ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
The TEAM instrument for measuring emergency team performance: validation of the Swedish version at two emergency departments.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Effect of an app-guided advanced cardiac life support algorithm on teamwork, non-technical skills, and workload in simulated in-hospital cardiac arrest: a randomized controlled feasibility trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Trial
- Translation, cross-cultural adaptation, and psychometric validation of the Team Emergency Assessment Measure (TEAM) into European Spanish: a multi-perspective study including peer-assessment.Advances in simulation (London, England) · 2026Article
- Exploring effects of resilience-focused debriefing on reflection and teamwork in interprofessional simulation-based education - a mixed method study.Advances in simulation (London, England) · 2025Article
- TEAMs go VR-validating the TEAM in a virtual reality (VR) medical team training.Advances in simulation (London, England) · 2024Article
- Assessing Team Performance: A Mixed-Methods Analysis Using InterprofessionalThe western journal of emergency medicine · 2024Article
- Cardiopulmonary Resuscitation: Clinical Updates and Perspectives.Journal of clinical medicine · 2024Article
- Application of the Team Emergency Assessment Measure Scale in undergraduate medical students and interprofessional clinical teams: validity evidence of a Spanish version applied in Chile.Frontiers in medicine · 2023Article
- Reliability and validity testing of team emergency assessment measure in a distributed team context.Frontiers in psychology · 2023Article
- Non-technical skills in pre-hospital care in the Czech Republic: a prospective multicentric observational study (NTS study).BMC emergency medicine · 2022Observational
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9 authors.
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Abstract
backgroundThe Team Emergency Assessment Measure (TEAM) questionnaire is designed for rating the non-technical performance of emergency medical teams during emergencies, e.g., resuscitation or trauma management. Originally developed in Australia it has today been translated and validated into eleven languages, but a Swedish version is lacking. The aim was therefore to cross-culturally translate and evaluate the reliability and validity of the TEAM questionnaire in a Swedish health care setting.
methodsThe instrument was forward and backward translated and adapted into a Swedish context according to established guidelines for cross-cultural adaptation of survey-based measures. The translated version was tested through 78 pairwise assessments of 39 high-priority codes at the emergency departments of two major hospitals. The raters observed the teams at work in real time and filled in the questionnaires immediately afterwards independently of each other. Psychometric properties of the instrument were evaluated.
resultsThe original instrument was translated by pairs of translators independently of each other and reviewed by an expert committee of researchers, nurses and physicians from different specialties, a linguist and one of the original developers of the tool. A few adaptations were needed for the Swedish context. A principal component factor analysis confirmed a single 'teamwork' construct in line with the original instrument. The Swedish version showed excellent reliability with a Cronbach's alpha of 0.955 and a mean inter-item correlation of 0.691. The mean item-scale correlation of 0.82 indicated high internal consistency reliability. Inter-rater reliability was measured by intraclass correlation and was 0.74 for the global score indicating good reliability. Individual items ranged between 0.52 and 0.88. No floor effects but ceiling effects were noted. Finally, teams displaying clear closed-loop communication had higher TEAM scores than teams with less clear communication.
conclusionsReal time observations of authentic, high priority cases at two emergency departments show that the Swedish version of the TEAM instrument has good psychometric properties for evaluating team performance. The TEAM instrument is thus a welcome tool for assessing non-technical skills of emergency medical teams.
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