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.
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.
Authors: Cory M McLaughlin; Minna M Wieck; Erica N Barin; Alyssa Rake; Rita V Burke; Heather B Roesly; L Caulette Young; Todd P Chang; Elizabeth A Cleek; Inge Morton; Catherine J Goodhue; Randall S Burd; Henri R Ford; Jeffrey S Upperman; Aaron R Jensen Journal: Pediatr Surg Int Date: 2018-10-15 Impact factor: 1.827
Authors: Philip H Pucher; Rajesh Aggarwal; Ahmed Twaij; Nicola Batrick; Michael Jenkins; Ara Darzi Journal: World J Surg Date: 2013-04 Impact factor: 3.352
Authors: Aaron R Jensen; Francesca Bullaro; Richard A Falcone; Margot Daugherty; L Caulette Young; Cory McLaughlin; Caron Park; Christianne Lane; Jose M Prince; Daniel J Scherzer; Tensing Maa; Julie Dunn; Laura Wining; Joseph Hess; Mary C Santos; James O'Neill; Eric Katz; Karen O'Bosky; Timothy Young; Emily Christison-Lagay; Omar Ahmed; Randall S Burd; Marc Auerbach Journal: Am J Surg Date: 2019-08-05 Impact factor: 2.565