A systematic review of ED resuscitation video review identified four unique NTS assessment tools, with T-NOTECHS used in six of nine studies¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Systematic searching identified 9 eligible studies and 4 unique tools for assessing NTS of ED resuscitation teams via video review, with T-NOTECHS the most used. → Alexander Emily G 2023

Evidence¶

Alexander Emily G 2023¶

Alexander Emily G, Denny Fraser, Gordon Malcom WG, McKiernan Cieran, Lowe David J. (2023). Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review. BMC Emergency Medicine. https://doi.org/10.1186/s12873-023-00895-7

q3 · i? · review · r2

Systematic review searching Embase, Medline, CINAHL and Google Scholar with two independent reviewers; the PRISMA screening flow reports "378 discrete studies screened" and 9 included. Four unique tools were identified across the nine studies.

"There were 378 discrete studies screened, 339 were eliminated based on title relevance and 28 were eliminated on abstract relevance. A total of 12 studies were assessed for eligibility and 9 were included in the final study."

Discussion¶

Related Claims¶

• Video review with T-NOTECHS identified communication as a significantly weaker NTS domain than other domains in trauma resuscitations — a narrower finding that bears on this claim
• The CALM tool showed only weak inter-rater agreement (weighted Kappa 0.45) in its single ED video-review study — a narrower finding that bears on this claim
• T-NOTECHS inter-rater reliability varies widely across ED video-review studies, from moderate (ICC 0.48) to excellent (ICC 0.94) — a narrower finding that bears on this claim
• Higher T-NOTECHS assessment-and-decision-making scores were associated with ROSC after ED thoracotomy, though the overall association did not reach statistical significance — a narrower finding that bears on this claim
• TTCA-24 shows excellent inter-rater reliability (ICC 0.78–0.87) but has only one published study in this context and correlates only weakly with T-NOTECHS — a narrower finding that bears on this claim