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1. Weller J, Frengley R, Torrie J, Shulruf B, Jolly B, Hopley L, Hendersdon K, Dzendrowskyj P, Yee B, Paul A: Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams. BMJ Qual Saf; 2011 Mar;20(3):216-22
MedlinePlus Health Information. consumer health - Critical Care.

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams.
  • INTRODUCTION: Teamwork failures contribute to adverse events causing harm to patients.
  • Establishing and maintaining a team and managing the tasks are active processes.
  • Medical education largely ignores teamwork skills.
  • However, lack of robust instruments to measure teamwork limits evaluation of interventions to improve it.
  • The authors aimed to develop and validate an instrument to measure teamwork behaviours.
  • METHODS: From existing literature, the authors developed an instrument, gaining rater consensus that the final 23 items were comprehensive, comprehensible and observable.
  • Data on the instrument were obtained from three expert raters who scored videotaped simulations of 40 critical care teams (one doctor, three nurses) participating in four simulated emergencies.
  • Exploratory Factor Analysis, Generalisability Analysis and rater interviews on assessor performance provided information on the properties of the instrument.
  • RESULTS: Exploratory Factor Analysis found items clustered into three factors: Leadership and Team Coordination; Mutual Performance Monitoring; and Verbalising Situational Information.
  • Internal consistencies (Cronbach's α) for these factors were 0.917, 0.915 and 0.893, respectively.
  • The Generalisability coefficient for overall team behaviour was 0.78 and the G coefficients for the three factors were 0.85, 0.4 and 0.37, respectively.
  • Variance Components and interview data provided insight into individual item performance.
  • Significantly improved performance with time and seniority supported construct validity.
  • DISCUSSION: The instrument performed well as an overall measure of team behaviour and reflected three dimensions of teamwork.
  • Triangulation of information on the instrument, the factors and individual items will allow a methodical and informed approach to further development of the instrument.
  • The ultimate goal is an instrument that can robustly evaluate interventions to improve team function in healthcare.
  • [MeSH-major] Critical Care / organization & administration. Patient Care Team / organization & administration. Surveys and Questionnaires
  • [MeSH-minor] Attitude of Health Personnel. Behavior. Cooperative Behavior. Humans. Interprofessional Relations. Leadership

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  • (PMID = 21209142.001).
  • [ISSN] 2044-5423
  • [Journal-full-title] BMJ quality & safety
  • [ISO-abbreviation] BMJ Qual Saf
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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