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Taking a complex, adaptive systems perspective, we adapted an oncology team quality improvement program to make it appropriate for other areas of clinical care. Study phases included: (1) meetings with National Health Service, policy and service user representatives (<jats:italic>n<\/jats:italic>\u2009=\u200919), a rapid review of existing maternity teamwork interventions, and mapping of the proposed program content to an evidence\u2010based model of team effectiveness; (2) feasibility and acceptability testing of the team questionnaire component, and content analysis of free\u2010text responses with four maternity teams within two NHS Trusts (<jats:italic>n<\/jats:italic>\u2009=\u200926). Meetings with representatives highlighted the importance of non\u2010punitive, continuous team\u2010led assessment, and the ability to compare performance to similar teams while enabling adaptability to different team types. Program content mapped well to known components of team effectiveness. Internal consistency of the questionnaire was acceptable (Cronbach alpha\u2009=\u20090.79\u20130.92). Most team members (76.9%) reported benefits in identifying priorities for improvement. Preliminary proof of concept was supported but larger\u2010scale evaluation including testing in other clinical areas is warranted.<\/jats:p>","DOI":"10.1111\/nhs.70049","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T03:39:27Z","timestamp":1738640367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of the Team Evaluation and Assessment Measure Quality Improvement (<scp>TEAM<\/scp>\u2010<scp>QI<\/scp>) and Proof\u2010Of\u2010Concept Testing in Maternity Teams"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6216-3927","authenticated-orcid":false,"given":"Sarah","family":"Beck","sequence":"first","affiliation":[{"name":"Faculty of Health and Medical Sciences, School of Health Sciences University of Surrey  Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8933-117X","authenticated-orcid":false,"given":"Jenny","family":"Harris","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences, School of Health Sciences University of Surrey  Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Urology Whipps Cross Hospital, Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2220-893X","authenticated-orcid":false,"given":"Benjamin W.","family":"Lamb","sequence":"additional","affiliation":[{"name":"Department of Uro\u2010Oncology University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrnoosh","family":"Aref\u2010Adib","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Whipps Cross University Hospital, Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Bick","sequence":"additional","affiliation":[{"name":"Warwick Clinical Trials Unit, Warwick Medical School University of Warwick  Warwick UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-4744","authenticated-orcid":false,"given":"Cath","family":"Taylor","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences, School of Health Sciences University of Surrey  Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1002\/(SICI)1099-1379(199805)19:3<235::AID-JOB837>3.0.CO;2-C","article-title":"Measuring Climate for Work Group Innovation: Development and Validation of the Team Climate Inventory","volume":"19","author":"Anderson N. R.","year":"1998","journal-title":"Journal of Organizational Behaviour: The International Journal of Industrial, Occupational and Organizational Psychology and Behaviour"},{"key":"e_1_2_12_3_1","unstructured":"Australian Commission for Safety and Quality in Health Care.2020. \u201cCommunicating for Safety: Improving Clinical Communication Collaboration and Teamwork in Australian Health Services. Scoping Paper.\u201d Accessed September 27 2023.https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2020\u201012\/final_scoping_paper_\u2010_improving_communication_collaboration_and_teamwork_in_australian_health_services_\u2010_june_2020.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12688"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01245-0"},{"key":"e_1_2_12_6_1","volume-title":"Press Release: Government Acts to Boost the Quality of Care for Mothers and Babies","author":"Department of Health and Social Care","year":"2023"},{"key":"e_1_2_12_7_1","unstructured":"Francis R.2013. \u201cReport of the Mid Staffordshire NHS Foundation Trust Public Inquiry \u2013 Executive Summary.\u201d Accessed September 6 2023.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/279124\/0947.pdf."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781781950548.00011"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010018\u20101089\u20104"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-065494"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103285"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzw030"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pst.185"},{"key":"e_1_2_12_14_1","series-title":"Performance and tools","volume-title":"Advances in Patient Safety: New Directions and Alternative Approaches","author":"King H. 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