MedEdPORTAL (Oct 2014)
Critical Synthesis Package: Team Emergency Assessment Measure (TEAM)
Abstract
Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and the application to health science education of the Team Emergency Assessment Measure (TEAM), and (2) a copy of the TEAM and TEAM brochure developed by Simon Cooper, EdD. The TEAM is a concise instrument designed to measure team effectiveness in medical emergency events. It contains 11 behavioral items that fall in three domains consisting of Leadership, Task Management, and Teamwork. A final global rating item is also provided. All items are scored on a 5-point Likert-type scale (higher scores indicate increased frequency of the named behavior) except for the global rating, which is scored on a 10-point Likert-type scale. The TEAM is designed for use by trained clinical observers. Limited data suggests that the TEAM can be used as a rapid, global assessment of overall team effectiveness in resuscitation and acute deterioration events under a simulation setting, although the reported validation studies may have been underpowered. How the individual-item scores and global rating should be interpreted and applied for educational or quality improvement purposes remains unclear, and the consequences of TEAM implementation and its perceived value to instructors and learners have not been reported. There is evidence for the validity of TEAM as a global assessment measure in simulated events, particularly with regard to content and internal structure. Concurrent validity with one other team effectiveness assessment instrument has also been reported. Studies examining the sensitivity of TEAM at distinguishing between levels of performance are needed, as are guidelines for how best to utilize TEAM scores in training or remediation. The impact of rater training on TEAM scores and instrument reliability should be explored, and the contribution of individual competency to overall team effectiveness should also be addressed.
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