The impact of introducing real time feedback on ventilation rate and tidal volume by ambulance clinicians in the North East in cardiac arrest simulations

Charlton, Karl; McClelland, Graham; Millican, Karen; Haworth, Daniel C.; Aitken-Fell, Paul; Norton, Michael

doi:10.1016/j.resplu.2021.100130

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…There was an improvement in ventilation rate (66.7% -> 97.4%), volume (53.4% -> 77.5%) and combined rate and volume (22.1 -> 75.3%). This significant improvement in ventilation quality was also seen in a UK study where compliance with European Resuscitation Council guidelines increased (9% -> 91%) (Charlton et al, 2021).…”

Section: Feedback In Resuscitationsupporting

confidence: 59%

“…Feedback within resuscitation was given immediately using real-time feedback devices or post-resuscitation to evaluate performance (Lyon, Clarke, Milligan, & Clegg, 2012). Regardless of feedback type there was an improvement in resuscitation quality achieved by modifying clinical behaviours to adhere to existing resuscitation guidelines (Bleijenberg, Koster, de Vries, & Beesems, 2017;Charlton et al, 2021;Hellevuo et al, 2014;Lyngby et al, 2021;Lyon et al, 2012;Odegaard et al, 2007;Weber, Delport, & Delport, 2022). There was also a theme of narrowing the performance range through a reduction in extremes of values (Bleijenberg et al, 2017;Charlton et al, 2021;Lyngby et al, 2021;Lyon et al, 2012).…”

Section: Feedback In Resuscitationmentioning

confidence: 99%

“…Regardless of feedback type there was an improvement in resuscitation quality achieved by modifying clinical behaviours to adhere to existing resuscitation guidelines (Bleijenberg, Koster, de Vries, & Beesems, 2017;Charlton et al, 2021;Hellevuo et al, 2014;Lyngby et al, 2021;Lyon et al, 2012;Odegaard et al, 2007;Weber, Delport, & Delport, 2022). There was also a theme of narrowing the performance range through a reduction in extremes of values (Bleijenberg et al, 2017;Charlton et al, 2021;Lyngby et al, 2021;Lyon et al, 2012). Among paramedics, there was a generally positive attitude towards the use of resuscitation feedback devices (Brinkrolf et al, 2018;Charlton et al, 2021).…”

Section: Feedback In Resuscitationmentioning

confidence: 99%

“…There was also a theme of narrowing the performance range through a reduction in extremes of values (Bleijenberg et al, 2017;Charlton et al, 2021;Lyngby et al, 2021;Lyon et al, 2012). Among paramedics, there was a generally positive attitude towards the use of resuscitation feedback devices (Brinkrolf et al, 2018;Charlton et al, 2021). Feedback was classed into auditory, visual, and voice prompts and there was a perception of increased safety with use (Brinkrolf et al, 2018).…”

Section: Feedback In Resuscitationmentioning

confidence: 99%

“…A total of two records focused on providing real-time ventilation feedback within a simulated environment (Charlton et al, 2021;Lyngby et al, 2021). A Danish study revealed how ventilation quality was significantly superior to real-time ventilation in a simulated environment (Lyngby et al, 2021).…”

Section: Feedback In Resuscitationmentioning

confidence: 99%

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Feedback Use in Paramedicine

Foster,

Todd,

Williams

2024

Intl J Paramedicine

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Objective: The aim of this scoping review is to determine how feedback is used in paramedicine. Introduction: Feedback is widely recognised as essential for clinician growth in healthcare however there is limited research on its use within paramedicine. Paramedics place high value on effective feedback and different types and methods are used depending on context. Methods: Peer-reviewed primary research involving any type of feedback used in paramedicine was included. We searched MEDLINE, CINAHL, EMCARE, SCOPUS and grey literature from inception to March 2023. Two authors independently screened and selected studies for full-text review. One reviewer performed data extraction. This reviewfollowed JBI methodological guidance and PRISMA extension for scoping reviews. Results: From 413 articles 20 were included in this review (16 quantitative, 3 qualitative and 1 mixed-methods). Feedback is generally given under the themes of professional and personal development, quality improvement, resuscitation and education. Paramedics have a strong desire for feedback to meet personal and professional needs. However, current provisions are inadequate and compounded by existing barriers. Informal routes of feedbackare sought when formal routes are inadequate despite the latter having more weighting. Feedback in resuscitation either in real-time or post-incident positively modifies paramedic behaviour to improve performance. Feedback is used in paramedic services to standardize care as part of quality improvement. Within an education setting feedback as an education tool is well received and improves confidence for future performance. Conclusion: Paramedics display a positive attitude to receiving feedback to meet personaland professional requirements. Desires for feedback outweigh provisions compounded by existing barriers, potentially creating a paramedic wellbeing issue. Feedback is an effective tool within paramedicine in modifying behaviours either immediately or post-incident to improve clinical performance.

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Section: Feedback In Resuscitationsupporting

confidence: 59%