Daniele Trevisanuto1, Giuseppe De Bernardo2, Giulia Res3, Desiree Sordino2, Nicoletta Doglioni3, Gary Weiner4, Francesco Cavallin5. 1. Department of Women's and Children's Health, Maternal-Fetal Medicine Unit, University of Padua School of Medicine, Padua, Italy. Electronic address: trevo@pediatria.unipd.it. 2. AOP Santobono Pausilipon, Napoli, Italy. 3. Department of Women's and Children's Health, Maternal-Fetal Medicine Unit, University of Padua School of Medicine, Padua, Italy. 4. Department of Pediatrics, Neonatal-Perinatal Medicine, University of Michigan, Ann Arbor, MI. 5. Independent Statistician, Padova, Italy.
Abstract
OBJECTIVE: To assess the accuracy of time perception during a simulated complex neonatal resuscitation. STUDY DESIGN: Participants in 5 neonatal resuscitation program courses were directly involved in a complex simulation scenario. They were asked to assume the role of team leader, assistant 1, or assistant 2. At the end of the scenario, each participant completed a questionnaire on perceived time intervals for key resuscitation interventions. During the scenario, actual times were documented by an external observer and video recorded for later review. In addition, participants were asked to evaluate their self-perceived level of stress and preparation. RESULTS: Health care providers (68 physicians and 40 nurses) were involved in 36 scenarios. Perceived time intervals for the initiation of key resuscitation interventions were shorter than the actual time intervals, regardless of the participant's role in the scenario. Self-assessed levels of stress and preparation did not influence time perception. CONCLUSIONS: Health care providers underestimate the passage of time, irrespective of their role in a simulated complex neonatal resuscitation. Participant's self-assessed levels of stress and preparation were not related to the accuracy of their time perception. These findings highlight the importance of assigning a dedicated individual to document interventions and the passage of time during a neonatal resuscitation.
OBJECTIVE: To assess the accuracy of time perception during a simulated complex neonatal resuscitation. STUDY DESIGN:Participants in 5 neonatal resuscitation program courses were directly involved in a complex simulation scenario. They were asked to assume the role of team leader, assistant 1, or assistant 2. At the end of the scenario, each participant completed a questionnaire on perceived time intervals for key resuscitation interventions. During the scenario, actual times were documented by an external observer and video recorded for later review. In addition, participants were asked to evaluate their self-perceived level of stress and preparation. RESULTS: Health care providers (68 physicians and 40 nurses) were involved in 36 scenarios. Perceived time intervals for the initiation of key resuscitation interventions were shorter than the actual time intervals, regardless of the participant's role in the scenario. Self-assessed levels of stress and preparation did not influence time perception. CONCLUSIONS: Health care providers underestimate the passage of time, irrespective of their role in a simulated complex neonatal resuscitation. Participant's self-assessed levels of stress and preparation were not related to the accuracy of their time perception. These findings highlight the importance of assigning a dedicated individual to document interventions and the passage of time during a neonatal resuscitation.
Authors: Caroline Henry; David E Morris; Sophie Coleman; Andrea Pereira; Christian Tamakloe; Peter Blanchfield; Don Sharkey Journal: BMJ Paediatr Open Date: 2020-05-06
Authors: Daniel D Lee; Matthew Hacker Teper; Lucas B Chartier; Stephanie Crump; Martin Ma; Matteo Parotto; Pauline Perri; Ki Jinn Chin; Konika Nirmalanathan; Sam Sabbah; Ahmed K Taher Journal: CJEM Date: 2022-01-18 Impact factor: 2.929