Areas of Expertise
AIR’s team training work focuses on reducing the risk of errors across numerous industries, such as health care, where it is essential that team members be able to maintain their situation awareness, communicate efficiently, and make effective decisions.
AIR staff are developing and evaluating team training for healthcare, aviation, and military workforces including ensuring the national adoption of TeamSTEPPS™ – the federal standard for medical team training programs.
Low cost technologies, such as case studies, role plays, and part task trainers, have been effectively used to train teamwork related knowledge, skills, and attitudes in several high risk industries. Although trainees and instructional developers may prefer the ‘‘bells and whistles’’ of full mission simulators, we implore them to at least explore the use of lower fidelity alternatives, especially during the earliest phases of teamwork skill acquisition.
The purpose of this study was to assess the relative effectiveness of different approaches to debriefing team performance: team debrief with videotape, team debrief without videotape, instructor debrief with videotape, and instructor debrief without videotape. We hypothesized that the four approaches would not be equally effective. However, the lack of consensus in the literature made it impossible to hypothesize whether team- vs. instructor-led debriefs would be more effective. Based on our personal experience, we hypothesized that debriefings which incorporate videotape would be perceived as more effective than those which did not.
The following discussion compares the purpose, strategy, and effectiveness of two distinct categories of MTT, those that are primarily simulator-based and those that are primarily classroom-based. Data collected from MTT course observations, participant questionnaires, and instructor interviews are reported. Finally, we summarize the state-of-the-science and propose a series of research-based propositions for improving the future of MTT.
AIR, in conjunction with Carilion Medical Center, is developing a series of socio-technical probabilistic risk assessment (ST-PRA) models to evaluate the effectiveness of team training in health care.
The Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) have worked with AIR since 2002 to identify best practices and set the standard for medical team training. A major result of this partnership was the development of TeamSTEPPS™ or Team Strategies and Tools for Enhancing Performance and Patient Safety.