Trial reportThe journal of trauma and acute care surgery2016
Trauma team discord and the role of briefing.
Trial report in The journal of trauma and acute care surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve team effectiveness within health care: a systematic review of the past decade.Human resources for health · 2020Pooled it
- Worldwide snapshot of trauma team structure and training: an international survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Exploring the characteristics of successful prehospital trauma care teams: Insights from military trauma care simulations.The journal of trauma and acute care surgery · 2023Article
- Effect of Structured Briefing Prior to Patient Arrival on Interprofessional Communication and Collaboration in the Trauma Team.Open access emergency medicine : OAEM · 2022Article
- Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Article
- The team briefing: setting up relational coordination for your resuscitation.Clinical and experimental emergency medicine · 2020Article
- Doing our work better, together: a relationship-based approach to defining the quality improvement agenda in trauma care.BMJ open quality · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundBriefing of the trauma team before patient arrival is unstructured in many centers. We surveyed trauma teams regarding agreement on patient care priorities and evaluated the impact of a structured, physician-led briefing on concordance during simulated resuscitations.
methodsTrauma nurses at our Level II center were surveyed, and they participated in four resuscitation scenarios, randomized to "briefed" or "nonbriefed." For nonbriefed scenarios, nurses independently reviewed triage sheets with written information. Briefed scenarios had a structured 4-minute physician-led briefing reviewing triage sheets identical to nonbriefed scenarios. Teams included three to four nurses (subjects) and two to four confederates (physicians, respiratory therapists). Each team served as their own control group. Confederates were blinded to nurses' briefed or nonbriefed status. Immediately before, and at the midpoint of each scenario, nurses estimated patients' morbidity and mortality and ranked the top 3 of 16 designated immediate care priorities. Briefed and nonbriefed groups' responses were compared for (1) agreement using intraclass correlation coefficient, (2) concordance with physicians' responses using the Fisher exact test, (3) teamwork via T-NOTECHS ratings by nurses and physicians using t-test, and (4) time to complete clinical tasks using t test.
resultsThirty-eight nurses participated. Ninety-seven percent "agreed/strongly agreed" briefing is important, but only 46% agreed briefing was done well. Comparing briefed versus nonbriefed scenarios, nurses' estimation of morbidity and mortality in the briefed scenarios showed significantly greater agreement with each other and with physicians' answers (p < 0.01). Rank lists also better agreed with each other (intraclass correlation coefficient, 0.64 vs 0.59) and with physicians' answers in the briefed scenarios. T-NOTECHS Leadership ratings were significantly higher in the briefed scenarios (3.70 vs 3.39; p < 0.01). Time to completion of key clinical tasks was significantly faster for one of the briefed scenarios.
conclusionsDiscordant perceptions of patient care goals was frequently observed. Structured physician-led briefing seemed to improve interprofessional team concordance, leadership, and task completion in simulated trauma resuscitations.
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