M L McLanders1, S D Marshall2, P M Sanderson1,3,4, H G Liley4,5. 1. School of Psychology, The University of Queensland, Brisbane, QLD, Australia. 2. Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, VIC, Australia. 3. School of Information Technology and Electrical Engineering (ITEE), The University of Queensland, Brisbane, QLD, Australia. 4. School of Medicine, The University of Queensland, Brisbane, QLD, Australia. 5. Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
Abstract
OBJECTIVE: The International Liaison Committee on Resuscitation (ILCOR) provides recommendations on neonatal resuscitation training and practice, which includes a template for a decision-making algorithm. We evaluated the design properties of the ILCOR algorithm and four adaptations by member resuscitation organizations using the validated Cognitive Aids in Medicine Assessment Tool (CMAT). STUDY DESIGN: Two experts rated five neonatal resuscitation algorithms against the CMAT and against medical device design criteria. RESULTS: The ILCOR algorithm scored 32 of a possible 60 CMAT points, showing an adherence rate to CMAT of 53%. The ILCOR algorithm scored higher than the design variations by member organizations. Nonetheless, there are design limitations in the ILCOR algorithm. CONCLUSION: In principle, cognitive aids can improve neonatal resuscitation team performance; however, a considered design process that incorporates the full complexity of the 'procedure as performed' is needed to improve future versions of the algorithm for incorporation in international guidelines.
OBJECTIVE: The International Liaison Committee on Resuscitation (ILCOR) provides recommendations on neonatal resuscitation training and practice, which includes a template for a decision-making algorithm. We evaluated the design properties of the ILCOR algorithm and four adaptations by member resuscitation organizations using the validated Cognitive Aids in Medicine Assessment Tool (CMAT). STUDY DESIGN: Two experts rated five neonatal resuscitation algorithms against the CMAT and against medical device design criteria. RESULTS: The ILCOR algorithm scored 32 of a possible 60 CMAT points, showing an adherence rate to CMAT of 53%. The ILCOR algorithm scored higher than the design variations by member organizations. Nonetheless, there are design limitations in the ILCOR algorithm. CONCLUSION: In principle, cognitive aids can improve neonatal resuscitation team performance; however, a considered design process that incorporates the full complexity of the 'procedure as performed' is needed to improve future versions of the algorithm for incorporation in international guidelines.
Authors: Myra H Wyckoff; Khalid Aziz; Marilyn B Escobedo; Vishal S Kapadia; John Kattwinkel; Jeffrey M Perlman; Wendy M Simon; Gary M Weiner; Jeanette G Zaichkin Journal: Circulation Date: 2015-11-03 Impact factor: 29.690
Authors: Lisa Umphrey; Morten Breindahl; Alexandra Brown; Ola Didrik Saugstad; Marta Thio; Daniele Trevisanuto; Charles Christoph Roehr; Mats Blennow Journal: Neonatology Date: 2018-05-25 Impact factor: 4.035