Speaking Up and Sharing Information Improves Trainee Neonatal Resuscitations
Speaking Up and Sharing Information Improves Trainee Neonatal Resuscitations
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DOI：
10.1097/pts.0b013e3182699b4f
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发表时间：
2012-12-01
影响因子：
2.2
通讯作者：
Thomas, Eric J.
中科院分区：
文献类型：
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作者：
Katakam, Lakshmi I.;Trickey, Amber W.;Thomas, Eric J.
目的：确定与提高模拟复苏培训效率和质量相关的团队合作行为。方法：对接受新生儿复苏培训的学员进行随机对照试验进行二次分析。在一个大型学术中心的受训者（n = 100）被随机分配接受标准课程（n = 36）和补充团队培训课程（n = 62）。2小时的团队培训课程侧重于沟通技巧，团队行为作为干预措施。感兴趣的结果包括复苏持续时间，完成模拟新生儿复苏所需的时间，和性能评分，确定通过评估的团队的每一个步骤，在模拟复苏scenaries.Results：团队行为断言和共享信息与较短的复苏持续时间和较高的性能得分。每次额外使用断言（每分钟）与持续时间减少41 s（95%置信区间[CI]，-71.5至-10.2）和性能评分增加1.6%（95% CI，0.4-2.7）相关。每次额外使用共享信息（每分钟）与持续时间减少14秒（95%CI，-30.4至2.9）和绩效评分增加0.8%（95%CI，0.05-1.5）相关。结论：断言和共享信息的团队合作行为是复苏效率和质量的2个重要媒介。
Objectives: To identify teamwork behaviors associated with improving efficiency and quality of simulated resuscitation training.Methods: Secondary analysis of a randomized controlled trial of trainees undergoing neonatal resuscitation training was performed. Trainees at a large academic center (n = 100) were randomized to receive standard curriculum (n = 36) versus supplemental team training curriculum (n = 62). A 2-hour team training session focused on communication skills, and team behaviors served as the intervention. Outcomes of interest included resuscitation duration, time required to complete a simulated newborn resuscitation, and performance score, determined by evaluation of each of the team's steps during simulated resuscitation scenarios.Results: The teamwork behaviors assertion and sharing information were associated with shorter resuscitation duration and higher performance scores. Each additional use of assertion (per minute) was associated with a duration reduction of 41 s (95% confidence interval [CI], -71.5 to -10.2) and an increase in performance score of 1.6% (95% CI, 0.4-2.7). Each additional use of sharing information (per minute) was associated with a 14-second reduction in duration (95% CI, -30.4 to 2.9) and a 0.8% increase in performance score (95% CI, 0.05-1.5).Conclusions: Teamwork behaviors of assertion and sharing information are 2 important mediators of efficiency and quality of resuscitations.