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Validation of a teamwork perceptions measure to increase patient safety
  1. Joseph R Keebler1,
  2. Aaron S Dietz2,3,
  3. Elizabeth H Lazzara1,4,
  4. Lauren E Benishek2,3,
  5. Sandra A Almeida5,
  6. Phyllis A Toor6,
  7. Heidi B King6,
  8. Eduardo Salas2,3
  1. 1Wichita State University, Wichita, Kansas, USA
  2. 2Institute for Simulation and Training, University of Central Florida, Orlando, Florida, USA
  3. 3Department of Psychology, University of Central Florida, Orlando, Florida, USA
  4. 4University of Kansas School of Medicine Wichita, USA
  5. 5Army Patient Safety Program, US Army Medical Command, Fort Sam Houston, Texas, USA
  6. 6US Department of Defense Patient Safety Program, Defense Health Agency , Falls Church, Virginia, USA
  1. Correspondence to Dr Eduardo Salas, Institute for Simulation & Training, University of Central Florida, 3100 Technology Parkway, Orlando, FL 32826, USA; esalas{at}


Background TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) is a team-training intervention which shows promise in aiding the mitigation of medical errors. This article examines the construct validity of the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), a self-report survey that examines multiple dimensions of perceptions of teamwork within healthcare settings.

Method Using survey-based methods, 1700 multidisciplinary healthcare professionals and support staff were measured on their perceptions of teamwork. Confirmatory factor analysis was conducted to examine the relationship between the five TeamSTEPPS dimensions: Leadership, Mutual Support, Situation Monitoring, Communication, and Team Structure.

Results The analysis indicated that the T-TPQ measure is more reliable than previously thought (Cronbach's α=0.978). Further, our final tested model showed a good fit with the data (x2 (df) 3601.27 (546), p<0.0001, Tucker–Lewis Index (TLI)=0.942, Comparative fit index (CFI)=0.947, root mean square error of approximation (RMSEA)=0.057), indicating that the measure appears to have construct validity. Further, all dimensions correlated with one another, but were shown to be independent constructs.

Conclusions The T-TPQ is a construct-valid instrument for measuring perceptions of teamwork. This has beneficial implications for patient safety and future research that studies medical teamwork.

  • Teamwork
  • Surveys
  • Patient safety

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