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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >Using peers to assess the quality of teamwork: the development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT)
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Using peers to assess the quality of teamwork: the development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT)

机译:使用同行评估团队合作的质量:癌症多学科团队会议观测工具的开发和测试(MDT-MOT)

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摘要

Purpose: Poor teamwork in multidisciplinary team meetings (MDMs) can compromise treatment decision-making, yet improvement tools that can be used by peers (health service staff) in routine practice are lacking. Our aim was to develop and test a tool for independent observational assessment as part of a teamwork improvement toolkit (MDT-FIT). Methods: The MDT-MOT was developed, informed by national clinical consensus recommendations for best practice in cancer MDTs and in collaboration with an expert group. Proof of concept was tested across 20 MDTs and utility assessed using semi-structured interviews, leading to further refinement and use by 16 MDTs. Criterion validity was assessed by 13 peers viewing video excerpts of optimal/sub-optimal performance. Inter-rater reliability and agreement was assessed using video-recordings of 10 MDMs independently rated by a clinical and non-clinical observer.
机译:目的:多学科团队会议的可怜团队合作(MDMS)可以妥协治疗决策,但缺乏同行惯例(卫生服务人员)可以使用的改进工具。 我们的目标是开发和测试一个独立的观察评估的工具,作为团队合作改进工具包的一部分(MDT-FIT)。 方法:开发了MDT-MOT,通过国家临床共识建议,以便与专家组合作进行癌症MDT的最佳实践。 概念证明在20个MDTS和使用半结构面试评估的实用程序中测试,导致进一步改进并使用16个MDT。 通过13个同行评估标准有效性查看最佳/次优性能的视频摘录。 使用临床和非临床观察者独立评估的10 MDMS的视频录制评估帧间间可靠性和协议。

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