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Table 3 Example of the development of an assessment tool for the observation of teamwork in simulation [48]

From: Simulation-based summative assessment in healthcare: an overview of key principles for practice

Source of validity

Method

Judgment criteria

Results

Content

1. Description of the Clinical Teamwork Scale (CRM scale) Development

Literature review

Scale already used in another field (aeronautics)

15 items

5 categories

1 overall skill score

Response process

1. Relevance of items

2. weighting items

3. Raters’ training (moderate)

1. Precise description of each item

2. Quantitative criteria

3. Qualitative criteria

4. CRM principles

1. Ratings aid table

2. 0 to 10 or 0/1

Descriptive levels: not relevant/unacceptable/poor/average/good/perfect

Internal structure

1. Built-in validity

2. Scale usability

3. Reproducibility

1. Distribution of scores from the preset level

2. Number of items filled in full

3. interrater concordance, the correlation between overall score and categories (Kappa, Kendall, Pearsons, ICC)

4. Variance of each category

1. Score tailored to each level

2. Easy-to-use scale (little loss of information)

3. correlation between raters

4. Variation in scores between scenarios sources of error