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Using the Observational Teamwork Assessment in Surgery Instrument to Measure RN Teamwork During Cardiac Surgery:
Mary Ellen Dellefield1, Catherine A Verkaaik
1VA San Diego Healthcare System, San Diego, California.
Journal of Nursing Care Quality
|June 23, 2020
Summary
This study modified the Observational Teamwork Assessment in Surgery (OTAS) to better measure registered nurse (RN) teamwork in cardiac surgery. Recommendations are provided to enhance the tool's reliability and validity for improved patient safety.
Area of Science:
- Healthcare Quality Improvement
- Surgical Team Dynamics
- Patient Safety Research
Background:
- Surgical team collaboration is crucial for preventing patient deaths and errors.
- Deficits in teamwork are linked to safety failures and adverse events in surgical settings.
Purpose of the Study:
- To adapt the Observational Teamwork Assessment in Surgery (OTAS) for measuring registered nurse (RN) teamwork during open heart surgery.
- To refine the OTAS data collection methods for intraoperative cardiac surgical procedures.
- To propose strategies for enhancing the modified OTAS's reliability and validity.
Main Methods:
- A pilot study employing direct observation of the OTAS.
- Modification of the OTAS and its data collection procedures.
Main Results:
- The original OTAS demonstrated limitations in content validity and reliability when assessing RN teamwork in intraoperative cardiac surgery.
- The OTAS and its data collection methods were successfully modified based on pilot study findings.
Conclusions:
- The modified OTAS shows promise for assessing RN teamwork in cardiac surgery.
- Further research is recommended to establish the enhanced reliability and validity of the modified OTAS for clinical application.
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