Team performance in resuscitation teams: comparison and critique of two recently developed scoring tools.

Background and Aim: Following high profile errors resulting in patient harm and attracting negative publicity, the healthcare sector has begun to focus on training non-technical teamworking skills as one way of reducing the rate of adverse events. Within the area of resuscitation, two tools have bee...

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Publicado en:Resuscitation Vol. 83; no. 12; pp. 1478 - 1484
Autores principales: McKay A, Walker ST, Brett SJ, Vincent C, Sevdalis N, McKay, Anthony, Walker, Susanna T, Brett, Stephen J, Vincent, Charles, Sevdalis, Nick
Formato: research Journal Article
Publicado: Elsevier B.V. Dec2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2012
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        10.1016/j.resuscitation.2012.04.015
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        atl: Team performance in resuscitation teams: comparison and critique of two recently developed scoring tools.
      aug:
        au:
          McKay A
          Walker ST
          Brett SJ
          Vincent C
          Sevdalis N
          McKay, Anthony
          Walker, Susanna T
          Brett, Stephen J
          Vincent, Charles
          Sevdalis, Nick
        affil: Department of Resuscitation and Outreach, St. Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK
      sug:
        subj:
          Clinical Competence Statistics and Numerical Data
          Multidisciplinary Care Team
          Resuscitation Standards
          Human
          Observer Bias
      ab: Background and Aim: Following high profile errors resulting in patient harm and attracting negative publicity, the healthcare sector has begun to focus on training non-technical teamworking skills as one way of reducing the rate of adverse events. Within the area of resuscitation, two tools have been developed recently aiming to assess these skills - TEAM and OSCAR. The aims of the study reported here were:Methods: The study consisted of two phases - reliability assessment; and content comparison, and correlation. Assessments were made by two resuscitation experts, who watched 24 pre-recorded resuscitation simulations, and independently rated team behaviours using both tools. The tools were critically appraised, and correlation between overall score surrogates was assessed.Results: Both OSCAR and TEAM achieved high levels of inter-rater reliability (in the form of adequate intra-class coefficients) and minor significant differences between Wilcoxon tests. Comparison of the scores from both tools demonstrated a high degree of correlation (and hence concurrent validity). Finally, critique of each tool highlighted differences in length and complexity.Conclusion: Both OSCAR and TEAM can be used to assess resuscitation teams in a simulated environment, with the tools correlating well with one another. We envisage a role for both tools - with TEAM giving a quick, global assessment of the team, but OSCAR enabling more detailed breakdown of the assessment, facilitating feedback, and identifying areas of weakness for future training.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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