Observational studyBMJ open2019
Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review.Applied clinical informatics · 2022Pooled it
- Medication administration errors in a Norwegian ambulance service: a quasi-experimental study on the impact of a team training program.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Trial
- The Effects of Leadership Curricula With and Without Implicit Bias Training on Graduate Medical Education: A Multicenter Randomized Trial.Academic medicine : journal of the Association of American Medical Colleges · 2022Trial
- Development, implementation, and evaluation of the Student Optimized Learning Environment (SOLE): a longitudinal team-based communication skills curriculum for medical students.BMC medical education · 2026Article
- Successful prehospital resuscitation of a young female patient with myasthenia gravis experiencing cardiopulmonary arrest due to complete airway obstruction: a case report and review of the literature.Journal of medical case reports · 2026Review
- Exploring the Relationship Between Nurses' Perceptions of Teamwork and Caring Behaviors: A Multicenter Cross-Sectional Study in Iran.Journal of nursing management · 2026Observational
- Frequency and Factors Associated with Patient Safety Events During Prehospital Obstetric Emergencies.Prehospital emergency care · 2026Article
- RESCUER mobile app to support pediatric resuscitation: Study protocol for a randomized controlled trial.Contemporary clinical trials communications · 2025Article
- Teaching Emergency Medical Technicians about Advanced Life Support Interventions: Pilot Study of an Online Continuing Education Course.Disaster medicine and public health preparedness · 2025Article
- Exploring the impact of interaction dynamics and professional capacity and development on cognitive medical errors: a multiple-case study of healthcare professionals in Jordan.BMC medical education · 2025Article
- Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study.BMC emergency medicine · 2024Article
- Physicians' challenges when working in the prehospital environment - a qualitative study using grounded theory.International journal of emergency medicine · 2024Article
- Strategies to prevent medical errors by nursing interns: a qualitative content analysis.BMC nursing · 2024Article
- A new practical approach using TeamSTEPPS strategies and tools: - an educational design.BMC medical education · 2024Article
- Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs.BMC health services research · 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
- Emergency team competencies: scoping review for the development of a tool to support the briefing and debriefing activities of emergency healthcare providers.Journal of anesthesia, analgesia and critical care · 2023Article
- Learning for doctor-to-doctor collaboration: a qualitative study exploring the experiences of residents and supervisors with intraprofessional workplace learning in complex tertiary care.BMC medical education · 2023Article
- A Literature Study of Medical Simulations for Non-Technical Skills Training in Emergency Medicine: Twenty Years of Progress, an Integrated Research Framework, and Future Research Avenues.International journal of environmental research and public health · 2023Article
- Gender Bias in Risk Management Reports Involving Physicians in Training - A Retrospective Qualitative Study.Journal of surgical education · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe goal of this study was to examine the relationship between measured teamwork and adverse safety events in the prehospital emergency care of children using high-fidelity simulation. We posit that non-technical skills such as leadership, teamwork, situation awareness and decision-making are associated with the clinical success of teams.
designObservational study.
settingEmergency medical services (EMS) responders were recruited from public fire and private transport agencies in Oregon State to participate in four simulations of paediatric emergencies using high-fidelity patient simulators, scene design, and professional actors playing parents and bystanders.
participantsForty-four fire/transport teams consisting of 259 EMS professionals consented to participate and completed simulations. PRIMARY AND SECONDARY OUTCOME MEASURES: Teams were assessed using the Clinical Teamwork Scale (CTS), a validated instrument that measures overall teamwork and 15 specific elements in five overarching domains: communication, decision-making, role responsibility (leadership and followership), situational awareness/resource management and patient-friendliness. We used generalised estimating equations to estimate the odds of error with increasing overall CTS teamwork score while adjusting for clinical scenario and potential clustering by team.
resultsAcross 176 simulations, the mean overall score on the CTS was 6.04 (SD 2.10; range 1=poor to 10=perfect) and was normally distributed. The distribution of scores was similar across the four clinical scenarios. At least one error was observed in 82% of the simulations. In simulations with at least one observed error, the mean CTS score was 5.76 (SD 2.04) compared with 7.16 (SD 1.95) in scenarios with no observed error. Logistic regression analysis accounting for clustering at the team level revealed that the odds of an error decreased 28% with each unit increase in CTS (OR 0.72, 95% CI 0.59 to 0.88).
conclusionsThis study found that overall teamwork among care delivery teams was strongly associated with the risk of serious adverse events in simulated scenarios of caring for critically ill and injured children.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.