Literature DB >> 20346566

Development of a formative assessment tool for measurement of performance in multi-professional resuscitation teams.

Peter Oluf Andersen1, Michael Kammer Jensen, Anne Lippert, Doris Østergaard, Tobias Wirenfelt Klausen.   

Abstract

BACKGROUND: Treating cardiac arrest is linked to the mutual performance of several health-care individuals' task coordination. Non-technical skills, including communication, leadership and team interaction, could improve sequencing the tasks in the cardiac arrest algorithm. Non-technical skills have been a part of crew resource management training, created to improve safety in aviation. This study aimed, first, to establish crew resource management and non-technical skill-based learning objectives and behavioural markers for the performance of multi-professional resuscitation teams; second, to develop a checklist and to evaluate the validity and reliability of the checklist; and, finally, to develop a simulation-based course including the checklist on behavioural markers, as a tool for learning and assessment.
METHOD: A seven-step procedure was used. Findings from interviews with Advanced Life Support instructors and analysis of critical incidents were used to create learning objectives, assessment tools and course curriculum. Reliability and validity were tested by assessing digital versatile disc (DVD)-recorded simulated cardiac arrests.
RESULTS: A checklist with 22 behavioural markers based on nine learning objectives was developed and embedded in an 8-h full-scale simulation course. Inter-rater reliability of the checklist (intra-class correlation) was 0.9. Concurrent validity (intra-class correlation) was 0.93. Rate of agreement (0.58-0.91) and kappa values (0.03-0.82) on single items varied.
CONCLUSION: A full-scale simulation course and a checklist with 22 behavioural markers were developed. Good inter-rater reliability and concurrent validity of the checklist were demonstrated. Single items on the checklist need refinement to improve accuracy. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

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Year:  2010        PMID: 20346566     DOI: 10.1016/j.resuscitation.2010.01.034

Source DB:  PubMed          Journal:  Resuscitation        ISSN: 0300-9572            Impact factor:   5.262


  11 in total

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4.  Development and Empirical Testing of a Novel Team Leadership Assessment Measure: A Pilot Study Using Simulated and Live Patient Encounters.

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6.  Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): development and validation.

Authors:  S Walker; S Brett; A McKay; S Lambden; C Vincent; N Sevdalis
Journal:  Resuscitation       Date:  2011-03-23       Impact factor: 5.262

7.  Competency-based simulation assessment of resuscitation skills in emergency medicine postgraduate trainees - a Canadian multi-centred study.

Authors:  J Damon Dagnone; Andrew K Hall; Stefanie Sebok-Syer; Don Klinger; Karen Woolfrey; Colleen Davison; John Ross; Gordon McNeil; Sean Moore
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8.  Anaesthesiology students' Non-Technical skills: development and evaluation of a behavioural marker system for students (AS-NTS).

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9.  Team performance in resuscitation teams: comparison and critique of two recently developed scoring tools.

Authors:  Anthony McKay; Susanna T Walker; Stephen J Brett; Charles Vincent; Nick Sevdalis
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10.  Reliability of team-based self-monitoring in critical events: a pilot study.

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