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    Validation of a teamwork perceptions measure to increase patient safety

    Date
    2014-09
    Author
    Keebler, Joseph R.
    Dietz, Aaron S.
    Lazzara, Elizabeth H.
    Benishek, Lauren E.
    Almeida, Sandra A.
    Toor, Phyllis A.
    King, Heidi B.
    Salas, Eduardo
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    Citation
    Keebler, Joseph; Dietz, Aaron S.; Lazzara, Elizabeth; Benishek, Lauren E.; Almeida, Sandra A.; Toor, Phyllis A.; King, Heidi B.; Salas, Eduardo. 2014. Validation of a teamwork perceptions measure to increase patient safety. BMJ Quality and Safety, vol. 23:no. 9:pp 718-726
    Abstract
    Background TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) is a team-training intervention which shows promise in aiding the mitigation of medical errors. This article examines the construct validity of the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), a self-report survey that examines multiple dimensions of perceptions of teamwork within healthcare settings. Method Using survey-based methods, 1700 multidisciplinary healthcare professionals and support staff were measured on their perceptions of teamwork. Confirmatory factor analysis was conducted to examine the relationship between the five TeamSTEPPS dimensions: Leadership, Mutual Support, Situation Monitoring, Communication, and Team Structure. Results The analysis indicated that the T-TPQ measure is more reliable than previously thought (Cronbach's alpha=0.978). Further, our final tested model showed a good fit with the data (x(2) (df) 3601.27 (546), p<0.0001, Tucker-Lewis Index (TLI)=0.942, Comparative fit index (CFI)=0.947, root mean square error of approximation (RMSEA)=0.057), indicating that the measure appears to have construct validity. Further, all dimensions correlated with one another, but were shown to be independent constructs. Conclusions The T-TPQ is a construct-valid instrument for measuring perceptions of teamwork. This has beneficial implications for patient safety and future research that studies medical teamwork.
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    URI
    http://dx.doi.org/10.1136/bmjqs-2013-001942
    http://hdl.handle.net/10057/10758
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    • PSY Research Publications [324]

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