Alert 2014-new-ambati2
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![Page 1: Alert 2014-new-ambati2](https://reader036.fdocuments.in/reader036/viewer/2022082915/54702fbbb4af9fcd0a8b4684/html5/thumbnails/1.jpg)
The effect of random leader role assignment
on task and team performance during
resuscitationShashikanth Reddy Ambati
Northshore-LIJ (New York, NY) Pediatric Critical Care Fellow
INSPIRE @ IMSH 2014: San Francisco, CA,USA
International Network for Simulation-based Pediatric Innovation, Research and Education
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• Human factors influence quality and outcomes of CPR.1
• One of the most consistent human factor limitations is failure to identify leader
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
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Lack of a defined leader role delays care and impairs communication in resuscitation.2
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
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1. Identified leader role will improve the effectiveness of medical response and team performance
2. Profession of the leader(Physician or Nurse) will affect team performance
International Network for Simulation-based Pediatric Innovation, Research and Education
Hypotheses
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• P : Resuscitation caregivers
• I : Identified leader role (physician or
nurse)
• C: No Identified leader role
• O: Time to BVM; Time to Compressions;
Time to IV medications; Team
Performance3
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question
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• Scenario: Infant in respiratory distress.
• Randomization: 4-person resuscitation team to Intervention or Control
• Intervention- identified leader
• Control- no identified leader
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
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• Time line: q1 month simulations × 24
months@ local sim center
• The scenarios will be video recorded.
• Data collection: observed times, scores
on team performance scale3
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach/Design
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1. Primary Outcome: Time to BVM
2. Secondary Outcomes: Time to
compressions, time to IV medications
and team performance
International Network for Simulation-based Pediatric Innovation, Research and Education
Outcomes
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1. Feed back on the design.
2. Looking to make into a multicenter
study.
3. For possible granting agencies.
International Network for Simulation-based Pediatric Innovation, Research and Education
3 Questions to improve study
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• Shashikanth Reddy Ambati
• CCMC, North Shore LIJ Hospital
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information
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References1. S.Hunziker, F.Tschan. NK Semmer, Howell, S.Marsch. Human factors in resuscitation: Lessons learned from simulator studies. J Emerg Trauma
Shock. 2010 Oct; 3(4):389-94.
2. Fernandez Castelao E, Russo SG, Riethmüller M, Boos M. Effects of team coordination during cardiopulmonary resuscitation: A systematic review of the literature. J Crit Care. 2013 Aug;28(4):504- 21.
3. Nicholas Allen Hamilton, Alicia N. Kieninger, etal. Video Review Using Reliable Evaluation Metric Improves Team Function in High-Fidelity Simulated Trauma Resuscitation. Journal of Surgical Education volume 69/Number 3 May/June 2012.
4. Elizabeth A. Hunt, MD, Allen R. Walker, MD, Donald H. Shaffner, MD, Marlene R. Miller, MD, Peter J. Pronovost, MD. Simulation of In-Hospital Pediatric Medical Emergencies and Cardiopulmonary Arrests: Highlighting the Importance of the First 5 Minutes. Pediatrics. 2008 Jan; 121(1):e34-4.