OBJECTIVES: To identify teamwork behaviors associated with improving efficiency and quality of simulated resuscitation training. METHODS: Secondary analysis of a randomized controlled trial of trainees undergoing neonatal resuscitation training was performed. Trainees at a large academic center (n = 100) were randomized to receive standard curriculum (n = 36) versus supplemental team training curriculum (n = 62). A 2-hour team training session focused on communication skills, and team behaviors served as the intervention. Outcomes of interest included resuscitation duration, time required to complete a simulated newborn resuscitation, and performance score, determined by evaluation of each of the team's steps during simulated resuscitation scenarios. RESULTS: The teamwork behaviors assertion and sharing information were associated with shorter resuscitation duration and higher performance scores. Each additional use of assertion (per minute) was associated with a duration reduction of 41 s (95% confidence interval [CI], -71.5 to -10.2) and an increase in performance score of 1.6% (95% CI, 0.4-2.7). Each additional use of sharing information (per minute) was associated with a 14-second reduction in duration (95% CI, -30.4 to 2.9) and a 0.8% increase in performance score (95% CI, 0.05-1.5). CONCLUSIONS: Teamwork behaviors of assertion and sharing information are 2 important mediators of efficiency and quality of resuscitations.
RCT Entities:
OBJECTIVES: To identify teamwork behaviors associated with improving efficiency and quality of simulated resuscitation training. METHODS: Secondary analysis of a randomized controlled trial of trainees undergoing neonatal resuscitation training was performed. Trainees at a large academic center (n = 100) were randomized to receive standard curriculum (n = 36) versus supplemental team training curriculum (n = 62). A 2-hour team training session focused on communication skills, and team behaviors served as the intervention. Outcomes of interest included resuscitation duration, time required to complete a simulated newborn resuscitation, and performance score, determined by evaluation of each of the team's steps during simulated resuscitation scenarios. RESULTS: The teamwork behaviors assertion and sharing information were associated with shorter resuscitation duration and higher performance scores. Each additional use of assertion (per minute) was associated with a duration reduction of 41 s (95% confidence interval [CI], -71.5 to -10.2) and an increase in performance score of 1.6% (95% CI, 0.4-2.7). Each additional use of sharing information (per minute) was associated with a 14-second reduction in duration (95% CI, -30.4 to 2.9) and a 0.8% increase in performance score (95% CI, 0.05-1.5). CONCLUSIONS: Teamwork behaviors of assertion and sharing information are 2 important mediators of efficiency and quality of resuscitations.
Authors: May C M Pian-Smith; Robert Simon; Rebecca D Minehart; Marjorie Podraza; Jenny Rudolph; Toni Walzer; Daniel Raemer Journal: Simul Healthc Date: 2009 Impact factor: 1.929
Authors: Eric J Thomas; Amber L Williams; Eric F Reichman; Robert E Lasky; Sharon Crandell; William R Taggart Journal: Pediatrics Date: 2010-02-15 Impact factor: 7.124
Authors: Erika M Edwards; Roger F Soll; Karla Ferrelli; Kate A Morrow; Gautham Suresh; Joanna Celenza; Jeffrey D Horbar Journal: Matern Health Neonatol Perinatol Date: 2015-01-22