Development of Team Coordination and Performance Measures in a Trauma Setting

Abstract

The paucity of reliable measures of team coordination and performance significantly obstructs the assessment of the effects of any technology on teams to improve decision making in health care. A pilot study was conducted to determine if measures of coordination and performance could be developed for teams involved in trauma resuscitation. A video assisted review of cases enabled evaluation of the use of the tools. Descriptors of coordination were derived from Klein's five-stage model of team coordination. A scoring system of team performance was developed from the University of Maryland Team Observable Performance Metric (UMTOP). After some modification both coordination and performance could be described. However, four defined stages of resuscitation were observed which greatly improved coding. More rigorous assessments of these tools will be required before firm conclusions can be drawn about the effects of a decision support tool recently introduced into the environment.

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