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Systematic review of methods for quantifying teamwork in the operating theatre
N Li1, D Marshall2, M Sykes2
1Department of General Surgery Wexham Park Hospital Slough UK.
BJS Open
|June 29, 2018
Summary
Operating theatre teamwork is crucial for patient outcomes. Observational tools, like the Non-Technical Skills (NOTECHS) system, are more reliable than self-assessment for measuring teamwork, as professional differences can bias self-assessments.
Area of Science:
- Surgical Safety
- Healthcare Quality Improvement
- Team Dynamics
Background:
- Operating theatre teamwork significantly impacts clinical outcomes.
- Existing teamwork measurement tools include self-assessments and observer assessments.
- A critical analysis of the validity and reliability of these tools is needed.
Purpose of the Study:
- To critically analyze the validity and reliability of teamwork measurement tools used in operating theatres.
- To compare self-assessment tools with observer-based assessment tools.
Main Methods:
- Systematic literature search of MEDLINE and Embase databases following PRISMA guidelines.
- Assessment of content validity, predictive validity, multisite reliability, and interobserver reliability.
- Quantitative meta-analysis was not employed.
Main Results:
- Forty-eight articles were included; 18 used self-assessment, 28 used observational tools.
- Self-assessment tool validity varied by professional group.
- The Safety Attitudes Questionnaire (SAQ) showed limitations in multisite reliability.
- The Non-Technical Skills (NOTECHS) system demonstrated strong test-retest and interobserver reliability.
Conclusions:
- Professional differences influence self-assessment of operating theatre teamwork.
- Trained observers using tools like NOTECHS provide more reliable teamwork assessments.
- Observational tools are recommended for objective evaluation of surgical team performance.
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