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Current tools struggle to assess emergency department (ED) team performance effectively. New ED-specific assessments focusing on entrustment, energy, and leadership are needed for better evaluation.

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Area of Science:

  • Healthcare Management
  • Medical Education
  • Team Performance

Background:

  • Optimizing emergency department (ED) team performance is crucial for patient care.
  • Existing team-based assessment tools may not fully capture the nuances of ED team dynamics.
  • The utility of current tools for comprehensively measuring team impact in ED settings is underexplored.

Purpose of the Study:

  • To evaluate ED team performance using established assessment tools during in situ simulations.
  • To identify key characteristics of effective ED teams.

Main Methods:

  • Mixed-methods study using case study methodology.
  • In situ simulation involving 63 healthcare professionals (nurses, technicians, pharmacists, residents).
  • Performance rated using TPOT 2.0, TEAM, and Ottawa GRS; qualitative data from interviews and focus groups analyzed thematically.

Main Results:

  • Raters' scores generally high across assessment tools (TPOT 2.0, TEAM, Ottawa GRS).
  • Identified six key themes: team member entrustment, interdependent energy, leadership tone, optimal communication, strategic staffing, and simulation empowering team performance.
  • Inter-rater reliability varied across tools.

Conclusions:

  • Current team performance assessment tools have limited ability to differentiate high-performing ED teams.
  • Developing ED-specific assessments incorporating elements like entrustability, interdependent energy, and leadership tone could provide a more comprehensive evaluation.
  • These new assessments may better capture individual contributions to overall team performance in the ED.