Han Sangsoo, Park Hye Ji, Jeong Won Jung, Kim Gi Woon, Choi Han Joo, Moon Hyung Jun, Lee Kyoungmi, Choi Hyuk Joong, Park Yong Jin, Cho Jin Seong, Lee Choung Ah
Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea.
Department of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong 18450, Korea.
J Clin Med. 2022 Sep 14;11(18):5390. doi: 10.3390/jcm11185390.
Communication and teamwork are critical for ensuring patient safety, particularly during prehospital cardiopulmonary resuscitation (CPR). The Team Emergency Assessment Measure (TEAM) is a tool applicable to such situations. This study aimed to validate the TEAM efficiency as a suitable tool even in prehospital CPR.
A multi-centric observational study was conducted using the data of all non-traumatic out-of-hospital cardiac arrest patients aged over 18 years who were treated using video communication-based medical direction in 2018. From the extracted data of 1494 eligible patients, 67 sample cases were randomly selected. Two experienced raters were assigned to each case. Each rater reviewed 13 or 14 videos and scored the TEAM items for each field cardiopulmonary resuscitation performance. The internal consistency, concurrent validity, and inter-rater reliability were measured.
The TEAM showed high reliability with a Cronbach's alpha value of 0.939, with a mean interitem correlation of 0.584. The mean item-total correlation was 0.789, indicating significant associations. The mean correlation coefficient between each item and the global score range was 0.682, indicating good concurrent validity. The mean intra-class correlation coefficient was 0.804, indicating excellent agreement.
The TEAM can be a valid and reliable tool to evaluate the non-technical skills of a team of paramedics performing CPR.
沟通与团队合作对于确保患者安全至关重要，尤其是在院外心肺复苏（CPR）期间。团队紧急评估措施（TEAM）是适用于此类情况的一种工具。本研究旨在验证TEAM在院外心肺复苏中作为一种合适工具的有效性。
采用2018年使用基于视频通信的医疗指导治疗的所有18岁以上非创伤性院外心脏骤停患者的数据进行多中心观察性研究。从1494例符合条件的患者提取的数据中，随机选择67例样本病例。为每个病例分配两名经验丰富的评分员。每位评分员审查13或14个视频，并对每个现场心肺复苏表现领域的TEAM项目进行评分。测量内部一致性、同时效度和评分员间信度。
TEAM显示出高信度，Cronbach's alpha值为0.939，平均项目间相关性为0.584。平均项目与总分相关性为0.789，表明存在显著关联。每个项目与总体评分范围之间的平均相关系数为0.682，表明具有良好的同时效度。平均组内相关系数为0.804，表明一致性极佳。
TEAM可以作为评估进行心肺复苏的护理人员团队非技术技能的有效且可靠的工具。
