Evaluating Teamwork in Medical Emergencies
A study from Australia, published in Resuscitation, tested the validity, feasibility and reliability of the Team Emergency Assessment Measure™ (TEAM) in a real clinical setting following testing in simulated settings. TEAM, which was developed at Monash University by Associate Professor Simon Cooper and colleagues, is a 12-item assessment measure used to rate 11 items - on leadership (2 items), teamwork (7 items, including situational awareness, cooperation and coordination, team climate and adaptability), and task management (2 items) using a 5 point Likert scale (‘0’ (Never/hardly ever) to ‘4’ (Always/nearly always)). The tool was developed to assess resuscitation teamwork, but can be used in emergency medicine settings.
See Also: Study: Crew Resource Management Training in Simulation
In this study the team that developed the tool tested TEAM for feasibility, validity and reliability, in two Australian Emergency Departments (ED). Senior nursing staff observed and rated 106 adult resuscitation team events over 10 months where three or more resuscitation team members attended.
Most events rated by the observers immediately after the event were full cardiac resuscitation (43%) with between 3 and 15 team members present for an average of 45 min. The TEAM was found to be feasible and quickly completed in less than a minute with minimal or no training. Non-technical skills overall were good. However, leadership was rated lower than task and teamwork performance, which suggested a need for leadership training. A significant negative correlation was found between the number of staff involved and the TEAM score - the bigger the team the less effective the teamwork.
The authors conclude that the TEAM tool is straightforward and quick to complete and recommend its use in the training and debriefing of medical emergency teams to enhance non-technical skills.
Another study in the same issue of Resucitation validated the French version of the TEAM tool (Maignan et al. 2016). Maxime Maignan, from the University Grenoble Alps – Emergency Department and Mobile Intensive Care Unit in France, and colleagues, analysed use of the tool by 10 medical teams perfoming a standardised cardiac arrest simulation scenario. Their results showed that internal consistency and inter-rater reliability of the French TEAM score are consistent with those reported in the original validation studies. They suggest that further research is conducted to relate the TEAM score with clinical efficacy during resuscitation.
The TEAM tool and users’guide are available from http://medicalemergencyteam.com
Image credit: Pixabay
Maignan M, Koch FX, Chaix J et al. (2016) Team Emergency Assessment Measure (TEAM) for the assessment of non-technical skills during resuscitation: Validation of the French version. Resuscitation, 101: 115-20. doi: 10.1016/j.resuscitation.2015.11.024.
Published on : Tue, 29 Mar 2016
Print as PDF
Monitor vital signs of sensitive patients with reliable, smart and intuitive technology Not available in the US Sensitive patients, like neonates, require comfortable care. With transcutaneous monitoring, you can easily keep track of the oxygenation...
medos customized tubing sets have been individually designed, so that all customer requirements, depending on application and need can be realized. Furthermore tubing sets can be refined by rheoparin or x.eed coating. Customized and standard tubing sets...
The HAMILTON-C3 ventilator is a modular high-end ventilation solution for all patient groups. Offering a number of unique features, the HAMILTON-C3 is one of the first ventilators featuring the “Ventilation Autopilot” INTELLiVENT-ASV®. The HAMILTON-C3’s...
The HAMILTON-C1 neo is a versatile neonatal ventilator that combines invasive and noninvasive modes with the additional options of nCPAP and high flow oxygen therapy. The integrated turbine allows it to be operated independently of a compressed air supply....
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...