Self-assessment of team performance using T-NOTECHS in simulated pediatric trauma resuscitation is not consistent with expert assessment - 05/09/18

Doi : 10.1016/j.amjsurg.2018.01.010

Minna M. Wieck ^b , Cory McLaughlin ^b , Todd P. Chang ^c , Alyssa Rake ^d,^e , Caron Park ^f , Christianne Lane ^f , Rita V. Burke ^a,^b , L. Caulette Young ^d,^e , Elizabeth A. Cleek ^a,^b , Inge Morton ^c , Catherine J. Goodhue ^a,^b , Randall S. Burd ^g , Henri R. Ford ^a,^b , Jeffrey S. Upperman ^a,^b , Aaron R. Jensen ^a,^b,^⁎
^a Trauma Program, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
^b Division of Pediatric Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
^c Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
^d Division of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
^e Las Madrinas Simulation Research Laboratory, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
^f Southern California Clinical Translational Science Institute (SC-CTSI), Department of Preventative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089, USA
^g Division of Trauma and Burn Surgery, Children's National Medical Center, Washington, DC 20010, USA

^∗Corresponding author. Children's Hospital Los Angeles, 4650 Sunset Blvd, Department of Surgery, Mailstop 100, Los Angeles, CA 90027, USA.Children's Hospital Los AngelesDepartment of Surgery4650 Sunset BlvdMailstop 100Los AngelesCA90027USA

Abstract

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.

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Highlights

•	Experts rate non-technical skills differently than participating team members.
•	Self-assessment scores tend to be higher than expert ratings.
•	Leadership scores are similar between expert and self-assessment.

Le texte complet de cet article est disponible en PDF.

Plan

Introduction

Methods

Participants

Simulation-based training and debriefing

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Vol 216 - N° 3

P. 630-635 - septembre 2018 Retour au numéro

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Self-assessment of team performance using T-NOTECHS in simulated pediatric trauma resuscitation is not consistent with expert assessment - 05/09/18

Abstract

Background

Methods

Results

Conclusions

Level of evidence

Highlights

Plan

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