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1. Lamb BW, Wong HW, Vincent C, Green JS, Sevdalis N: Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. BMJ Qual Saf; 2011 Oct;20(10):849-56
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool.
  • AIM: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment.
  • Our objective was to construct a robust tool for scientific assessment of MDT performance.
  • MATERIALS AND METHODS: An observational tool was developed to assess performance in MDTs.
  • Behaviours were scored on Likert scales, with objective anchors.
  • Five MDT meetings (112 cases) were observed by a surgeon and a psychologist.
  • The presentation of case history, radiological and pathological information, chair's effectiveness, and contributions to decision-making of surgeons, oncologists, radiologists, pathologists and clinical nurse specialists (CNSs) are analysed via descriptive statistics, a comparison of average scores (Mann-Whitney U) to test interobserver agreement and intraclass correlation coefficients (ICCs) to further assess interobserver agreement and learning curves.
  • RESULTS: Contributions of surgeons, chair's effectiveness, presentation of case history and radiological information were rated above average (p ≤ 0.001).
  • Contributions of histopathologists and CNS were rated below average (p ≤ 0.001), and others average.
  • The interobserver agreement was high (ICC = 0.70+) for presentation of radiological information, and contribution of oncologists, radiologists, pathologists and CNSs; adequate for case history presentation (ICC = 0.68) and contribution of surgeons (ICC = 0.69); moderate for chairperson (ICC = 0.52); and poor for pathological information (ICC = 0.31).
  • Average differences were found only for case-history presentation (p ≤ 0.001).
  • ICCs improved significantly in assessment of case history, and Oncologists, and ICCs were consistently high for CNS, Radiologists, and Histopathologists.
  • CONCLUSIONS: Scientific observational metrics can be reliably used by medical and non-medical observers in cancer MDTs.
  • Such robust assessment tools provide part of a toolkit for team evaluation and enhancement.
  • [MeSH-major] Attitude of Health Personnel. Oncology Service, Hospital / organization & administration. Patient Care Team / organization & administration. Task Performance and Analysis
  • [MeSH-minor] Decision Making. Humans. Interprofessional Relations. Observer Variation

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  • (PMID = 21610266.001).
  • [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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