Clinics (Sao Paulo). 2022;77:100043.

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Team emergency assessment measure (TEAM) of non-technical skills: The Brazilian Portuguese version of the TEAM tool

Fernando Rabioglio Giugni , Roger Daglius Dias , Caio Godoy Rodrigues , Henrique Trombini Pinesi, Augusto Scalabrini-Neto

DOI: 10.1016/j.clinsp.2022.100043

Introduction

Non-Technical Skills (NTS) can be defined as the cognitive, social, and interpersonal skills that complement technical skills and contribute to safe and efficient task performance. In healthcare, these skills include task management, teamwork, situation awareness, decision making, leadership, and communication. In the past decades, there has been great emphasis in training NTS among Emergency Department (ED) providers, especially in regards to patient safety and crisis resource management. Poor NTS is associated with unsafe behaviors and an increased incidence of adverse events in the ED. NTS can be trained using high fidelity simulation, which is already widely incorporated into educational curricula in graduate, residency, and continued medical education.^,,

There are several tools used to assess the non-technical performance of teams during emergency care. They are usually divided into observational tools, in which external raters observe and assess the team’s performance, and self-assessment tools, in which the team members evaluate themselves. Both types have strengths and weaknesses, but observational tools have been more widely used and validated. Most observational NTS assessment tools use multiple-point scales to rate a set of NTS of the whole team. They usually differ in which skills are assessed, whether the scales reflect the frequency or quality of a certain skill, and in whether they can be used only in cardiac arrest or in general emergency situations. Among the many available observational instruments, the Team Emergency Assessment Measure (TEAM) tool was originally validated among medical students during emergency simulation scenarios and, more recently in multiple real and simulated ED settings with a variety of health professionals.^, The TEAM tool is easy to use, has a simple scoring system based on the frequency of observations and high inter-rater reliability.^- The tool is composed of 11 items distributed in 3 domains (Leadership, Teamwork and Task Management), scored from 0 to 4, and a global NTS performance score from 1 to 10.

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