Validation of a teamwork perceptions measure to increase patient safety

    Authors

    J. R. Keebler; A. S. Dietz; E. H. Lazzara; L. E. Benishek; S. A. Almeida; P. A. Toor; H. B. King;E. Salas

    Comments

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    Abbreviated Journal Title

    BMJ Qual. Saf.

    Keywords

    CARE; WORK; Health Care Sciences & Services; Health Policy & Services

    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.

    Journal Title

    Bmj Quality & Safety

    Volume

    23

    Issue/Number

    9

    Publication Date

    1-1-2014

    Document Type

    Article

    Language

    English

    First Page

    718

    Last Page

    726

    WOS Identifier

    WOS:000340244000005

    ISSN

    2044-5415

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