Validation of a teamwork perceptions measure to increase patient safety

Joseph R. Keebler, Aaron S. Dietz, Elizabeth H. Lazzara, Lauren E. Benishek, Sandra A. Almeida, Phyllis A. Toor, Heidi B. King, Eduardo Salas

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)718-726
Number of pages9
JournalBMJ Quality and Safety
Issue number9
StatePublished - Sep 2014

ASJC Scopus subject areas

  • Health Policy


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