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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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Published on: January 15, 2017

More to teamwork than knowledge, skill and attitude.

D Siassakos1, T J Draycott, J F Crofts

  • 1Southmead Hospital, Bristol, UK. jsiasakos@googlemail.com

BJOG : an International Journal of Obstetrics and Gynaecology
|July 13, 2010
PubMed
Summary

Individual knowledge, skills, and attitudes did not predict team performance in simulated eclampsia management. Unidentified team characteristics likely influence clinical efficiency during emergencies, suggesting a need for further research beyond individual competencies.

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Area of Science:

  • Medical Simulation and Training
  • Obstetrics and Gynecology
  • Team Performance in Healthcare

Background:

  • Effective management of obstetric emergencies like eclampsia relies on coordinated team performance.
  • Previous assumptions suggested individual clinical knowledge, skills, and attitudes directly translate to team efficacy.
  • The Simulation and Fire Drill Evaluation trial provided a platform to investigate team dynamics in a controlled setting.

Purpose of the Study:

  • To determine if individual team member knowledge, skills, and attitudes correlate with overall team performance in simulated eclampsia scenarios.
  • To assess the predictive value of individual competencies on team efficiency during critical obstetric events.

Main Methods:

  • Cross-sectional analysis of data from 19 teams (114 maternity professionals) across six maternity units.
  • Validated a team performance ranking scheme (Magnesium Administration Rank, MAR) for simulated eclampsia.
  • Correlated MAR scores with individual knowledge (MCQs), manual skills, and teamwork/safety attitudes.

Main Results:

  • No statistically significant correlation was found between team performance (MAR) and cumulative individual scores in knowledge, skills, or attitudes.
  • Individual competencies, as measured, did not predict the team's clinical efficiency in managing simulated eclampsia.

Conclusions:

  • Individual knowledge, skills, and attitudes alone do not determine team efficiency in managing simulated eclampsia.
  • Unidentified team characteristics are crucial for effective emergency management, necessitating a re-evaluation of training programs.
  • Further research is required to understand the factors contributing to high-performing clinical teams in emergency situations.