Abstract 171: Evaluation of Team Performance During Actual Medical Emergency Team and Cardiac Arrest Calls
Objectives: To evaluate the performance of non-technical skills during actual medical emergencies using the Team Emergency Assessment Measure.
Method: A validated scoring tool specific for medical emergency teams, the Team Emergency Assessment Measure (TEAM), was used to evaluate team performance. The tool includes 11 parameters divided into categories of leadership, teamwork and task management. Each parameter is scored from 0 to 4. A twelfth score, from 1 to 10, represents an overall rating of the team’s performance. The scoring was completed at the conclusion of each medical emergency call where a member of the medical emergency team contributed to the care of the patient.
Results: Between February and June 2014 team performance was assessed in a total of 179 code calls (164 MET calls and 15 cardiac arrest calls). The median total score for the eleven parameters was 35.0 (Inter-Quartile Range 32.0-38.0) out of a possible maximal score of 44. The median score for global rating was 8.0 (IQR 7.0-8.0) out of 10. The overall score was higher when the team leader was a member of the emergency team (36.0 [IQR 33-39]) compared to a leader who was not a member of the emergency team (30.5 [IQR 26.5-33.5]). All eleven parameters were scored significantly higher if the team leader was a member of the emergency team. Leadership scores and overall performance both decreased significantly when a MET call was upgraded to a cardiac arrest call, probably as a result of the attendance of additional personnel.
Conclusion: The assessment of non-technical skills can be performed on actual medical emergencies. Team leaders who were designated members of the Medical Emergency Team performed better than others in the team leader role. Specific areas identified for improvement (eg. upgraded calls) can now be targeted in educational programs.
Author Disclosures: M. Suen: None. N. Garcia: None. P.T. Morley: None.
- © 2014 by American Heart Association, Inc.