SAFETY CULTURE
Measuring the teamwork performance of teams in crisis situations
Published on
October 11, 2018
BMJ Quality & Safety
Overview
This systematic review examined various tools designed to measure teamwork performance in crisis situations, addressing the significant variability in existing measurement methods. After conducting extensive searches across multiple databases, the review identified 20 studies focusing on 13 different assessment tools, primarily used in simulated resuscitation scenarios within emergency departments. Among these, the Team Emergency Assessment Measure (TEAM) emerged as the most validated tool, supported by five validation studies demonstrating robust validity and reliability.
The findings suggest that while several tools are available for assessing teamwork performance in crisis situations, the choice of tool should depend on the specific context of use. TEAM stands out due to its strong measurement properties, although there is a noted gap in tools specifically designed for intraoperative crisis assessments. The review highlights the need for further research to develop and validate tools for these critical settings.
Results
The search yielded 1,822 references. There were 20 studies were included, representing 13 assessment tools. Tools were primarily assessed in simulated resuscitation scenarios for emergency department teams. The Team Emergency Assessment Measure (TEAM) had the most validation studies (n=5), which demonstrated three sources of validity (content, construct and concurrent) and three sources of reliability (internal consistency, inter-rater reliability and test-retest reliability). Most studies of TEAM's measurement properties were at no risk of bias.
