Table 1.
A list of instruments used to assess and improve MDT working
| Instrument (authors or source) | Brief instrument description | Instrument methodology |
|---|---|---|
| MDT-OARS (Taylor et al24) | “The MDT Observational Assessment Rating Scale” assesses 18 elements of good team functioning as expressed in national UK guidance | Observation |
| TEAM (Taylor et al49) | “The Team Evaluation and Assessment Measure” assesses core functions of the team and their team meetings, based on the components defined in “the characteristics of effective MDT” | Team self-assessment |
| MDT-QuIC (Lamb et al65) | “The MDT Quality Improvement Checklist” is designed to aid decision-making in MDMs by ensuring that all aspects of a case are reviewed by the team | Checklist |
| MDT-MODe (Lamb et al43) | “The MDT Metric of Decision-Making” measures the quality of presented patient information, contribution to case review per specialty, and team ability to reach a decision in the team meeting | Observation |
| MDT Quality Improvement Bundle (Lamb et al22) | A team improvement bundle including checklist application, team skills brief training, and guidance implementation | Quality improvement bundle |
| MDT-MOT (Harris et al48) | “The MDT – Meeting Observational Tool” assesses team attendance, leadership/chairing of the MDM, teamwork and culture | Observation |
| MDT-FIT www.mdtfit.co.uk 66 | “The MDT Feedback for Improving Team Working” encompassing validated components of MDT-MOT and TEAM allows self-assessment of team working, combined with expert feedback from facilitator, and sharing of the outcome with the team as part of a team-reflective discussion | Team self-assessment and observation |
Abbreviations: FIT, feedback for improving team-working; MDM, multidisciplinary team meeting; MDT, multidisciplinary team; MODe, metric of decision-making; MOT, meeting observational tool; OARS, Observational Assessment Rating Scale; TEAM, Team Evaluation and Assessment Measure.