Abstract
Purpose:Effective trauma resuscitation requires efficient and coordinated care from a team of providers; however, providers are rarely instructed on how to be effective members of trauma teams. Team-based learning using Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) has been shown to improve team dynamics among practicing professionals, including physicians and nurses. The impact of TeamSTEPPS on students being trained in trauma management in an undergraduate health professional program is currently unknown. We sought to determine the impact of TeamSTEPPS on team dynamics among undergraduate students being trained in trauma resuscitation.Methods:We enrolled teams of undergraduate health professional students from four programs: nursing, physician assistant, radiologic science, and respiratory care. After completing an online training on trauma resuscitation principles, the participants completed a trauma resuscitation scenario. The participants then received teamwork training using TeamSTEPPS and completed a second trauma resuscitation scenario identical to the first. All resuscitations were recorded and scored offline by two blinded research assistants using both the Team Emergency Assessment Measure (TEAM) and Trauma Team Performance Observation Tool (TPOT) scoring systems. Pre-test and post-test TEAM and TPOT scores were compared.Results:We enrolled a total of 48 students in 12 teams. Team leadership, situational monitoring, and overall communication improved with TeamSTEPPS training (P=0.04, P=0.02, and P=0.03, respectively), as assessed by the TPOT scoring system. TeamSTEPPS also improved the team’s ability to prioritize tasks and work together to complete tasks in a rapid manner (P<0.01 and P=0.02, respectively) as measured by TEAM.Conclusions:Incorporating TeamSTEPPS into trauma team education leads to improved TEAM and TPOT scores among undergraduate health professionals.
Highlights
Effective trauma resuscitation requires efficient and coordinated care from a team of providers; providers are rarely instructed on how to be effective members of trauma teams
Slight agreement was observed in the Team Performance Observation Tool (TPOT) scores between the reviewers across all teams, with 82% agreement
We found that TeamSTEPPS education improved team dynamics among undergraduate health professionals
Summary
Effective trauma resuscitation requires efficient and coordinated care from a team of providers; providers are rarely instructed on how to be effective members of trauma teams. Team-based learning, using programs such as the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), designed by the Agency for Health care Research and Quality, USA, has been advocated as an approach to improve communication and reduce errors during medical and trauma resuscitations [1,2,3]. While this team-based approach has been successfully employed among practicing providers (post-graduate physicians and nurses), trauma teams often include multiple other professionals, such as radiologic. We sought to determine the impact of TeamSTEPPS on team dynamics, as measured by TEAM and TPOT, in the undergraduate setting during trauma resuscitations
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