DOI: 10.5061/dryad.02v6wwq2t
title: Data for: Effect of using a cognitive aid on content and feasibility of debriefings of simulated emergencies

description: Background Adverse events in patient care are often caused by failures in
 teamwork. Simulation training and its debriefing can contribute to
 improving teamwork and thus patient care. When conducting debriefings,
 there are several design factors that can potentially influence learning
 outcomes. This study examines the use of a cognitive aid to help structure
 the content of debriefings and compares it with debriefings that are
 merely roughly structured. In addition, the feasibility of the debriefing,
 the satisfaction of the participants and their teamwork during the
 training are investigated. Methods In a simulated night shift, seven teams
 of four to five medical students (n=32) took part in a total of six cases
 that simulated common situations in an emergency medicine environment and
 received a debriefing on their teamwork after each case, either in the
 intervention condition with the help of the TeamTAG tool – a cognitive aid
 focusing on selected teamwork principles from Crisis Resource Management
 (CRM) – or in the control condition without it. The facilitators noted the
 topics of the debriefings and rated their experience of conducting them;
 the participants indicated their satisfaction with the debriefings, as
 well as their assessment of the importance of CRM principles. In addition,
 the quality of teamwork was assessed using the Team Emergency Assessment
 Measure (TEAM). Results The analysis showed no difference in the number of
 teamwork principles discussed between the control and intervention
 conditions, but topics were repeated more frequently in the control group.
 The TeamTAG guideline was focused on and implemented by the tutors, who
 discussed the CRM principles included in the TeamTAG more consistently
 than in the control condition. The tutors in both conditions were
 satisfied with the implementation, and the use of TeamTAG facilitated time
 management. There were no differences in participants’ satisfaction, their
 assessment of the importance of the teamwork principles, or the quality of
 teamwork between conditions. Conclusion The use of a cognitive aid can
 help to direct the focus on certain topics or learning objectives and
 facilitate time management through pre-structuring; however, a difference
 in learning outcomes (in terms of the quality of teamwork) could not be
 identified. Besides the influence of a certain structure or script, a
 strong influence from the individual guiding the debriefing is likely.
description: Participaints were asked to fill out a inital and a final survey
 and to rate ther satisfation with the debriefings (paper pencil); Teamwork
 was rated by external observers using the TEAM (Team emergency assessment
 measure); Facilitators were asked to note the topic(s) of each debriefing
 (wich were mapped to CRM principles by two researchers) and to rate the
 feasibility of the debriefing / of TeamTAG Data were
 analyses with SPSS using Chi-square tests, t-tests, and an analysis of
 covariance (ANCOVA) and descriptively using a heatmap