Observational teamwork assessment for surgery: Content validation and tool refinement
BACKGROUND: Effective teamwork is crucial for safe surgery. Failures in nontechnical and teamwork skills are frequently implicated in adverse events. The Observational Teamwork Assessment for Surgery (OTAS) tool assesses teamwork of the entire team in the operating room. Empirical testing of OTAS has yet to explore the content validity of the tool.
Developing the Nexus System: Aligning Practice Redesign and IPE
Initial research from the Nexus Innovations Incubator Network has uncovered critical success factors that address barriers to implementing a sustainable IPECP program. By taking advantage of opportunities and overcoming challenges, the National Center allows project sites to fully immerse themselves in strengthening the Nexus between higher education and health system partners.
Resources to Help Share the Idea of IPECP More Broadly
The National Center recently unveiled Amina in the Nexus, a collection of free, online resources to help our partners explore the concept of the “Nexus,” by sharing the vision of interprofessional education and collaborative practice (IPECP) more broadly.
The resources focus on Amina, a mother and Somali immigrant with diabetes, who is part of a new model of care – one that includes her community, a team of practitioners, faculty and students working and learning together to keep her healthy.
Assessment of stress and teamwork in the operating room: An exploratory study
BACKGROUND: Although effective teamwork is fundamental to patient safety in the operating room (OR), acute stress increasingly is recognized as detrimental for teamwork. This study concurrently assessed teamwork and stress levels experienced by OR team members.
METHODS: Data were collected in real time in 20 elective surgical cases. The validated Observational Teamwork Assessment for Surgery was used to assess teamwork, whereas stress was assessed using the validated State-Trait Anxiety Inventory.
Observational teamwork assessment for surgery: Construct validation with expert versus novice raters
OBJECTIVE: To test the construct validity of the Observational Teamwork Assessment for Surgery (OTAS) tool.
SUMMARY BACKGROUND DATA: Poor teamwork in surgical teams has been implicated in adverse events to patients. The OTAS is a tool that assesses teamwork in real time for the entire surgical team. Existing empirical research on OTAS has yet to explore how expert versus novice tool users use the tool to assess teamwork in the operating room.
Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation
AIM: The aim of the study reported here was to address the need to assess and train teamwork and non-technical skills in the context of Resuscitation. Specifically, we sought to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.
Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study
Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP).
Performance Measurement in Simulation-Based Training: A Review and Best Practices
Simulation-based training (SBT) is a methodology for providing systematic and structured learning experiences. The effectinvess of this methodology is dependent on the quality of performance measurement practices in place. Performance measurement during SBT must be diagnosed; that is, the causes of effective and ineffective performance must be determined. This diagonstic measurement drives the systematic decisions concerning corrective feedback and remediation. The purpose of this article is to provide a state of the science review of human performance measurement systems in SBT.
Research on SBT leads to the development of guidelines applicable to diverse training scenarios
Simulation-based training (SBT) is a methodology for providing systematic and structured learning experiences. The effectiveness of this methodology depends partly on the quality of the performance measurement practices one is using. Performance during SBT must be diagnosed; that is, the causes of effective and ineffective performance must be determined. Diagnostic measurement drives the systematic decisions concerning corrective feedback and remediation.
A multicenter trial of aviation-style training for surgical teams
AIMS: This study measured the effect of aviation-style team training on 3 surgical teams from different specialties. It focused on team working and communication, particularly briefing, time-out, and debriefing, and sought to understand how improvements in team skills could be implemented in a broad range of naturalistic surgical environments to improve safety, quality, and efficiency.