1. A recorder/time coach decreases time errors during neonatal resuscitation: A randomized, simulation-based clinical trial
- Author
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Nicole K. Neveln, Mona Khattab, Joseph L. Hagan, Regine M. Fortunov, and Nathan C. Sundgren
- Subjects
Neonatal ,Resuscitation ,Team size ,Coaching ,Workload ,Recorder ,Specialties of internal medicine ,RC581-951 - Abstract
Aim: To evaluate the effects of a hands-off recorder/time coach versus an additional hands-on healthcare provider on Neonatal Resuscitation Program (NRP) algorithm compliance and team member workload in neonatal resuscitations. Methods: Two interventions were studied using a 2 × 2 factorial design: an additional hands-on team member and the presence of a designated, hands-off recorder/time coach. The recorder/time coach documented interventions and delivered pre-specified prompts at defined points during the resuscitation. The primary outcome was cumulative time error. Secondary outcomes were time to first dose of IV epinephrine, overall team performance as assessed by the Neonatal Resuscitation Performance Evaluation (NRPE) score, and workload assessed by the NASA Task Load Index (NASA TLX). Results: 64 teams were studied. Teams with a recorder had a significantly lower cumulative time error compared to teams without a recorder (p
- Published
- 2023
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