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Innovative Methods – New Tools

Capturing Implementation Context: The Team Check Up Tool (Tct) Project

  • PI:                           Jill Marsteller, Ph.D.
  • Funder:                  Robert Wood Johnson Foundation (RWJF)
  • Status:                    Results published

The aim of this research was to develop and validate an instrument to measure quality improvement team activities and interaction in the hospital intensive care unit setting. The instrument tested was used in several quality improvement collaboratives with intensive care units and operating rooms. We found evidence supporting the temporal stability, construct validity, and responsiveness of TCT measures of intervention activities, perceived group-level behaviors, and barriers to team progress. By having more validated measures on implementation context, researchers can more readily conduct rigorous studies to identify contextual variables linked to key intervention and patient outcomes and strengthen the evidence base on successful spread of efficacious team-based interventions. QI teams participating in an intervention should also find data from a validated tool useful for identifying opportunities to improve their own implementation.


Chan, Kitty S, Yea-Jen Hsu, Lisa H Lubomski and Jill A Marsteller. (2011). Validity and Usefulness of Members Reports of Implementation Progress in a Quality Improvement Initiative: Findings from the Team Check-up Tool (TCT). Implementation Science, 6:115.