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Related Experiment Video

Updated: May 13, 2026

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

TeamGAINS: a tool for structured debriefings for simulation-based team trainings.

Michaela Kolbe1, Mona Weiss, Gudela Grote

  • 1Organization, Work, Technology Group, Department of Management, Technology, and Economics, ETH Zurich, Switzerland. mkolbe@ethz.ch

BMJ Quality & Safety
|March 26, 2013
PubMed
Summary

TeamGAINS, a novel debriefing tool, significantly enhanced psychological safety and leader inclusiveness in anaesthesia team training. This simulation-based approach improves emergency management skills and team dynamics.

Keywords:
AnaesthesiaCommunicationCrew resource managementSimulationTeam training

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Team Training

Background:

  • Patient safety in healthcare relies on effective team management during emergencies.
  • Simulation-based training is crucial for practicing clinical and behavioral skills.
  • TeamGAINS is a hybrid debriefing tool integrating multiple approaches for simulation-based team training.

Purpose of the Study:

  • To evaluate the debriefing quality of the TeamGAINS tool.
  • To assess the impact of TeamGAINS on psychological safety and leader inclusiveness in anaesthesia staff.
  • To determine the overall trainee reactions to the simulation-based training.

Main Methods:

  • TeamGAINS was used in simulation-based training for anaesthesia staff.
  • A post-test-only design assessed debriefing quality, while a pre-post-test design measured psychological safety and leader inclusiveness.
  • Trainees completed self-report scales to evaluate debriefing quality, psychological safety, and leader inclusiveness.

Main Results:

  • 40 debriefings were conducted with 61 anaesthesia staff participants, yielding 235 evaluations.
  • The utility of the debriefings was rated highly positive.
  • Significant increases in psychological safety and leader inclusiveness were observed post-debriefing.

Conclusions:

  • TeamGAINS is a valuable debriefing tool for anaesthesia staff training across all experience levels.
  • The tool's integration of various debriefing methods facilitates reflection on team interaction dynamics.
  • Further research is needed to compare specific components of TeamGAINS and their impact on trainee attitudes and behaviors.