Manser, Tanja
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Manser, Tanja
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- PublikationDeveloping the TeamOBS-vacuum-assisted delivery checklist to assess clinical performance in a vacuum-assisted delivery: a Delphi study with initial validation(Frontiers Research Foundation, 2024) Brogaard, Lise; Hinshaw, Kim; Kierkegaard, Ole; Manser, Tanja; Uldbjerg, Niels; Hvidman, Lone [in: Frontiers in Medicine]In Northern Europe, vacuum-assisted delivery (VAD) accounts for 6–15% of all deliveries; VAD is considered safe when conducted by adequately trained personnel. However, failed vacuum extraction can be harmful to both the mother and child. Therefore, the clinical performance in VAD must be assessed to guide learning, determine a performance benchmark, and evaluate the quality to achieve an overall high performance. We were unable to identify a pre-existing tool for evaluating the clinical performance in real-life vacuum-assisted births. We aimed to develop and validate a checklist for assessing the clinical performance in VAD. We conducted a Delphi process, described as an interactive process where experts answer questions until answers converge toward a “joint opinion” (consensus). We invited international experts as Delphi panelists and reached a consensus after four Delphi rounds, described as follows: (1) the panelists were asked to add, remove, or suggest corrections to the preliminary list of items essential for evaluating clinical performance in VAD; (2) the panelists applied weights of clinical importance on a Likert scale of 1–5 for each item; (3) each panelist revised their original scores after reviewing a summary of the other panelists’ scores and arguments; and (4) the TeamOBS-VAD was tested using videos of real-life VADs, and the Delphi panel made final adjustments and approved the checklist. Twelve Delphi panelists from the UK (n = 3), Norway (n = 2), Sweden (n = 3), Denmark (n = 3), and Iceland (n = 1) were included. After four Delphi rounds, the Delphi panel reached a consensus on the checklist items and scores. The TeamOBS-VAD checklist was tested using 60 videos of real-life vacuum extractions. The inter-rater agreement had an intraclass correlation coefficient (ICC) of 0.73; 95% confidence interval (95% CI) of [0.58, 0.83], and that for the average of two raters was ICC 0.84 95% CI [0.73, 0.91]. The TeamOBS-VAD score was not associated with difficulties in delivery, such as the number of contractions during vacuum extraction delivery, cephalic level, rotation, and position. Failed vacuum extraction occurred in 6% of the video deliveries, but none were associated with the teams with low clinical performance scores. The TeamOBS-VAD checklist provides a valid and reliable evaluation of the clinical performance of vaginal-assisted vacuum extraction.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationTeam performance during vacuum-assisted vaginal delivery: video review of obstetric multidisciplinary teams(Frontiers Research Foundation, 2024) Brogaard, Lise; Rosvig, Lena Have; Hjorth-Hansen, Kristiane Roed; Hvidman, Lone; Hinshaw, Kim; Kierkegaard, Ole; Uldbjerg, Niels; Manser, Tanja [in: Frontiers in Medicine]Introduction Vacuum extraction is generally considered an operator-dependent task, with most attention directed toward the obstetrician’s technical abilities. Little is known about the effect of the team and non-technical skills on clinical outcomes in vacuum-assisted delivery. This study aimed to investigate whether the non-technical skills of obstetricians were correlated with their level of clinical performance via the analysis of video recordings of teams conducting actual vacuum extractions. Methods We installed between two or three video cameras in each delivery room at Aarhus University Hospital and Horsens Regional Hospital and obtained 60 videos of teams managing vacuum extraction. Appropriate consent was obtained. Two raters carefully reviewed the videos and assessed the teams’ non-technical skills using the Assessment of Obstetric Team Performance (AOTP) checklist, rating all items on a Likert scale score from 1 to 5 (1 = poor; 3 = average; and 5 = excellent). This resulted in a total score ranging from 18 to 90. Two different raters independently assessed the teams’ clinical performance (adherence to clinical guidelines) using the TeamOBS-Vacuum-Assisted Delivery (VAD) checklist, rating each item (0 = not done, 1 = done incorrectly; and 2 = done correctly). This resulted in a total score with the following ranges (low clinical performance: 0–59; average: 60–84; and high: 85–100). Interrater agreement was analyzed using intraclass correlation (ICC), and the risk of high or low clinical performance was analyzed on a logit scale to meet the assumption of normality. Results Teams that received excellent non-technical scores had an 81% probability of achieving high clinical performance, whereas this probability was only 12% among teams with average non-technical scores (p < 0.001). Teams with a high clinical performance often had excellent behavior in the non-technical items of “team interaction,” “anticipation,” “avoidance fixation,” and “focused communication.” Teams with a low or average clinical performance often neglected to consider analgesia, had delayed abandonment of the attempted vaginal delivery and insufficient use of appropriate fetal monitoring. Interrater reliability was high for both rater-teams, with an ICC for the non-technical skills of 0.83 (95% confidence interval [CI]: 0.71–0.88) and 0.84 for the clinical performance (95% CI: 0.74–0.90). Conclusion Although assisted vaginal delivery by vacuum extraction is generally considered to be an operator-dependent task, our findings suggest that teamwork and effective team interaction play crucial roles in achieving high clinical performance. Teamwork helped the consultant anticipate the next step, avoid fixation, ensure adequate analgesia, and maintain thorough fetal monitoring during delivery.