Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review

Abstract BackgroundA number of neonatal simulation-training programmes have been deployed during the last decade, and a growing number of studies have investigated effects of simulation-based team training. However, the body of evidence remains to be compiled. Therefore, we performed a systematic review on the effects of simulation-based team training on clinical performance and patient outcome.MethodsThe review was conducted according to the preferred reporting items for systematic review and meta-analysis (PRISMA). We included studies on team training in emergency neonatal settings with reported outcome on clinical performance and patient outcome. Two reviewers independently selected articles and assessed risk-of-bias using the Cochrane risk-of-bias tool 2.0 and the Newcastle-Ottawa quality assessment scale. Kirkpatricks’ model for evaluation of training programs provided the framework for a narrative synthesis.ResultsWe screened 1,434 titles and abstracts, evaluated 173 full-texts for eligibility, and included 24 studies. We identified only two studies with neonatal mortality outcome, and they had significant methodological limitations, and no conclusion could be reached regarding effects of simulation training in developed countries. Considering clinical performance, randomized studies showed improved team performance in simulated re-evaluations 3 and 6 months after the intervention.ConclusionsSimulation-based team training in neonatal resuscitation improves team performance and technical performance in simulation-based evaluations 3 to 6 months later. The current evidence was insufficient to conclude on neonatal mortality after simulation-based team training, since no studies were available from developed countries. Future research should include patient outcomes or clinical proxies of treatment quality whenever possible.

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Designing electronic performance support tools

Computers & Education ◽

10.1016/0360-1315(96)87682-2 ◽

1996 ◽

Vol 26 (4) ◽

pp. 247-248

Author(s):

Jacquetta Megarry

Keyword(s):

Performance Support ◽

Electronic Performance Support ◽

Support Tools ◽

Electronic Performance ◽

Performance Support Tools

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Performance support tools: A step beyond training

Performance + Instruction ◽

10.1002/pfi.4170281002 ◽

1989 ◽

Vol 28 (10) ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Gerry Puterbaugh ◽

Marc Rosenberg ◽

Robert Sofman

Keyword(s):

Performance Support ◽

Support Tools ◽

Performance Support Tools

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Computer-Based Team Training: The Aircraft Maintenance Environment Example

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/107118139704100296 ◽

1997 ◽

Vol 41 (2) ◽

pp. 1154-1157

Author(s):

David Kraus ◽

Joel S. Greenstein ◽

Anand K. Gramopadhye ◽

Ronald H. Nowaczyk

Keyword(s):

Training Program ◽

Team Performance ◽

Team Training ◽

Advanced Technology ◽

Controlled Study ◽

Aircraft Maintenance ◽

Evaluation Phase ◽

Computer Based ◽

Two Phases ◽

And Performance

Research on civil aircraft inspection and maintenance has shown the importance of teamwork in accomplishing aircraft maintenance tasks. Training has been identified as one of the primary intervention strategies in improving team performance. Moreover, if training is to be successful, it is clear that we need to provide aircraft maintenance technicians with training tools to help enhance their team skills and improve team performance within the aircraft maintenance environment. In response to this need, this research looked at the role of team training and specifically that of advanced technology for team training. A controlled study was conducted to evaluate the effectiveness of advanced technology for team training. The study was conducted in two phases: 1) Instructional phase where 18 subjects received training through a computer-based team training program and 18 subjects received training using a traditional instructor-based equivalent team training program, and 2) Evaluation phase where the subjects were divided into three member teams and performance of the teams was evaluated as they completed a routine and a non-routine maintenance task. The results of the study are reported as part of this paper.

