TEAM™ – Home

Welcome to the Team™ website. Here you can find important information and updates.

By registering you will be able to gain full access to the TeamTool and the related brochure which describes how the tool should be used. We have recently created a French (Français) and Hebrew (hebrew) version of the tool. Register to download.

Background

The Team™ is a valid, reliable and feasible measure of teamwork in medical emergencies and was developed from an extensive review of literature, expert review, instrument testing and feasibility assessments. The content, construct and concurrent validity, internal consistency, inter-rater reliability, re-test reliability and feasibility ratings all reached satisfactory levels.[1] Whilst primarily developed for cardiac resuscitation teams, the Team™ has also been found to be a valid measure for teams managing simulated patients who are deteriorating[2] and is likely to be of use to trauma and medical emergency teams.

Survival from cardiac arrest in hospital is low with around 11% surviving to discharge[3] with questions about the quality of cardiopulmonary resuscitation (CPR) and medical emergency team performance.[4] Effective team performance is dependent on technical skills and competencies such as leadership and teamwork,[5-8] decision-making and situation awareness.[9] Teamwork needs to be learnt and developed in inter-professional domains and is best practiced in safe simulated environments.[10-12] Situation awareness measures (the perception of environmental elements) originate from the aircraft industry and have been measured in anaesthesia and acute medicine.[13-15] Situation awareness measures (the perception of environmental elements) originate from the aircraft industry and have been measured in anaesthesia and acute medicine.[13-16] Scenarios that include simulated patients (manikins, patient actors and computer simulations), debriefing[17] and feedback techniques[18-25] enable teams to practice technical skills (e.g. inserting cannulae and intubating) and to develop leadership and teamwork skills. The Team™ is a useful tool in such settings, but can also be used by expert clinicians to rate, review and feedback on team performance after clinical emergencies in a variety of settings (e.g. Wards, Emergency Departments and in ‘out of hospital’ emergency care).[5]

The Team™ was founded in work which examined cardiac resuscitation teams’ leadership and team dynamics in a study of video recorded, ward-based resuscitation attempts in the United Kingdom.[26] Adaptations of the original measures were made for assessing teams in Advanced Life Support training[27] and for Emergency Care Practitioners in ‘out of hospital’ emergency care.[5]