评估团队表现:一种使用专业间实地模拟的混合方法分析
Ashley C Rider1, Sarah R Williams1, Vivien Jones2
1Stanford University, Department of Emergency Medicine, Palo Alto, California.
The western journal of emergency medicine
|July 19, 2024
概括
目前的工具很难有效地评估急救部门 (ED) 团队的表现. 为了更好的评估,需要新的ED特定评估,重点关注委托,能量和领导力.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 团队表现 团队表现
背景情况:
- 优化急诊室 (ED) 团队的表现对于患者护理至关重要.
- 现有的以团队为基础的评估工具可能无法完全捕捉ED团队动态的细微差别.
- 目前用于全面测量ED环境中的团队影响的工具的实用性尚未得到充分探索.
研究的目的:
- 在现场模拟过程中使用已建立的评估工具评估ED团队的绩效.
- 确定有效的ED团队的关键特征.
主要方法:
- 使用案例研究方法的混合方法研究.
- 在现场模拟,涉及63名医疗保健专业人员 (护士,技术人员,药剂师,住院医生).
- 使用TPOT 2.0,TEAM和太华GRS进行绩效评分;采访和重点小组的定性数据进行了主题分析.
主要成果:
- 评估人员在评估工具 (TPOT 2.0,TEAM,Ottawa GRS) 中的得分通常很高.
- 确定了六个关键主题:团队成员的信任,相互依存的能量,领导的基调,最佳的沟通,战略性人员配置和模拟授权团队表现.
- 评估者之间的可靠性在各种工具中各不相同.
结论:
- 目前的团队绩效评估工具在区分高绩效的ED团队方面能力有限.
- 开发ED特定的评估,包括诸如可信任性,相互依赖的能量和领导力等元素,可以提供更全面的评估.
- 这些新的评估可以更好地捕捉个人对ED团队整体绩效的贡献.
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