Self-assessment of team performance using T-NOTECHS in simulated pediatric trauma resuscitation is not consistent with expert assessment. Am J Surg 2018 Sep;216(3):630-635
Date
01/26/2018Pubmed ID
29366483Pubmed Central ID
PMC7169991DOI
10.1016/j.amjsurg.2018.01.010Scopus ID
2-s2.0-85040701505 (requires institutional sign-in at Scopus site) 16 CitationsAbstract
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.
Author List
Wieck MM, McLaughlin C, Chang TP, Rake A, Park C, Lane C, Burke RV, Young LC, Cleek EA, Morton I, Goodhue CJ, Burd RS, Ford HR, Upperman JS, Jensen ARAuthors
Elizabeth Cleek in the CTSI department at Medical College of Wisconsin - CTSIElizabeth Cleek PhD Assistant Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
ChildClinical Competence
Humans
Leadership
Patient Care Team
Patient Simulation
Reproducibility of Results
Resuscitation
Self-Assessment
Trauma Centers
Traumatology
