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The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley()
BACKGROUND AND AIM: Inadequately designed equipment has been implicated in poor efficiency and critical incidents associated with resuscitation. A novel resuscitation trolley (Resus:Station) was designed and evaluated for impact on team efficiency, user opinion, and teamwork, compared with the stand...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier/north-Holland Biomedical Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482665/ https://www.ncbi.nlm.nih.gov/pubmed/22796405 http://dx.doi.org/10.1016/j.resuscitation.2012.06.026 |
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author | Walker, Susanna T. Brett, Stephen J. McKay, Anthony Aggarwal, Rajesh Vincent, Charles |
author_facet | Walker, Susanna T. Brett, Stephen J. McKay, Anthony Aggarwal, Rajesh Vincent, Charles |
author_sort | Walker, Susanna T. |
collection | PubMed |
description | BACKGROUND AND AIM: Inadequately designed equipment has been implicated in poor efficiency and critical incidents associated with resuscitation. A novel resuscitation trolley (Resus:Station) was designed and evaluated for impact on team efficiency, user opinion, and teamwork, compared with the standard trolley, in simulated cardiac arrest scenarios. METHODS: Fifteen experienced cardiac arrest teams were recruited (45 participants). Teams performed recorded resuscitation simulations using new and conventional trolleys, with order of use randomised. After each simulation, efficiency (“time to drugs”, un-locatable equipment, unnecessary drawer opening) and team performance (OSCAR) were assessed from the video recordings and participants were asked to complete questionnaires scoring various aspects of the trolley on a Likert scale. RESULTS: Time to locate the drugs was significantly faster (p = 0.001) when using the Resus:Station (mean 5.19 s (SD 3.34)) than when using the standard trolley (26.81 s (SD16.05)). There were no reports of missing equipment when using the Resus:Station. However, during four of the fifteen study sessions using the standard trolley participants were unable to find equipment, with an average of 6.75 unnecessary drawer openings per simulation. User feedback results clearly indicated a highly significant preference for the newly designed Resus:Station for all aspects. Teams performed equally well for all dimensions of team performance using both trolleys, despite it being their first exposure to the Resus:Station. CONCLUSION: We conclude that in this simulated environment, the new design of trolley is safe to use, and has the potential to improve efficiency at a resuscitation attempt. |
format | Online Article Text |
id | pubmed-3482665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Elsevier/north-Holland Biomedical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-34826652012-11-14 The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() Walker, Susanna T. Brett, Stephen J. McKay, Anthony Aggarwal, Rajesh Vincent, Charles Resuscitation Simulation and Education BACKGROUND AND AIM: Inadequately designed equipment has been implicated in poor efficiency and critical incidents associated with resuscitation. A novel resuscitation trolley (Resus:Station) was designed and evaluated for impact on team efficiency, user opinion, and teamwork, compared with the standard trolley, in simulated cardiac arrest scenarios. METHODS: Fifteen experienced cardiac arrest teams were recruited (45 participants). Teams performed recorded resuscitation simulations using new and conventional trolleys, with order of use randomised. After each simulation, efficiency (“time to drugs”, un-locatable equipment, unnecessary drawer opening) and team performance (OSCAR) were assessed from the video recordings and participants were asked to complete questionnaires scoring various aspects of the trolley on a Likert scale. RESULTS: Time to locate the drugs was significantly faster (p = 0.001) when using the Resus:Station (mean 5.19 s (SD 3.34)) than when using the standard trolley (26.81 s (SD16.05)). There were no reports of missing equipment when using the Resus:Station. However, during four of the fifteen study sessions using the standard trolley participants were unable to find equipment, with an average of 6.75 unnecessary drawer openings per simulation. User feedback results clearly indicated a highly significant preference for the newly designed Resus:Station for all aspects. Teams performed equally well for all dimensions of team performance using both trolleys, despite it being their first exposure to the Resus:Station. CONCLUSION: We conclude that in this simulated environment, the new design of trolley is safe to use, and has the potential to improve efficiency at a resuscitation attempt. Elsevier/north-Holland Biomedical Press 2012-11 /pmc/articles/PMC3482665/ /pubmed/22796405 http://dx.doi.org/10.1016/j.resuscitation.2012.06.026 Text en © 2012 Elsevier Ireland Ltd. https://creativecommons.org/licenses/by/3.0/ Open Access under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/) license |
spellingShingle | Simulation and Education Walker, Susanna T. Brett, Stephen J. McKay, Anthony Aggarwal, Rajesh Vincent, Charles The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title | The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title_full | The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title_fullStr | The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title_full_unstemmed | The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title_short | The “Resus:Station”: The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
title_sort | “resus:station”: the use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley() |
topic | Simulation and Education |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482665/ https://www.ncbi.nlm.nih.gov/pubmed/22796405 http://dx.doi.org/10.1016/j.resuscitation.2012.06.026 |
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