Self-assessment of team performance using T-NOTECHS in simulated pediatric trauma resuscitation is not consistent with expert assessment
| Autor: | Alyssa Rake, Rita V. Burke, Minna M. Wieck, Catherine J. Goodhue, Elizabeth A. Cleek, Cory McLaughlin, Aaron R. Jensen, Christianne J. Lane, Jeffrey S. Upperman, Todd P. Chang, Inge Morton, L. Caulette Young, Caron Park, Henri R. Ford, Randall S. Burd |
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| Rok vydání: | 2017 |
| Předmět: |
Self-assessment
medicine.medical_specialty Resuscitation Self-Assessment media_common.quotation_subject MEDLINE Article 03 medical and health sciences 0302 clinical medicine Trauma Centers medicine Humans Child Reliability (statistics) media_common Patient Care Team Teamwork business.industry Reproducibility of Results 030208 emergency & critical care medicine General Medicine Evidence-based medicine medicine.disease Patient Simulation Leadership Traumatology 030220 oncology & carcinogenesis Physical therapy Surgery Clinical Competence business Kappa Pediatric trauma |
| Zdroj: | American journal of surgery. 216(3) |
| ISSN: | 1879-1883 |
| Popis: | Background The Trauma NOn-TECHnical Skills (T-NOTECHS) tool has been used to assess teamwork in trauma resuscitation, but its reliability and validity for self-assessment is unknown. Our purpose was to determine the reliability and validity of self-administered T-NOTECHS in pediatric trauma resuscitation. Methods Simulated in situ resuscitations were evaluated using T-NOTECHS in real time by experts and immediately afterwards by team members. Reliability was analyzed with linear-weighted kappa and intra-class correlation. T-NOTECHS scores were compared between expert (gold-standard) and self-assessment. Results Fifteen simulations were examined. T-NOTECHS scores were similar between self- and expert assessment for leadership. Self-assessment scores were higher than expert for the other domains and total composite score. Inter-rater reliability for total score was similar between the two groups, but differences were observed in the domains. Conclusions Self-assessment is not interchangeable with expert rating when using T-NOTECHS. Future studies need to determine how self-assessment can be best utilized. Level of evidence Studies of diagnostic accuracy – Level 2. |
| Databáze: | OpenAIRE |
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