Publication Date
9-1-2023
Journal
Resuscitation Plus
DOI
10.1016/j.resplu.2023.100411
PMID
37363126
PMCID
PMC10285630
PubMedCentral® Posted Date
6-17-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Neonatal, Resuscitation, Team size, Coaching, Workload, Recorder
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 (
CONCLUSION: A designated, hands-off recorder/time coach improved compliance by decreasing cumulative time error in teams performing complex simulated neonatal resuscitations.