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

Assessing teamwork in medical education and practice: relating behavioural teamwork ratings and clinical performance.
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评估医学教育和实践中的团队合作:将行为团队合作评级与临床表现联系起来。

DOI:
10.1080/01421590802070853
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发表时间:
2009
期刊:
影响因子:
4.7
通讯作者:
Taekman,JeffreyM
Taekman,JeffreyM
中科院分区:
教育学2区
文献类型:
--
作者:
Wright,MelanieC;Phillips-Bute,BarbaraG;Petrusa,EmilR;Griffin,KathleenL;Hobbs,GeneW;Taekman,JeffreyM

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背景:沟通和团队协调问题经常与药物不良事件有关。然而,很少有实验证据支持观察员的团队合作技能和客观措施的临床performance.Aim:我们的主要目标是测试的假设,观察员的团队合作技能的评级将与客观措施的临床performance.Methods:9队医学生进行录像执行两种类型的团队合作任务:(1)低保真度的课堂为基础的病人评估和(2)高保真度模拟紧急护理。观察员使用行为锚定评级量表对每个人的自信、决策、情况评估、领导力和沟通等技能进行评级。一个基于检查表的措施被用来评估临床团队performance.Results:中度到高度观察者间的相关性和中度病例之间的相关性建立了行为锚定的团队技能评级工具的有效性模拟紧急护理。在模拟的急诊病例中,观察者对团队技能的评价与基于检查表的团队绩效指标之间存在中度至高度相关(r= 0.65,p = 0.06和r = 0.97,p < 0.0001)。结论:这些结果为观察者对团队技能的评价与模拟的动态医疗任务中的临床团队绩效之间存在正相关提供了前瞻性证据。
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 andr= 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.
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DOI: 10.1093/ejcts/ezae078
发表时间: 2024
影响因子: 3.4
作者:
Alduz S Cabasa;T. Bower;A. Pochettino
通讯作者: A. Pochettino
DOI: 10.1093/ejcts/ezs208
发表时间: 2013-02-01
影响因子: 3.4
作者:
Loubani, Mahmoud;Rafael Sadaba, Justo;Sergeant, Paul T.
通讯作者: Sergeant, Paul T.