Impact of a shared decision-making mHealth tool on caregivers’ team situational awareness, communication effectiveness, and performance during pediatric cardiopulmonary resuscitation: study protocol of a cluster randomized controlled trial

Abstract

Background Effective team communication, coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR). Complexity of care during CPR, involvement of numerous providers, miscommunication, and other exogenous factors can all contribute to negatively influencing patient care, thus jeopardizing survival. We aim to investigate whether an mHealth supportive tool (the Interconnected and Focused Mobile Apps on patient Care Environment [InterFACE]) developed as a collaborative platform to support CPR providers in real-time and share patient-centered information would increase SA during pediatric CPR. Methods We will conduct a prospective, cluster randomized controlled trial by groups of 6 participants in a tertiary pediatric emergency department (33,000 consultations/year) with pediatric physicians and nurses. We will compare the impact of the InterFACE tool with conventional communication methods on SA and effective team communication during a standardized pediatric in-hospital cardiac arrest and a polytrauma high-fidelity simulations. Forty-eight participants will be randomized (1:1) to consecutively perform two 20-min video-recorded scenarios using either the mHealth tool or conventional methods. The primary endpoint is the SA score, measured with the Situation Awareness Global Assessment Technique (SAGAT) instrument. Enrollment will start in late 2020 and data analysis in early 2021. We anticipate that the intervention will be completed by early 2021 and study results will be submitted in mid 2021 for publication. Discussion This clinical trial will assess the impact of a collaborative mHealth tool on increasing situational awareness and effective team communication during in-hospital pediatric resuscitation. As research in this area is scarce, the results generated by this study may become of paramount importance in improving the care of children receiving in-hospital CPR, in the era of increasing communication technology. Trial registration ClinicalTrials.gov NCT04464603. Registered on 9 July 2020.

Effects of communication team training on clinical competence in Korean Advanced Life Support: A randomized controlled trial

“…This study is the first to examine the effects of standardized communication strategies incorporated into interprofessional CPR training in South Korea. Effective communication among team members is a crucial component in providing a high level of clinical competence for the CPR team (Ehrler et al, 2021). Our study found that interprofessional communication team training in the resuscitation course led to successful clinical competence for patient care teams.…”

“…Communication during CPR is confusing and unsatisfactory among team members in hospitals, leading to low survival rates for in‐hospital cardiac arrest due to differences in communication styles (Nallamothu et al, 2018). Failure in communication contributes negatively to a team's clinical competence during resuscitation (Ehrler et al, 2021). For instance, a lack of communication between team members can delay defibrillation when sudden cardiac arrest is caused by ventricular fibrillation or pulseless ventricular tachycardia; this can negatively impact survival rates after in‐hospital cardiac arrest (Merchant et al, 2020).…”

Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial

“…To our knowledge, no app that can be used as an interoperable mobile laboratory results viewer in the ED has been described to date [ 21 ]. Evidence demonstrating the impact of mobile apps tailored to caregivers and specifically dedicated to streamlining shared patient management in the EDs remains scarce [ 22 , 23 , 24 , 25 ]. In a previous study [ 26 ], we described the user-centered development and high early technology acceptance of a mobile app—the ‘’Patients In My Pocket in my Hospital’’ (PIMPmyHospital) app.…”