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Worksheets

ERNST: Metrics

Total questions: 92

Worksheet time: 8hrs 40mins

Name
Class
Date
1.

Trained peer supporters self-assessment

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

2.

Number of peer supporters

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

3.

Number of units involved

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

4.

Frequency of encounters

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

5.

Interaction during the support intervention among peer supporter and HCW

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

6.

Median number of interactions per month

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

7.

Duration of peer support interventions

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

8.

Responsable for program activation

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

9.

Number of programme activations

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

10.

Overall experience of the participants after attending the intervention (relevance and usefulness of the programme)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

11.

Emotional distress

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

12.

Work-related symptoms and burnout

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

13.

General health and vitality; Emotion regulation; Perception of stress, anxiety and burnout

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

14.

Quality of life assessment

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

15.

Job satisfaction

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

16.

Turnover intentions

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

17.

Staff awareness of second victim phenomenon

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

18.

Sense of preparedness in handling critical incidents

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

19.

Knowledge improvement (main outcome)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

20.

Confidence in coping with adverse events and knowledge about resilience and coping strategies

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

21.

Attendance to the sessions

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

22.

Number of interventions

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

23.

Interactions resolutions (number of interactions solved in real-time)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

24.

Programme recommendations

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

25.

Impact on culture of the department

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

26.

Organizational changes

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

27.

Perceived helpfulness of the peer support group program

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

28.

Feeling of safety in the aftermath of a patient safety incident

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

29.

Feeling cared by the institution

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

30.

Staff perception on resilience and self-efficacy

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

31.

Number of requested peer support / Type of adverse events that seek support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

32.

Nº of people got counseling of 1st level of peer support (informal peer support?)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

33.

Nº of people referred to the next level of peer support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

34.

Nº of working days lost because emotional distress

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

35.

Number of people involved in the organization of peer support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

36.

Nº of adverse events registered on the organization (sentinel / critical events)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

37.

Nº medical staff trained during the SV program (peer supporters training?)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

38.

Nº of call center contact

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

39.

Nº of meeting between the support team leader and the board of institution/hospital

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

40.
  1. Nº training course focused on Patient Safety and Second Victim

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

41.

Nº of professionals that have attended the course focused on patient safety and SVP

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

42.

Staff experience (after attending the program?) / Qualitative feedback / Likert scale

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

43.

Nº of HCW reach out for support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

44.

Nº of people using support team intervention

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

45.
  1. nº of people left the organization after the AE

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

46.
  1. Patient: likelihood to suit the HCW / patient complains

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

47.

Referral for specialized care

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

48.

Patient satisfaction

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

49.

Provider satisfaction (Managers? HCW? Healthcare institution?)

Number of staff members who feel satisfied with the support received after an adverse event

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

50.

The depth of SV: Total number of AE / total number of involved medical staff in AE

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

51.
  1. Total number of involved medical staff / total number of medical staff

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

52.
  1. Representation of different professions - number of nurses / number of medical staff

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

53.
  1. SV recurrence among the staff

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

54.
  1. Number of treated medical staff / total number of medical staff involved in AE

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

55.
  1. Change of the cost (or losses) after an AE in hospital / total costs of implementing the program

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

56.
  1. Nº of people being transferred to different departments

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

57.
  1. Nº of peer supporters team meetings

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

58.
  1. Nº of peers recruited

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

59.
  1. Duration of peer support encounters

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

60.
  1. Perception of patient safety culture

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

61.
  1. Perceived benefit from the encounter with the peer supporter

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

62.
  1. Perceived benefit from the peer supporter

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

63.
  1. Overall perceived benefit of the program from the staff organization

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

64.
  1. Awareness of the program among the staff organization

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

65.
  1. Number of SV/ nº AE analyzed in RCA

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

66.
  1. % of SV that received support / SV that required support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

67.
  1. % of SV with psychological sequels

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

68.
  1. Nº of available hours for the support program

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

69.
  1. Policy strategy document approval in the institution

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

70.
  1. Protocol for training of peer supporters

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

71.
  1. 24/7 support open channel

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

72.
  1. Average time elapsed from the incident

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

73.
  1. Cases with origin in the reporting system

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

74.
  1. Modality of the intervention: individual/group/online/by phone

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

75.
  1. Reception procedure after sick leave

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

76.
  1. Number of HCW supported without signs of SV

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

77.
  1. Number of suicides

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

78.
  1. Results in acute stress assessment (before and after the peer support)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

79.
  1. Ongoing litigation

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

80.
  1. Patient adequately informed

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

81.
  1. Positive changes of RCA

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

82.
  1. Profile peer supporters

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

83.
  1. Format of peer support encounter

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

84.
  1. Quote of trained peers among occupational groups

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

85.
  1. Percentage of staff feeling capable of speaking up (>95%)

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

86.
  1. Knowledge of sources of help available

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

87.
  1. Willingness to support others after adverse events

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

88.
  1. Peers' psychological safety after offering support

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

89.
  1. Stress reduction

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

90.
  1. Knowledge of the legal procedures to follow after AE

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

91.
  1. Data of last update of the intervention

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings

92.
  1. Monitoring commitee

a)

Hardly feasible indicator

b)

Partially feasible indicator

c)

Feasible indicator

d)

Feasible and sensitive indicator

e)

Excellent measure for all settings