Who is Being Assessed or Evaluated?:
Observer-based (e.g., rubric, rating tool, 360 degree feedback)
Notes for Type:
This is an onsite (in situ) observational tool.
Source of Data:
Health care providers, staff
Notes for Data Sources:
Clinically and human factors trained observers record ratings.
Notes for Content:
Four domains are rated by the observers:
- Leadership & Management
- Teamwork & Cooperation
- Problem Solving & Decision Making\
- Situation Awareness
Three subteams (surgeon team, anesthetic team, and nursing team) are each rated on four domains (Leadership & Management, Teamwork & Cooperation, Problem Solving & Decision Making, and Situation Awareness) for a total of 12 ratings per operation. Length of time varies with the length of the surgery.
An 8-point scale is used with anchors for every two scale points (i.e., 1 and 2, 3 and 4, 5 and 6, 7 and 8). The lowest anchor states, “Behaviour compromises patient safety and effective teamwork” and the highest anchor states, “Behaviour enhances patient safety and teamwork, a model for all other teams.” The two scale points for each anchor are further anchored with “consistent” or “inconsistent.”
Observers are trained before beginning administration for one month with “self-study and group practice sessions using video recordings of operating teams in simulated settings.” Two observers, one clinical and one human factors, rate the teams on a scoring sheet in the operating theater.
Open access (available on this website)
Notes on Access:
Contact author to confirm permission to use.