Assessing teamwork: a reliable five-question survey

Currently available tools to measure teamwork, an essential component of primary care, are generally very resource intensive and thus cannot be administered frequently. To explore the possibility of developing a brief teamwork-assessment instrument, we first administered 29 questions about teamwork from the Practice Environment Checklist (PEC) to all members of six clinical teams in a residency outpatient practice (n=56). We found that the scale assessed a single dimension of teamwork and that a five item survey has acceptable reliability (Cronbach alpha=0.89). In a subsequent validation study among an expanded sample of clinic staff (n=89), we found that the five-item questionnaire could be completed in less than 3 minutes. It continued to have an acceptable internal consistency (Cronbach alpha=0.82) and that all five items had sizeable item-total correlations. The resulting short form of the PEC may be useful for frequent assessment of team function.