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Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study

BACKGROUND: Leadership and teamwork are important contributory factors in determining cardiac resuscitation performance and clinical outcome. We aimed to determine whether fixed positioning of the resuscitation team leader (RTL) relative to the patient influences leadership qualities during cardiac...

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Autores principales: Saiboon, Ismail M., Apoo, Farah N., Jamal, Shamsuriani M., Bakar, Afliza A., Yatim, Fadzlon M., Jaafar, Johar M., Berg, Benjamin W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919441/
https://www.ncbi.nlm.nih.gov/pubmed/31804343
http://dx.doi.org/10.1097/MD.0000000000018201
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author Saiboon, Ismail M.
Apoo, Farah N.
Jamal, Shamsuriani M.
Bakar, Afliza A.
Yatim, Fadzlon M.
Jaafar, Johar M.
Berg, Benjamin W.
author_facet Saiboon, Ismail M.
Apoo, Farah N.
Jamal, Shamsuriani M.
Bakar, Afliza A.
Yatim, Fadzlon M.
Jaafar, Johar M.
Berg, Benjamin W.
author_sort Saiboon, Ismail M.
collection PubMed
description BACKGROUND: Leadership and teamwork are important contributory factors in determining cardiac resuscitation performance and clinical outcome. We aimed to determine whether fixed positioning of the resuscitation team leader (RTL) relative to the patient influences leadership qualities during cardiac resuscitation using simulation. METHODS: A cross-sectional randomized intervention study over 12 months’ duration was conducted in university hospital simulation lab. ACLS-certified medical doctors were assigned to run 2 standardized simulated resuscitation code as RTL from a head-end position (HEP) and leg-end position (LEP). They were evaluated on leadership qualities including situational attentiveness (SA), errors detection (ED), and decision making (DM) using a standardized validated resuscitation-code-checklist (RCC). Performance was assessed live by 2 independent raters and was simultaneously recorded. RTL self-perceived performance was compared to measured performance. RESULTS: Thirty-four participants completed the study. Mean marks for SA were 3.74 (SD ± 0.96) at HEP and 3.54 (SD ± 0.92) at LEP, P = .48. Mean marks for ED were 2.43 (SD ± 1.24) at HEP and 2.21 (SD ± 1.14) at LEP, P = .40. Mean marks for DM were 4.53 (SD ± 0.98) at HEP and 4.47 (SD ± 0.73) at LEP, P = .70. The mean total marks were 10.69 (SD ± 1.82) versus 10.22 (SD ± 1.93) at HEP and LEP respectively, P = .29 which shows no significance difference in all parameters. Twenty-four participants (71%) preferred LEP for the following reasons, better visualization (75% of participants); more room for movement (12.5% of participants); and better communication (12.5% of participants). RTL's perceived performance did not correlate with actual performance CONCLUSION: The physical position either HEP or LEP appears to have no influence on performance of RTL in simulated cardiac resuscitation. RTL should be aware of the advantages and limitations of each position.
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spelling pubmed-69194412020-01-23 Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study Saiboon, Ismail M. Apoo, Farah N. Jamal, Shamsuriani M. Bakar, Afliza A. Yatim, Fadzlon M. Jaafar, Johar M. Berg, Benjamin W. Medicine (Baltimore) 5300 BACKGROUND: Leadership and teamwork are important contributory factors in determining cardiac resuscitation performance and clinical outcome. We aimed to determine whether fixed positioning of the resuscitation team leader (RTL) relative to the patient influences leadership qualities during cardiac resuscitation using simulation. METHODS: A cross-sectional randomized intervention study over 12 months’ duration was conducted in university hospital simulation lab. ACLS-certified medical doctors were assigned to run 2 standardized simulated resuscitation code as RTL from a head-end position (HEP) and leg-end position (LEP). They were evaluated on leadership qualities including situational attentiveness (SA), errors detection (ED), and decision making (DM) using a standardized validated resuscitation-code-checklist (RCC). Performance was assessed live by 2 independent raters and was simultaneously recorded. RTL self-perceived performance was compared to measured performance. RESULTS: Thirty-four participants completed the study. Mean marks for SA were 3.74 (SD ± 0.96) at HEP and 3.54 (SD ± 0.92) at LEP, P = .48. Mean marks for ED were 2.43 (SD ± 1.24) at HEP and 2.21 (SD ± 1.14) at LEP, P = .40. Mean marks for DM were 4.53 (SD ± 0.98) at HEP and 4.47 (SD ± 0.73) at LEP, P = .70. The mean total marks were 10.69 (SD ± 1.82) versus 10.22 (SD ± 1.93) at HEP and LEP respectively, P = .29 which shows no significance difference in all parameters. Twenty-four participants (71%) preferred LEP for the following reasons, better visualization (75% of participants); more room for movement (12.5% of participants); and better communication (12.5% of participants). RTL's perceived performance did not correlate with actual performance CONCLUSION: The physical position either HEP or LEP appears to have no influence on performance of RTL in simulated cardiac resuscitation. RTL should be aware of the advantages and limitations of each position. Wolters Kluwer Health 2019-12-10 /pmc/articles/PMC6919441/ /pubmed/31804343 http://dx.doi.org/10.1097/MD.0000000000018201 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 5300
Saiboon, Ismail M.
Apoo, Farah N.
Jamal, Shamsuriani M.
Bakar, Afliza A.
Yatim, Fadzlon M.
Jaafar, Johar M.
Berg, Benjamin W.
Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title_full Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title_fullStr Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title_full_unstemmed Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title_short Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study
title_sort improving the position of resuscitation team leader with simulation (imports); a pilot cross-sectional randomized intervention study
topic 5300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919441/
https://www.ncbi.nlm.nih.gov/pubmed/31804343
http://dx.doi.org/10.1097/MD.0000000000018201
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