Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation

El-Shafy, Ibrahim Abd; Delgado, Jennifer; Akerman, Meredith; Bullaro, Francesca; Christopherson, Nathan; Prince, José M.

doi:10.1016/j.jsurg.2017.06.025

Cited by 91 publications

(85 citation statements)

References 32 publications

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“…Video review of actual emergencies was introduced by Hoyt in 1969 and has since been used to assess teams’ performance in the fields of trauma and resuscitation . Our study is comparable in design to only one of these studies; however, our results complement those of earlier obstetric studies of simulation‐based learning …”

Section: Discussionsupporting

confidence: 61%

The importance of non‐technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams

Brogaard

Kierkegaard

Hvidman

et al. 2019

BJOG

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Objective Little is known about how teams’ non‐technical performance influences clinical performance in obstetric emergencies such as postpartum haemorrhage. Design Video review – observational study. Setting A university hospital (5000 deliveries) and a regional hospital (2000 deliveries) in Denmark. Population Obstetric teams managing real‐life postpartum haemorrhage. Methods We systematically assessed 99 video recordings of obstetric teams managing real‐life major postpartum haemorrhage. Exposure was the non‐technical score (AOTP); outcomes were the clinical performance score (TeamOBS) and the delayed transfer to the operating theatre (defined as blood loss >1500 ml in the delivery room). Results Teams with an excellent non‐technical score performed significantly better than teams with a poor non‐technical score: 83.7 versus 0.3% chance of a high clinical performance score (P < 0.001), 0.2 versus 80% risk of a low clinical performance score (P < 0.001), and 3.5 versus 31.7% risk of delayed transfer to the operating theatre (P = 0.008). The results remained robust when adjusting for potential confounders such as bleeding velocity, aetiology, time of day, team size, and hospital. The specific non‐technical skills associated with high clinical performance were vigilance, role assignment, problem‐solving, management of disruptive behavior, and leadership. Communication with the patient and closing the loop were of minor importance. All performance assessments showed good reliability: the intraclass correlation was 0.97 (95% CI 0.96–0.98) for the non‐technical score and 0.84 (95% CI 0.76–0.89) for the clinical performance score. Conclusion Video review offers a new method and new perspectives for research in obstetric teams to identify how teams become effective and safe; the skills identified in this study can be included in future obstetric training programmes. Tweetable abstract Non‐technical performance is important for teams managing postpartum haemorrhage; video review of 99 obstetric teams.

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Section: Discussionsupporting

confidence: 61%

The importance of non‐technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams

Brogaard

Kierkegaard

Hvidman

et al. 2019

BJOG

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“…A further eight studies were identified by checking the references lists. Among these 165 studies, 50 were eligible according to the inclusion criteria (online supplementary table S1),4 5 8 13 21–66 and five of these evaluated the impact of video review in regards to improvement in patient care (PICOS)8 21 23 41 62 (figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…There were 6 cohort or case–control studies,8 21–23 27 42 27 cross-sectional studies24 25 28 30 33–40 43 44 46 47 49 51–54 56–59 65 66 and 17 case reports or series4 5 13 26 27 29 31 32 45 48 50 55 60–64 (figure 2). There were no trials or protocols of RCTs.…”

Section: Resultsmentioning

confidence: 99%

Filming for auditing of real-life emergency teams: a systematic review

Brogaard

Uldbjerg

2019

BMJ Open Qual

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“…Konkret wurde die zeitliche Differenz zwischen einer Anordnung und dessen Ausführung untersucht. Dabei wurde die Kommunikationsstrategie der "Closed loop"-Methode mit den herkömmlichen Kommunikationsformen verglichen und analysiert [17]. Insgesamt wurden 387 verbale Anordnungen aufgezeichnet.…”

Section: Ergebnisse Bezogen Auf Die Art Der Kommunikationunclassified

Effektive Reanimation durch richtige Kommunikation

Henn¹

2020

intensiv

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Bei einer innerklinischen Reanimation treffen normalerweise Teammitglieder aus unterschiedlichen Abteilungen aufeinander, die in dieser Zusammensetzung noch nie miteinander gearbeitet haben. Diese Tatsache und die Stresssituation, in der sich alle Beteiligten befinden, können die Kommunikation erheblich erschweren, was fatale Folgen für den Patienten haben kann. Eine bestimmte Kommunikationsstrategie und der Einsatz eines Teamleiters können zur Verbesserung der Reanimationsqualität beitragen.

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Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation

Cited by 91 publications

References 32 publications

The importance of non‐technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams

The importance of non‐technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams

Filming for auditing of real-life emergency teams: a systematic review

Effektive Reanimation durch richtige Kommunikation

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