The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

JjesLgBFg4K5oyiJIm6tVHGFC

Usability Survey - Checklist for Lab Stewardship Standards

Step 1. Please complete the checklist for laboratory standards. If you do not have a checklist, you can download it here.

The checklist can be completed by one or several team members familiar with your institution’s laboratory stewardship program. Prepare to spend 1-4 man hours completing the checklist. Because this checklist covers multiple disciplines, we recommend identifying a few key stakeholders to complete together. These stakeholders may include laboratory administrative director, laboratory medical director, laboratory stewardship committee clinicians, or informaticist. You may consider completing together or distributing the checklist among the key stakeholders to make sure different perspectives are captured.

Step 2: After completing Step 1 (above), complete the following usability survey. This survey will help us improve the checklist. It should take less than 10 minutes of your time.

Thank you!

Institution Name. This will help identify if more than one survey is completed per institution.

Please select which description best describes your laboratory stewardship program.

*Active programs refer to those with regular committee meetings, access to data to inform and monitor interventions, and regular implementation of interventions (policy development, CPOE tools, etc).

We don't have a formal program.

We are in the early stages of creating a program.

We have a formal program, but it is not very active.

We have an active, mature program.

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How did you elect to complete the checklist?

If other, describe:

How long did it take you to complete in people-hours? E.g. If two people took the checklist for 1 hr, then that equates to 2 hrs.

< 1 hour

1-4 hours

4-7 hours

>7 hours

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I believe I understood what the questions were asking. Please rank 1-5, where 1 is strongly disagree and 5 is strongly agree.

1. Strongly Disagree

2. Disagree

3. Neutral

4. Agree

5. Strongly Agree

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The additional notes and examples were helpful. Please rank 1-5, where 1 is disagree and 5 is strongly agree.

1. Strongly Disagree

2. Disagree

3. Neutral

4. Agree

5. Strongly Agree

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Please agree or disagree with the following statement, where 5 is strongly agree, and 1 is strongly disagree.

This assessment helped us identify ideas for improvement for our stewardship program.

1. Strongly Disagree

2. Disagree

3. Neutral

4. Agree

5. Strongly Agree

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Please list the top 2-3 ideas for improvement for your stewardship program.

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6. On a scale of 1-5 where 1 is very unlikely, 5 is very likely, and 3 is neutral, how likely is your organization to take action within the next year to correct some of the gaps identified in this checklist.

1 Very Unlikely

2 Unlikely

3 Neutral

4 Likely

5 Very Likely

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If yes, please describe.

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Would you be willing to share some of your successes that you encountered in your laboratory stewardship program? If yes, please describe:

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Would you be willing to share some of your challenges that you encountered in your laboratory stewardship program? If yes, please describe:

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We'd like to gather more detailed information around select successes and challenges. Would you be willing to share your email address so that we can contact you?

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.