The management of a simulated emergency: Better teamwork, better performance

30 August 2018


The management of a simulated emergency: Better teamwork, better performance


Dimitrios Siassakos, Robert Fox, Joanna F. Crofts, Linda P. Hunt, Catherine Winter, Timothy J. Draycott

Published journal

Resuscitation: Official Journal of the European Resuscitation Council


To determine whether team performance in a simulated emergency is related to generic teamwork skills and behaviours.


  • Design – Cross-sectional analysis of data from the Simulation and Fire-drill Evaluation (SaFE) randomised controlled trial.
  • Setting – Six secondary and tertiary Maternity Units in Southwest England.
  • Participants – 140 healthcare professionals, in 24 teams.
  • Assessment – Blinded analysis of recorded simulations.
  • Main outcome measures – Correlation of team performance (efficiency conducting key clinical actions, including the administration of an essential drug, magnesium), and generic teamwork scores (using a validated tool that assesses skills and behaviours, by Weller et al.).

There was significant positive correlation between clinical efficiency and teamwork scores across all three dimensions; skills (Kendall's taub = 0.54, p < 0.001), behaviours (taub = 0.41, p = 0.001), and overall score (taub = 0.51, p < 0.001). Better teams administered the essential drug 2½ min more quickly (Mann–Whitney U, p < 0.001).

The clinical conduct of a simulated emergency was strongly linked to generic measures of teamwork. Further studies are needed to elucidate which aspects of team working are critical for team performance, to better inform training programs for multi-professional team working.

Related links

You might also like...

Press release

Proposed 'NHS visa' may help address NHS vacancies but won't ease staff shortages in social care

OnlyWan response to the Conservative party’s plan to attract more NHS staff from abroad.

Press release

New funding for diagnostic equipment falls considerably below what is needed

OnlyWan response to the Prime Minister’s announcement of funding for cancer screening.


A combined effort for autism: lessons from the community for the health system

Research shows 88% of autistic people do not think their needs are understood by health professionals. Emily Niner and Oliver...


The management of a simulated emergency: Better teamwork, better performance. Siassakos, Dimitrios et al. Resuscitation , Volume 82 , Issue 2 , 203 - 206
Kjell-bubble-diagramArtboard 101 copy -

Get social


In partnership with @TheIFS we're hosting a seminar on options for reforming the adult social care system. Registe…

Kjell-bubble-diagramArtboard 101 -

Work with us

We look for talented and passionate individuals as everyone at the OnlyWan has an important role to play.

View current vacancies
Artboard 101 copy 2 -

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more