Using video debriefing to improve performance of the interprofessional trauma resuscitation team

Simple item page
dc.contributor.advisorMcGarity, Tammy
dc.contributor.authorLyell, Cassie Ann
dc.contributor.committeeMemberBaldwin, Sara
dc.date.accessioned2021-10-08T21:01:37Z
dc.date.available2021-10-08T21:01:37Z
dc.date.issued2021-08
dc.description.abstractIn trauma centers, failures in teamwork account for 87.9% of preventable errors. Errors made during the primary assessment cause up to 91% of preventable deaths. Video review of trauma resuscitations has been shown to improve teamwork, communication, confidence, leadership, and timeliness of care. This quality improvement project aimed to improve trauma team performance through video analysis and a Trauma Video Debriefing Conference (TVDC). Between February and May 2021, highest-tier trauma activations were recorded and variability in (1) primary assessment completion and (2) nontechnical skills were measured. Videos demonstrating learning opportunities were shared in a TVDC. Variabilities in (1) and (2) were measured utilizing the Advanced Trauma Life Support (ATLS) Primary Assessment Completion Tool (PACT) and the Trauma Nontechnical Skills (T-NOTECHS) instruments, respectively. To assess the impact of the TVDC interventions across time, we performed a simple linear regression, with the item of interest as our outcome variable. Pre- and post-TVDC teamwork perception was measured by the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ). To assess the provider survey items across the pre- and post- TVDC intervention, the chi-square or Fisher’s exact test was used where appropriate; the Wilcoxon Mann-Whitney U test was performed on the average module scores. During the initial project cycle, 66 trauma activations were measured, and 10 videos were reviewed across seven TVDCs, focused on team education and performance improvement. Progressive and statistically significant improvement in team performance was demonstrated, as evidenced by improved PACT (p = .0128) and T-NOTECHS (p = .0027) scores. Perception of teamwork, as measured by the T-TPQ, remained unchanged after project implementation. Implementation of a TVDC can contribute to improvement in both the technical and nontechnical performance of a TRT and is an effective tool for targeted education and quality improvement. Perception of teamwork should be studied in dependent groups in upcoming project cycles.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent81 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89798
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjecttrauma resuscitation teamen_US
dc.subjectprimary assessmenten_US
dc.subjectnontechnical skillsen_US
dc.subjectperformance improvementen_US
dc.subjectteamworken_US
dc.subjectcommunicationen_US
dc.titleUsing video debriefing to improve performance of the interprofessional trauma resuscitation teamen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
Lyell_Cassie_Dissertation.pdf.pdf
Size:
5.8 MB
Format:
Adobe Portable Document Format
Description:
Dissertation
Download

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Dissertations
Doctor of Nursing Practice Project Reports