Reliability of team-based self-monitoring in critical events: a pilot study

Stocker, Martin; Menadue, Lynda; Kakat, Suzan; Costa, Kumi De; Combes, Julie; Banya, Winston; Lane, Mary; Desai, Ajay; Burmester, Margarita

doi:10.1186/1471-227x-13-22

Cited by 10 publications

(14 citation statements)

References 35 publications

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“…The scores given by the participants correlated well with the scores of external assessors, but participants rated their teamwork better. Another study comparing participant and observer ratings in a UK paediatric ICU used the Mayo High Performance Teamwork scale to compare participant and observer ratings of performance following simulations . Team training was provided with the Simulated Paediatric Resuscitation and Team Training programme (SPRinT) .…”

Section: Resultsmentioning

confidence: 99%

Monitoring teamwork: a narrative review

Rütherford

2017

Anaesthesia

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SummaryA narrative review was carried out to identify articles on monitoring of teamwork, with particular relevance to anaesthetists. The papers reviewed showed that team monitoring takes place both implicitly and explicitly in the anaesthetic environment. No single optimal model of teamwork monitoring for all situations was identified. Most of the studies identified were of a pre-intervention, post-intervention design, without randomisation or control group. Information shared during a formal briefing is more likely to be recalled, and provides a basis for a shared team mental model. A number of studies appeared to show that targeted teamwork training has a positive impact on both teamwork and patient safety.

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Section: Resultsmentioning

confidence: 99%

Monitoring teamwork: a narrative review

Rütherford

2017

Anaesthesia

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“…Van der Vleuten’s framework of a programmatic approach to evaluate multiple sets of assessment longitudinally guided our assessment strategy of real events during the second half of the reported time of the programme [ 35 ]. TeamMonitor, a modified version of the Mayo High Performance Teamwork Scale published with a good reliability (kappa = 0.86) and content validity for CRM training, was used as the assessment tool [ 36 ]. TeamMonitor was selected due to the reported feasibility and low use of resource requirements compared to video analysis or expert observation [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

“…TeamMonitor, a modified version of the Mayo High Performance Teamwork Scale published with a good reliability (kappa = 0.86) and content validity for CRM training, was used as the assessment tool [ 36 ]. TeamMonitor was selected due to the reported feasibility and low use of resource requirements compared to video analysis or expert observation [ 36 ]. As a 9-item team-based self-assessment tool capturing aspects of leadership, role clarity, communication, resource utilization and situational awareness, every item is scaled as 0 (never/rarely), 1 (inconsistently), 2 (consistently) or not applicable.…”

Section: Methodsmentioning

confidence: 99%

Inter-professional in-situ simulated team and resuscitation training for patient safety: Description and impact of a programmatic approach

et al. 2015

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BackgroundInter-professional teamwork is key for patient safety and team training is an effective strategy to improve patient outcome. In-situ simulation is a relatively new strategy with emerging efficacy, but best practices for the design, delivery and implementation have yet to be evaluated. Our aim is to describe and evaluate the implementation of an inter-professional in-situ simulated team and resuscitation training in a teaching hospital with a programmatic approach.MethodsWe designed and implemented a team and resuscitation training program according to Kern’s six steps approach for curriculum development. General and specific needs assessments were conducted as independent cross-sectional surveys. Teamwork, technical skills and detection of latent safety threats were defined as specific objectives. Inter-professional in-situ simulation was used as educational strategy. The training was embedded within the workdays of participants and implemented in our highest acuity wards (emergency department, intensive care unit, intermediate care unit). Self-perceived impact and self-efficacy were sampled with an anonymous evaluation questionnaire after every simulated training session. Assessment of team performance was done with the team-based self-assessment tool TeamMonitor applying Van der Vleuten’s conceptual framework of longitudinal evaluation after experienced real events. Latent safety threats were reported during training sessions and after experienced real events.ResultsThe general and specific needs assessments clearly identified the problems, revealed specific training needs and assisted with stakeholder engagement. Ninety-five interdisciplinary staff members of the Children’s Hospital participated in 20 in-situ simulated training sessions within 2 years. Participant feedback showed a high effect and acceptance of training with reference to self-perceived impact and self-efficacy. Thirty-five team members experiencing 8 real critical events assessed team performance with TeamMonitor. Team performance assessment with TeamMonitor was feasible and identified specific areas to target future team training sessions. Training sessions as well as experienced real events revealed important latent safety threats that directed system changes.ConclusionsThe programmatic approach of Kern's six steps for curriculum development helped to overcome barriers of design, implementation and assessment of an in-situ team and resuscitation training program. This approach may help improve effectiveness and impact of an in-situ simulated training program.

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“…[1][2][3] Our in-situ simulation training programme aims to improve patient outcome by rehearsing the team response to simulated crises including cardiac arrests. 4 There is a relative paucity of translational research on the impact of simulated team training on real resuscitations. 5 Aims We aimed to assess the impact of simulation training on individual performance, team-working and Crisis Resource Management (CRM) during real cardiopulmonary resuscitations (CPR).…”

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confidence: 99%

“…Cardiac arrests on PICU requiring at least 2 minutes of CPR were audited (1.5.2014 to 31.5.2015). Following each resuscitation, team members completed anonymous questionnaires scoring team resuscitation performance using the validated TeamMonitor tool 4 and the impact of prior simulation training on self-rated performance.…”

mentioning

confidence: 99%