Table 1. Means and standard deviations for human factor attitude survey (n=164)
Item Pre-training Mean (SD) Post-training Mean (SD) p-value
1.      Team leader and team members can improve decision-making skills through training. 3.96 (0.56) 4.23 (0.51) <0.001
2.      Team leader should encourage team members’ to raise questions during normal operations and emergencies. 3.94 (0.61) 4.30 (0.54) <0.001
3.      My performance is not adversely affected by working with an inexperienced or less capable team member. 2.94 (0.84) 3.20 (0.88) <0.001
4.      Team members should question the decisions or actions of the team leader during a procedure. 3.65 (0.63) 4.14 (0.52) <0.001
5.      Prior to the procedure, it is important for all team members to be familiar with the tasks and responsibilities of the other members of the team. 4.09 (0.57) 4.24 (0.53) 0.003
6.      My ability to detect adverse situations has a direct relationship to the quality of decisions I make. 3.82 (0.59) 4.14 (0.47) <0.001
7.      It is necessary for the team leader to explicitly tell team members that he/she wants their input. 3.85 (0.57) 4.14 (0.47) <0.001
8.      In response to unplanned events, the team leader should verbalize plans and ensure that the information is understood and acknowledged by all team members. 4.08 (0.61) 4.29 (0.53) <0.001
9.      Good communication and coordination are as important as technical proficiency for the safety of operative procedures. 4.34 (0.57) 4.48 (0.54) 0.009
10.   With trained and experienced staff members, good decisions are almost automatic in the planning and executing of operational requirements. 3.82 (0.65) 3.91 (0.68) 0.12
11.   A debriefing and critique of procedures and decisions after each event is an important part of developing and maintaining effective team coordination. 3.95 (0.58) 4.15 (0.56) <0.001
12.   A discussion of alternative methods does not make the team leader appear indecisive. 3.55 (0.75) 3.90 (0.61) <0.001
13.   Once team leaders have made a decision and announced it to the team, they should listen to the reservations on their decision from team members. 3.82 (0.59) 3.96 (0.53) 0.01
14.   Staff in my own department need training to “speak up” when they see something that is not right. 3.71 (0.75) 4.09 (0.74) <0.001
15.   Supervisors should be able to provide specific instruction and feedback on teamwork skill attainment. 3.99 (0.39) 4.17 (0.45) <0.001
16.   When making decisions, I gather as much information as time allows before making/executing my decision. 3.92 (0.56) 4.13 (0.51) <0.001
17.   It is just as important to note and debrief what was done well as it is to note and debrief what needs improvement. 3.95 (0.53) 4.15 (0.51) <0.001
18.   There are circumstances where another team member should assume control of the event. 3.58 (0.65) 3.82 (0.67) <0.001
19.   Recognizing adverse events is one of the most important keys to overall patient safety. 4.17 (0.59) 4.25 (0.56) 0.12
20.   If I perceive a problem with the event, I will speak up, regardless of who might be affected. 3.66 (0.67) 4.07 (0.61) <0.001
21.   The team formation and decision-making skills of team leaders are as important as their technical skills. 3.91 (0.67) 4.18 (0.48) <0.001
22.   During any procedure or shift, and in response to unplanned or unbriefed contingencies, the team leader should verbalize plans for procedures and should be sure that the information is understood and acknowledged by all team members. 4.04 (0.51) 4.20 (0.53) <0.001
Int J Med Educ. 2016; 7:109-114; doi: 10.5116/ijme.56f5.6804