Abstract
Aim
To test the resuscitation non-technical Team Emergency Assessment Measure (TEAM) for
feasibility, validity and reliability, in two Australian Emergency Departments (ED).
Background
Non-technical (teamwork) skills have been identified as inadequate and as such have
a significant impact on patient safety. Valid and reliable teamwork assessment tools
are an important element of performance assessment and debriefing processes.
Methods
A quasi experimental design based on observational ratings of resuscitation non-technical
skills in two metropolitan ED. Senior nursing staff rated 106 adult resuscitation
team events over a ten month period where three or more resuscitation team members
attended. Resuscitation events, team performance and validity and reliability data
was collected for the TEAM.
Results
Most rated events were for full cardiac resuscitation (43%) with 3–15 team members
present for an average of 45 min. The TEAM was found to be feasible and quickly completed with minimal or no training.
Discriminant validity was good as was internal consistency with a Cronbach alpha of
0.94. Uni-dimensional and concurrent validity also reached acceptable standards, 0.94
and >0.63 (p = < 0.001), respectively, and a single ‘teamwork’ construct was identified. Non-technical
skills overall were good but leadership was rated notably lower than task and teamwork
performance indicating a need for leadership training.
Conclusion
The TEAM is a feasible, valid and reliable non-technical assessment measure in simulated
and real clinical settings. Emergency teams need to develop leadership skills through
training and reflective debriefing.
Keywords
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Article info
Publication history
Published online: February 11, 2016
Accepted:
January 11,
2016
Received in revised form:
December 14,
2015
Received:
November 10,
2015
Footnotes
☆A Spanish translated version of the summary of this article appears as Appendix in the final online version at http://dx.doi.org/10.1016/j.resuscitation.2016.01.026.
Identification
Copyright
© 2016 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
