The management of a simulated emergency: Better teamwork, better performance

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• 作者：Dimitrios Siassakos^a ; ^{jsiasakos@googlemail.com} ; Robert Fox^b ; Joanna F. Crofts^a ; Linda P. Hunt^c ; Catherine Winter^a ; Timothy J. Draycott^a
• 关键词：Teamwork ; Leadership ; Emergencies ; Patient care team ; Training ; Knowledge ; skills and attitudes ; Education ; Teaching ; Simulation ; Obstetric labour complications ; Eclampsia ; Pre-eclampsia ; Magnesium sulfate ; Team behaviour ; Team training ; Multiprofessional
• 刊名：Resuscitation
• 出版年：2011
• 出版时间：February 2011
• 年：2011
• 卷：82
• 期：2
• 页码：203-206
• 全文大小：117 K

文摘

Objectives

To determine whether team performance in a simulated emergency is related to generic teamwork skills and behaviours.

Methods

Design – Cross-sectional analysis of data from the Simulation and Fire-drill Evaluation (SaFE) randomised controlled trial. Setting – Six secondary and tertiary Maternity Units in Southwest England. Participants – 140 healthcare professionals, in 24 teams. Assessment – Blinded analysis of recorded simulations. Main outcome measures – Correlation of team performance (efficiency conducting key clinical actions, including the administration of an essential drug, magnesium), and generic teamwork scores (using a validated tool that assesses skills and behaviours, by Weller et al.).

Results

There was significant positive correlation between clinical efficiency and teamwork scores across all three dimensions; skills (Kendall's tau_b = 0.54, p < 0.001), behaviours (tau_b = 0.41, p = 0.001), and overall score (tau_b = 0.51, p < 0.001). Better teams administered the essential drug 2½ min more quickly (Mann–Whitney U, p < 0.001).

Conclusions

The clinical conduct of a simulated emergency was strongly linked to generic measures of teamwork. Further studies are needed to elucidate which aspects of team working are critical for team performance, to better inform training programs for multi-professional team working.