- Title
- Improving the non-technical skills of hospital medical emergency teams : The Team Emergency Assessment Measure (TEAM™)
- Creator
- Cant, Robyn; Porter, Joanne; Cooper, Simon J.; Roberts, Kate; Wilson, Ian; Gartside, Christopher
- Date
- 2016
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/104321
- Identifier
- vital:11019
- Identifier
-
https://doi.org/10.1111/1742-6723.12643
- Identifier
- ISSN:17426731
- Abstract
- Objectives: This prospective descriptive study aimed to test the validity and feasibility of the Team Emergency Assessment Measure (TEAM™) for assessing real-world medical emergency teams' non-technical skills. Second, the present study aimed to explore the instrument's contribution to practice regarding teamwork and learning outcomes. Methods: Registered nurses (RNs) and medical staff (n = 104) in two hospital EDs in rural Victoria, Australia, participated. Over a 10 month period, the (TEAM™) instrument was completed by multiple clinicians at medical emergency episodes. Results: In 80 real-world medical emergency team resuscitation episodes (283 clinician assessments), non-technical skills ratings averaged 89% per episode (39 of a possible 44 points). Twenty-one episodes were rated in the lowest quartile (i.e. ≤37 points out of 44). Ratings differed by discipline, with significantly higher scores given by medical raters (mean: 41.1 ± 4.4) than RNs (38.7 ± 5.4) (P = 0.001). This difference occurred in the Leadership domain. The tool was reliable with Cronbach's alpha 0.78, high uni-dimensional validity and mean inter-item correlation of 0.45. Concurrent validity was confirmed by strong correlation between TEAM™ score and the awarded Global Rating (P < 0.001), with 38.4% of shared variance. RNs praised the instrument as it initiated staff reflection and debriefing discussions around performance improvement. Conclusion: Non-technical skills of medical emergency teams are known to often be suboptimal; however, average ratings of 89% were achieved in this real-world study. TEAM™ is a valid, reliable and easy to use tool, for both training and clinical settings, with benefits for team performance when used as an assessment and/or debriefing tool. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
- Publisher
- Blackwell Publishing
- Relation
- EMA - Emergency Medicine Australasia Vol. 28, no. 6 (2016), p. 641-646
- Rights
- Copyright © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1103 Clinical Sciences; 1117 Public Health and Health Services; Advanced life support; Medical emergency team; Non-technical skills; Team leadership; Teamwork
- Reviewed
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