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Med Teach. 2009 Jan;31(1):30-8. doi: 10.1080/01421590802070853.

Assessing teamwork in medical education and practice: relating behavioural teamwork ratings and clinical performance.

Author information

1
Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. melanie.wright@duke.edu

Abstract

BACKGROUND:

Problems with communication and team coordination are frequently linked to adverse events in medicine. However, there is little experimental evidence to support a relationship between observer ratings of teamwork skills and objective measures of clinical performance.

AIM:

Our main objective was to test the hypothesis that observer ratings of team skill will correlate with objective measures of clinical performance.

METHODS:

Nine teams of medical students were videotaped performing two types of teamwork tasks: (1) low fidelity classroom-based patient assessment and (2) high fidelity simulated emergent care. Observers used a behaviourally anchored rating scale to rate each individual on skills representative of assertiveness, decision-making, situation assessment, leadership, and communication. A checklist-based measure was used to assess clinical team performance.

RESULTS:

Moderate to high inter-observer correlations and moderate correlations between cases established the validity of a behaviourally anchored team skill rating tool for simulated emergent care. There was moderate to high correlation between observer ratings of team skill and checklist-based measures of team performance for the simulated emergent care cases (r = 0.65, p = 0.06 and r = 0.97, p < 0.0001).

CONCLUSIONS:

These results provide prospective evidence of a positive relationship between observer ratings of team skills and clinical team performance in a simulated dynamic health care task.

PMID:
18825572
DOI:
10.1080/01421590802070853
[Indexed for MEDLINE]

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