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Global MedAid

Human-Computer Interaction ◽

10.4018/978-1-4666-8789-9.ch042 ◽

2015 ◽

pp. 925-938

Author(s):

Joanna Colley ◽

Claire Bradley ◽

Geoff Stead ◽

Jessica Wakelin

Keyword(s):

Design Process ◽

Emergency Situations ◽

Wide Range ◽

Support Tools ◽

On Line ◽

Cross Platform ◽

Media Types ◽

And Performance ◽

Data Signal ◽

Performance Support Tools

This paper outlines an m-learning solution, ‘Global MedAid', which aims to provide learning resources and tools for personnel in various roles in disaster or emergency situations. It outlines the development process and presents the design considerations and solutions for developing a cross-platform application combining a wide range of media types for on-line and off-line use, depending on whether or not there is access to a data signal. The design process took into account current mobile health and related applications, addressing the ways in which both educational resources and performance support tools could be combined and accessed in the field. The paper also shows how partners and users have been involved in the design process and in the evolution of the app. The resulting Proof of Concept has been evaluated with over a hundred users across 21 countries, and initial findings show that users thought it was both useful and effective.

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Performance support tools: Delivering value when and where it is needed

Performance Improvement ◽

10.1002/pfi.2006.4930450204 ◽

2006 ◽

Vol 45 (2) ◽

pp. 8-16 ◽

Cited By ~ 8

Author(s):

Paul McManus ◽

Allison Rossett

Keyword(s):

Performance Support ◽

Support Tools ◽

Performance Support Tools

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Global MedAid

International Journal of Mobile and Blended Learning ◽

10.4018/ijmbl.2014100103 ◽

2014 ◽

Vol 6 (4) ◽

pp. 39-52

Author(s):

Joanna Colley ◽

Claire Bradley ◽

Geoff Stead ◽

Jessica Wakelin

Keyword(s):

Design Process ◽

Emergency Situations ◽

Wide Range ◽

Support Tools ◽

On Line ◽

Cross Platform ◽

Media Types ◽

And Performance ◽

Data Signal ◽

Performance Support Tools

This paper outlines an m-learning solution, ‘Global MedAid', which aims to provide learning resources and tools for personnel in various roles in disaster or emergency situations. It outlines the development process and presents the design considerations and solutions for developing a cross-platform application combining a wide range of media types for on-line and off-line use, depending on whether or not there is access to a data signal. The design process took into account current mobile health and related applications, addressing the ways in which both educational resources and performance support tools could be combined and accessed in the field. The paper also shows how partners and users have been involved in the design process and in the evolution of the app. The resulting Proof of Concept has been evaluated with over a hundred users across 21 countries, and initial findings show that users thought it was both useful and effective.

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A Systematic Review of Clinical Vestibular Symptom Triage, Tools, and Algorithms

Otolaryngology ◽

10.1177/01945998211032912 ◽

2021 ◽

pp. 019459982110329

Author(s):

Giovanni Lampasona ◽

Erin Piker ◽

Cynthia Ryan ◽

Patricia Gerend ◽

Steven D. Rauch ◽

...

Keyword(s):

Systematic Review ◽

Decision Support ◽

Assessment Tool ◽

Diagnostic Tools ◽

Decision Support Tools ◽

Vestibular Disorders ◽

Support Tools ◽

Study Characteristics ◽

Form Quality ◽

And Performance

Objective The evaluation of peripheral vestibular disorders in clinical practice is an especially difficult endeavor, particularly for the inexperienced clinician. The goal of this systematic review is thus to evaluate the design, approaches, and outcomes for clinical vestibular symptom triage and decision support tools reported in contemporary published literature. Data Sources A comprehensive search of existing literature in August 2020 was conducted using MEDLINE, CINAHL, and EMBASE using terms of desired diagnostic tools such as algorithm, protocol, and questionnaire as well as an exhaustive set of terms to encompass vestibular disorders. Review Methods Study characteristics, tool metrics, and performance were extracted using a standardized form. Quality assessment was conducted using a modified version of the Quality of Diagnostic Accuracy Studies 2 (QUADAS-2) assessment tool. Results A total of 18 articles each reporting a novel tool for the evaluation of vestibular disorders were identified. Tools were organized into 3 discrete categories, including self-administered questionnaires, health care professional administered tools, and decision support systems. Most tools could differentiate between specific vestibular pathologies, with outcome measures including sensitivity, specificity, and accuracy. Conclusion A multitude of tools have been published to aid with the evaluation of vertiginous patients. Our systematic review identified several low-evidence reports of triage and decision support tools for the evaluation of vestibular disorders.

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