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Teamwork Assessment Tools in Obstetric Emergencies: A Systematic Review
Desire N Onwochei1, Stephen Halpern, Mrinalini Balki
1From the Department of Anesthesia (D.O., M.B.) and Pain Management, Mount Sinai Hospital; and Department of Anesthesia (S.H.), Sunnybrook Health Centre, University of Toronto, Toronto, Ontario, Canada.
Summary
This review identified teamwork assessment tools for obstetric emergencies, finding existing options lack sufficient validity. Further research is needed to develop and validate ideal tools for improving patient safety.
Area of Science:
- Medical Simulation
- Patient Safety
- Healthcare Teamwork
Background:
- Team-based training and simulation enhance patient safety by improving communication and decision-making.
- A consensus is lacking on the optimal assessment tools for evaluating teamwork in obstetric emergencies.
- This study aimed to identify available tools for assessing team effectiveness in obstetric emergencies.
Purpose of the Study:
- To conduct a qualitative systematic review to identify tools for assessing team effectiveness in obstetric emergencies.
- To evaluate the reliability and validity of existing teamwork assessment tools in obstetric settings.
Main Methods:
- A systematic search of Embase, Medline, PubMed, Web of Science, PsycINFO, CINAHL, and Google Scholar was conducted.
- Prospective studies evaluating nontechnical skills in multidisciplinary teams during obstetric emergencies (1944-2016) were included.
- Data on reliability and validity were collected and descriptively analyzed.
Main Results:
- Thirteen studies were synthesized, all using obstetric simulation scenarios.
- Six studies included anesthetists; only one assessed tool validity, five assessed reliability, and one used both.
- The Clinical Teamwork Scale, Global Assessment of Obstetric Team Performance, and Global Rating Scale showed reliability but lacked quality and validity.
Conclusions:
- Further research is required to establish the validity of current teamwork assessment tools for nontechnical skills.
- Development of an ideal tool for assessing teamwork in obstetric emergencies is warranted.
- Future studies should investigate the impact of these tools on patient outcomes and safety.
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