calculate the dimension percent positive score