Assessing teamwork in the trauma bay: Introduction of a modified "NOTECHS" scale for trauma

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Dec 19, 2014 - 3:59pm CST

Resource Type: 
Journal Article

BACKGROUND: A modified nontechnical skills (NOTECHS) scale for trauma (T-NOTECHS) was developed to teach and assess teamwork skills of multidisciplinary trauma resuscitation teams. In this study, T-NOTECHS was evaluated for reliability and correlation with clinical performance.
METHODS: Interrater reliability (intraclass correlation coefficient) and correlation with the speed and completeness of resuscitation tasks were assessed during simulation-based teamwork training and during actual trauma resuscitations.
RESULTS: For T-NOTECHS ratings done in real time, intraclass correlation coefficients were .44 for simulated and .48 for actual resuscitations. Reliability was higher (intraclass correlation coefficient = .71) for video review of resuscitations. Better T-NOTECHS scores were correlated with better performance during simulations, evidenced by a greater number of completed resuscitation tasks (r = .50, P < .01) and faster time to completion (r = -.38, P < .05) In actual resuscitations, T-NOTECHS ratings improved after teamwork training (P < .001). Higher T-NOTECHS scores were correlated with better clinical performance, evidenced by faster resuscitation (r = -.13, P < .05) and fewer unreported resuscitation tasks (r = -.16, P < .05).
CONCLUSIONS: Improvement in T-NOTECHS scores after teamwork training, and correlation with clinical parameters in simulated and actual trauma resuscitations, suggest its clinical relevance. Further evaluation, aiming to improve reliability, may be warranted.

Please note: The full text of this article is only available to those with subscription access to the Elsevier ScienceDirect database. Contact your institutional library or the publisher for details.

Susan Steinemann
Benjamin Berg
Alexandra DiTullio
Alisha Skinner
Kara Terada
Kathleen Anzelon
Hao Chih Ho
Outcomes-based Evaluation Tools