Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Pilot evaluation of a novel observational tool for collaboration and communication within multidisciplinary team meetings (MDTs)

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Amy Gillis
Marie Morris
Nikita Bhatt
Paul F. Ridgway

Description

Background: Despite widespread use of multidisciplinary team meetings (MDTs) to facilitate patient care, little evidence exists that MDTs improve patient survival or impact care. Research into MDT function and outcome is limited. This pilot study looks to validate a novel tool developed to assess MDT functioning. Methods: A tool was developed with predefined Likert behaviour stems in the areas of structure, communication and collaboration. The tool was evaluated in nine MDTs by three independent observers and included participant evaluation. Inter-rater reliability was calculated with intra class-correlation coefficients (ICC); Student’s t-test was used to calculate significance in participant evaluation and matched observations. Results: The tool was used to evaluate 9 MDTs, discussing 133 cases. The overall ICC for the three coders was 0.935; for each MDT: 0.776–0.917. The inter-rater reliability for each MDT observation ranged from 0.245–0.923; the majority with an ICC >0.8. No significant difference was noted between participant evaluation and observer response. Discussion: MDTs provide a means of coordinating complex care for patients. This tool provides a means of evaluating group interaction within MDTs and is designed for use by different medical personnel. The pilot study has shown promising ICC; further evaluation is needed using a broader group of MDTs and including case complexity and outcome.

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Citation

Gillis, Amy; Morris, Marie; Bhatt , Nikita ; Ridgway, Paul F. . Pilot evaluation of a novel observational tool for collaboration and communication within multidisciplinary team meetings (MDTs). Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care. Equinox eBooks Publishing, United Kingdom. Jun 2025. ISBN 9781845539054. https://www.equinoxpub.com/home/view-chapter/?id=46088. Date accessed: 09 Dec 2024 doi: 10.1558/equinox.46088. Jun 2025

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