Table 3.

Simulation-Based Interprofessional Teamwork Assessment Tool

Question	Novice	Beginner	Competent	Proficient	Not Observed/Not Able to Evaluate
1. Communicates need for assistance as necessary.	Does not communicate need for assistance.	Occasionally communicates need for assistance.	Communicates need for assistance most of the time.	Consistently communicates need for assistance.	Not observed/ not able to evaluate.
2. Accepts responsibility.	Does not accept responsibility for the failure of collaborative goals.	Occasionally accepts responsibility for the failure of collaborative goals.	Frequently accepts responsibility for the failure of collaborative goals.	Consistently accepts responsibility for the failure of collaborative goals.	Not observed/ not able to evaluate.
3. Introduces self by name and role.	Does not introduce self by name or role.	Partial and/or inaudible introduction of self or role. Introduction occurs only with prompting.	Complete and audible introduction of self and role. Introduction may need prompting.	Complete and audible introduction of self and role. Introduction occurs without prompting.	Not observed/ not able to evaluate.
4. Team roles defined and maintained.	Team roles undefined throughout.	Leader defined initially, but not maintained. Few/no participant roles defined. Role change is disorganized and unclear.	Leader defined and maintained for most of the event. Most participant roles defined. Role change is disorganized and unclear.	Leader and participant roles defined and maintained throughout. Role change is organized and clear.	Not observed/ not able to evaluate.
5. Shares mental model with team efficiently and concisely at onset and as change occurs.	Does not share initial mental model with team. Does not adapt model as change occurs.	Shares initial mental model, but not concisely. Occasionally adapts model as change occurs.	Shares initial mental model concisely. Frequently adapts model as change occurs.	Shares initial mental model concisely. Consistently adapts model as change occurs.	Not observed/ not able to evaluate.
6. Shows an organized and efficient problem-solving approach.	Problem solving is disorganized, inefficient.	Problem solving is slow, sequential.	Problem solving is organized, concurrent.	Problem solving is organized, concurrent, and considers alternatives.	Not observed/ not able to evaluate.
7. Communicates patient parameters and/or changes in clinical condition.	Never communicates patient parameters and/or clinical change.	Occasionally communicates some parameters and/or clinical changes.	Frequently communicates some parameters and clinical changes.	Consistently communicates most parameters and clinical changes.	Not observed/ not able to evaluate.
8. Seeks advice and expertise of others.	Does not ask for input from others.	Occasionally asks for input from others.	Regularly seeks input from team members.	Proactively seeks input from multiple team members.	Not observed/ not able to evaluate
9. Effectively facilitates discussions among team members.	Does not engage in discussions among team members.	Occasionally engages in discussions among team members.	Regularly engages in discussions among team members.	Proactively facilitates discussions among team members using brief, huddle, or debrief.	Not observed/ not able to evaluate.
10. Participates in a collaborative relationship with other team members.	Does not establish collaborative relationships with others.	Occasionally establishes collaborative relationships with others.	Frequently establishes collaborative relationships with others.	Consistently establishes collaborative relationships with others.	Not observed/ not able to evaluate.
11. Practices active listening through closed-loop communication.	Does not use closed-loop communication.	Occasionally uses closed-loop communication.	Frequently uses closed-loop communication.	Consistently uses closed-loop communication.	Not observed/ not able to evaluate.
12. Works with other team members to shift roles to address urgent/emergent events when appropriate.	Does not establish collaborative relationships with others.	Occasionally establishes collaborative relationships with others.	Frequently establishes collaborative relationships with others.	Consistently establishes collaborative relationships with others.	Not observed/ not able to evaluate.
13. Listens respectfully to the expressed needs of all team members, including patient and family, in delivering care.	Does not listen to needs of team members, including patient and family.	Occasionally listens to expressed needs of team members, including patient and family.	Frequently listens to team members in an active and respectful manner.	Consistently listens to team members in an active and respectful manner and ensures a common understanding of care decisions.	Not observed/ not able to evaluate.
14. Provides care in a way that is mindful of the patient and their family.	Does not interact with patient/family.	Several examples where communication or care do not respond to patient/family needs.	Communicates treatment plan to patient/family, but fails to respond appropriately to their needs.	Most communication is appropriate and mindful of patient/family.	Not observed/ not able to evaluate.
15. Is open to opinions from other team members.	Does not acknowledge opinions of other team members.	Acknowledges some team member opinions, but ignores others.	Responds respectfully, but does not solicit others' opinions.	Solicits and responds respectfully to others' opinions.	Not observed/ not able to evaluate.
16. Contributes to team debriefing	Does not share information with the team. When asked, does not give input. Does not volunteer ideas despite prompting.	Shares information inconsistently with the team. When asked, gives input occasionally. Volunteers ideas occasionally with prompting only.	Shares information frequently with the team. When asked, gives input. Volunteers ideas with prompting.	Shares information consistently with the team. When asked, gives input. Volunteers ideas without prompting. Will give feedback if warranted.	Not observed/ not able to evaluate.