Reliability of team-based self-monitoring in critical events: a pilot study.
BMC Emerg Med
; 13: 22, 2013 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-24289232
ABSTRACT
BACKGROUND:
Teamwork is a critical component during critical events. Assessment is mandatory for remediation and to target training programmes for observed performance gaps.METHODS:
The primary purpose was to test the feasibility of team-based self-monitoring of crisis resource management with a validated teamwork assessment tool. A secondary purpose was to assess item-specific reliability and content validity in order to develop a modified context-optimised assessment tool.We conducted a prospective, single-centre study to assess team-based self-monitoring of teamwork after in-situ inter-professional simulated critical events by comparison with an assessment by observers. The Mayo High Performance Teamwork Scale (MHPTS) was used as the assessment tool with evaluation of internal consistency, item-specific consensus estimates for agreement between participating teams and observers, and content validity.RESULTS:
105 participants and 58 observers completed the MHPTS after a total of 16 simulated critical events over 8 months. Summative internal consistency of the MHPTS calculated as Cronbach's alpha was acceptable with 0.712 for observers and 0.710 for participants. Overall consensus estimates for dichotomous data (agreement/non-agreement) was 0.62 (Cohen's kappa; IQ-range 0.31-0.87). 6/16 items had excellent (kappa > 0.8) and 3/16 good reliability (kappa > 0.6). Short questions concerning easy to observe behaviours were more likely to be reliable. The MHPTS was modified using a threshold for good reliability of kappa > 0.6. The result is a 9 item self-assessment tool (TeamMonitor) with a calculated median kappa of 0.86 (IQ-range 0.67-1.0) and good content validity.CONCLUSIONS:
Team-based self-monitoring with the MHPTS to assess team performance during simulated critical events is feasible. A context-based modification of the tool is achievable with good internal consistency and content validity. Further studies are needed to investigate if team-based self-monitoring may be used as part of a programme of assessment to target training programmes for observed performance gaps.
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Banco de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
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Autoevaluación (Psicología)
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Conducta Cooperativa
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Cuidados Críticos
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Año:
2013
Tipo del documento:
Article