tailieunhanh - Báo cáo y học: "Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design | Westli et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 47 http content 18 1 47 a SCANDINAVIAN JOURNAL OF t emergency medicine ORIGINAL RESEARCH Open Access Teamwork skills shared mental models and performance in simulated trauma teams an independent group design Heidi Kristina Westli1 Bj0rn Helge Johnsen1 Jarle Eid1 Ingvil Rasten1 Guttorm Brattebo2 Abstract Background Non-technical skills are seen as an important contributor to reducing adverse events and improving medical management in healthcare teams. Previous research on the effectiveness of teams has suggested that shared mental models facilitate coordination and team performance. The purpose of the study was to investigate whether demonstrated teamwork skills and behaviour indicating shared mental models would be associated with observed improved medical management in trauma team simulations. Methods Revised versions of the Anesthetists Non-Technical Skills Behavioural marker system and Anti-Air Teamwork Observation Measure were field tested in moment-to-moment observation of 27 trauma team simulations in Norwegian hospitals. Independent subject matter experts rated medical management in the teams. An independent group design was used to explore differences in teamwork skills between higher-performing and lower-performing teams. Results Specific teamwork skills and behavioural markers were associated with indicators of good team performance. Higher and lower-performing teams differed in information exchange supporting behaviour and communication with higher performing teams showing more effective information exchange and communication and less supporting behaviours. Behavioural markers of shared mental models predicted effective medical management better than teamwork skills. Conclusions The present study replicates and extends previous research by providing new empirical evidence of the significance of specific teamwork skills and a shared mental model for .