The Effect of Individualized Numbered Jerseys on Teamwork, Directed Commands, and Clinical Performance During Simulated Cardiac Arrest Scenarios

Kim, Yekaterina; Dym, Akiva; Washington, Moses; Keene, Adam; Eisen, Lewis

doi:10.1016/j.chest.2017.08.585

Chest

2017

DOI: 10.1016/j.chest.2017.08.585

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The Effect of Individualized Numbered Jerseys on Teamwork, Directed Commands, and Clinical Performance During Simulated Cardiac Arrest Scenarios

Yekaterina Kim

Akiva Dym

Moses Washington

et al.

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2021

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“…Nontechnical skill team training can increase directed commands 9 . A recent randomized case-control study found a correlation between team performance and directed commands during cardiac arrest 10 . The quality of resuscitation performance correlates with the quality of communication during the event 11 …”

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confidence: 99%

Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation

Ulmer¹,

Lutz

Müller³

et al. 2021

J Patient Saf

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ObjectiveEffective communication minimizes medical errors and leads to improved team performance while treating critically ill patients. Closed-loop communication is routinely applied in high-risk industries but remains underutilized in healthcare. Simulation serves as an educational tool to introduce, practice, and appreciate the efficacy of closed-loop communication.MethodsThis observational before-and-after study investigates behavioral changes in communication among nurses brought on by simulation team training in a pediatric intensive care unit (PICU). The communication patterns of PICU nurses, who had no prior simulation experience, were observed during routine bedside care before and after undergoing in situ simulation.One month before and 1 and 3 months after simulation (intervention), 2 trained raters recorded nurse communications relative to callouts, uttered by the sender, and callbacks, reciprocated by the recipient. The impact of simulation on communication patterns was analyzed quantitatively.ResultsAmong the 15 PICU nurses included in this study, significant changes in communication behavior were observed during patient care after communication-focused in situ simulation. The PICU nurses were significantly less likely to let a callout go unanswered during clinical routine. The effect prevailed both 1 month (P = 0.039) and 3 months (P = 0.033) after the educational exposure.ConclusionsThis observational before-and-after study describes the prevalence and pattern of communication among PICU nurses during routine patient care and documents PICU nurses transferring simulation-acquired communication skills into their clinical environment after a single afternoon of in situ simulation. This successful transfer of simulation-acquired skills has the potential to improve patient safety and outcome.

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mentioning

confidence: 99%

Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation

Ulmer¹,

Lutz

Müller³

et al. 2021

J Patient Saf

View full text Add to dashboard Cite

show abstract

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The Effect of Individualized Numbered Jerseys on Teamwork, Directed Commands, and Clinical Performance During Simulated Cardiac Arrest Scenarios

Cited by 1 publication

References 0 publications

Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation

Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation

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