title: Team performance in resuscitation teams: comparison and critique of two recently developed scoring tools.
abstract: OBJECTIVE
  Following high profile errors resulting in patient harm and attracting negative publicity, the healthcare sector has begun to focus on training non-technical teamworking skills as one way of reducing the rate of adverse events. Within the area of resuscitation, two tools have been developed recently aiming to assess these skills - TEAM and OSCAR. The aims of the study reported here were:
  
  
  METHODS
  The study consisted of two phases - reliability assessment; and content comparison, and correlation. Assessments were made by two resuscitation experts, who watched 24 pre-recorded resuscitation simulations, and independently rated team behaviours using both tools. The tools were critically appraised, and correlation between overall score surrogates was assessed.
  
  
  RESULTS
  Both OSCAR and TEAM achieved high levels of inter-rater reliability (in the form of adequate intra-class coefficients) and minor significant differences between Wilcoxon tests. Comparison of the scores from both tools demonstrated a high degree of correlation (and hence concurrent validity). Finally, critique of each tool highlighted differences in length and complexity.
  
  
  CONCLUSIONS
  Both OSCAR and TEAM can be used to assess resuscitation teams in a simulated environment, with the tools correlating well with one another. We envisage a role for both tools - with TEAM giving a quick, global assessment of the team, but OSCAR enabling more detailed breakdown of the assessment, facilitating feedback, and identifying areas of weakness for future training.
authors.affiliation: Department of Resuscitation and Outreach, St. Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK.
authors.forename: Anthony
authors.initials: A
authors.lastname: McKay
authors.forename: Susanna T
authors.initials: ST
authors.lastname: Walker
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Brett
authors.forename: Charles
authors.initials: C
authors.lastname: Vincent
authors.forename: Nick
authors.initials: N
authors.lastname: Sevdalis
mesh_terms: D002983:Clinical Competence / Q000706:statistics & numerical data; D006801:Humans; D015588:Observer Variation; D010348:Patient Care Team; D012151:Resuscitation / Q000592:standards*