Establishing face and content validity of the McMaster-Ottawa team observed structured clinical encounter (TOSCE)
The Objective Structured Clinical Evaluation (OSCE) has become the criterion standard for the assessment of clinical competence in undergraduate and postgraduate medical and other health professional programs.
Assessing teamwork in the trauma bay: Introduction of a modified "NOTECHS" scale for trauma
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.
Methods for evaluating practice change toward a patient-centered medical home
PURPOSE: Understanding the transformation of primary care practices to patient-centered medical homes (PCMHs) requires making sense of the change process, multilevel outcomes, and context. We describe the methods used to evaluate the country's first national demonstration project of the PCMH concept, with an emphasis on the quantitative measures and lessons for multimethod evaluation approaches.
The Knowledge, Skill, and Ability Requirements for Teamwork: Revisiting the Teamwork-KSA Test's validity
The Teamwork – Knowledge, Skills, and Ability (KSA) Test was developed by Stevens and Campion to operationalize their comprehensive taxonomy of teamwork competencies. The test is generally considered ‘valid’ and has been used frequently in organizations. Our review of the literature found an average criterion validity of.20 for the Teamwork-KSA Test, although there was considerable variability across studies. We could find no research on the item properties, factor structure, or subscale reliabilities, and no extensive investigations of the nomological net of this test.
The University of Arkansas’ Five‐Pillar Plan for an Institutional Triple Aim Culture
The Triple Aim was originally articulated in 2008 as a means to transform health care through (1) improving the patient care experience; (2) improving the health of the population; and (3) reducing the cost of care.
The Office of interprofessional education at the University of Arkansas Medical School has aligned its vision, initiatives, and resources to help move toward meeting the Triple Aim for our institution, our State, and our Nation. The Triple Aim is the unifying principle upon which all other initiatives within our diverse institution are based.
The triple aim: Care, health, and cost
Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population.
The knowledge, skill, and ability requirements for teamwork: Implications for human resource management
This study reviews the literature on groups to determine the knowledge, skill, and ability (KSA) requirements for teamwork. The focus is on: (1) KSAs rather than personality traits; (2) team rather than technical KSAs; and (3) the individual rather than team level of analysis. Fourteen specific KSAs are derived. Then, the implications of these teamwork KSAs for the modification or development of human resource (HR) management systems are determined, and research issues are discussed.
Team training can improve operating room performance
BACKGROUND: This study was conducted to determine if team training using a federally sponsored team training program improves operating room (OR) performance and culture.
METHODS: The TeamSTEPPS program, a team training program designed and tested for health care applications, was provided to the OR staff. The training occurred over 2 months to all members of the OR team, including scrub technicians, nurses, certified registered nurse anesthetists, anesthesiologists, surgeons, and all anesthesiology and surgical resident staff.
Applying a Multidisciplinary Approach Using the TeamSTEPPS Communication and Teamwork Methodology While Debriefing a Critical Event Simulation
This poster presentation details an innovative safety program which incorporates a multidisciplinary approach to team debriefing and high-fidelity simulation-based training during a simulated critical event (shoulder dystocia). This simulation program includes all providers (physicians, midwives, nurses, and residents) associated with our obstetric unit and reinforces the concept of patient safety through practiced communication and teamwork.
Transdisciplinary teamwork simulation in obstetrics-gynecology health care education
This program evaluation was designed to assess whether a transdisciplinary teamwork simulation experience improves collaborative attitudes among women's health students toward the goals of reducing medical errors and improving patient outcomes. This program evaluation used a pretest-posttest comparative design to measure changes in collaborative attitudes among 35 multidisciplinary women's health students before and after atransdisciplinary simulation experience. Collaborative attitudes were measured by the Team Attitudes Questionnaire.