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationExploring objective measures for assessing team performance in healthcare: an interview study(Frontiers Research Foundation, 10/2023) Wespi, Rafael; Birrenbach, Tanja; Schauber, Stefan K.; Manser, Tanja; Sauter, Thomas C.; Kämmer, Juliane E. [in: Frontiers in Psychology]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationBehavioural observation tool for patient involvement and collaboration in emergency care teams (PIC‑ET‑tool)(BioMed Central, 01.07.2023) Dubois, Hanna; Creutzfeldt, Johan; Manser, Tanja [in: BMC Emergency Medicine]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationOlder adults’ engagement and mood during robot-assisted group activities in nursing homes: development and observational pilot study(JMIR Publications, 01.05.2023) Tanner, Alexandra; Urech, Andreas; Schulze, Hartmut; Manser, Tanja [in: JMIR Rehabilitation and Assistive Technologies]Promoting the well-being of older adults in an aging society requires new solutions. One resource might be the use of social robots for group activities that promote physical and cognitive stimulation. Engaging in a robot-assisted group activity may help in the slowdown of physical and cognitive decline in older adults. Currently, our knowledge is limited on whether older adults engage in group activities with humanlike social robots and whether they experience a positive affect while doing so. Both are necessary preconditions to achieve the intended effects of a group activity. Our pilot study has 2 aims. First, we aimed to develop and pilot an observational coding scheme for robot-assisted group activities because self-report data on engagement and mood of nursing home residents are often difficult to obtain, and the existing observation instruments do have limitations. Second, we aimed to investigate older adults’ engagement and mood during robot-assisted group activities in 4 different nursing care homes in the German-speaking part of Switzerland. We developed an observation system, inspired by existing tools, for a structured observation of engagement and mood of older adults during a robot-assisted group activity. In this study, 85 older adult residents from 4 different care homes in Switzerland participated in 5 robot-assisted group activity sessions, and they were observed using our developed system. The data were collected in the form of video clips that were assessed by 2 raters regarding engagement (direction of gaze, posture as well as body expression, and activity) and mood (positive and negative affects). Both variables were rated on a 5-point rating scale. Our pilot study findings show that the engagement and mood of older adults can be assessed reliably by using the proposed observational coding scheme. Most participants actively engaged in robot-assisted group activities (mean 4.19, SD 0.47; median 4.0). The variables used to measure engagement were direction of gaze (mean 4.65, SD 0.49; median 5.0), posture and body expression (mean 4.03, SD 0.71; median 4.0), and activity (mean 3.90, SD 0.65; median 4.0). Further, we observed mainly positive affects in this group. Almost no negative affect was observed (mean 1.13, SD 0.20; median 1.0), while the positive affect (mean 3.22, SD 0.55; median 3.2) was high. The developed observational coding system can be used and further developed in future studies on robot-assisted group activities in the nursing home context and potentially in other settings. Additionally, our pilot study indicates that cognitive and physical stimulation of older adults can be promoted by social robots in a group setting. This finding encourages future technological development and improvement of social robots and points to the potential of observational research to systematically evaluate such developments.01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationHealthcare providers’ perceptions and expectations of video-assisted debriefing of real-life obstetrical emergencies: a qualitative study from Denmark(BMJ Publishing Group, 14.03.2023) Rosvig, Lena Have; Lou, Stina; Hvidman, Lone; Manser, Tanja; Uldbjerg, Niels; Kierkegaard, Ole; Brogaard, Lise [in: BMJ Open]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationStOP? II trial: cluster randomized clinical trial to test the implementation of a toolbox for structured communication in the operating room—study protocol(BioMed Central, 18.10.2022) Keller, Sandra; Tschan, Franziska; Semmer, Norbert K; Trelle, Sven; Manser, Tanja; Beldi, Guido [in: Trials]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationUsing the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study(Public Library of Science, 16.08.2022) Brösterhaus, Mareen; Hammer, Antje; Gruber, Rosalie; Kalina, Steffen; Grau, Stefan; Roeth, Anjali A.; Ashmawy, Hany; Gross, Thomas; Binnebösel, Marcel; Knoefel, Wolfram Trudo; Manser, Tanja [in: PLOS ONE]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationTeamwork and Adherence to Guideline on Newborn Resuscitation—Video Review of Neonatal Interdisciplinary Teams(Frontiers, 21.02.2022) Brogaard, Lise; Hvidman, Lone; Esberg, Gitte; Finer, Neil; Hjorth-Hansen, Kristiane R.; Manser, Tanja; Kierkegaard, Ole; Uldbjerg, Niels; Henriksen, Tine B. [in: Frontiers in Pediatrics]01A - Beitrag in wissenschaftlicher Zeitschrift
- PublikationSimulation‐based training improves process times in acute stroke care (STREAM)(Wiley, 21.10.2021) Bohmann, Ferdinand O.; Gruber, Katharina; Kurka, Natalia; Willems, Laurent M.; Herrmann, Eva; du Mesnil de Rochemont, Richard; Scholz, Peter; Rai, Heike; Zickler, Philipp; Ertl, Michael; Berlis, Ansgar; Poli, Sven; Mengel, Annerose; Ringleb, Peter; Nagel, Simon; Pfaff, Johannes; Wollenweber, Frank A.; Kellert, Lars; Herzberg, Moriz; Koehler, Luzie; Haeusler, Karl Georg; Alegiani, Anna; Schubert, Charlotte; Brekenfeld, Caspar; Doppler, Christopher E. J.; Onur, Özgür A.; Kabbasch, Christoph; Manser, Tanja; Steinmetz, Helmuth; Pfeilschifter, Waltraud [in: European Journal of Neurology]01A - Beitrag in wissenschaftlicher Zeitschrift