Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: a prospective, randomised simulation study
| Autor: | Haffner, Leopold, Mahling, Moritz, Muench, Alexander, Castan, Christoph, Schubert, Paul, Naumann, Aline, Reddersen, Silke, Herrmann-Werner, Anne, Reutershan, Jörg, Riessen, Reimer, Celebi, Nora |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Male Cardiopulmonary resuscitation Students Medical Education Medical Hospital rapid response team Communication Crew Resource Management Healthcare Healthcare education Heart Arrest Crew resource management Germany Simulation training Emergency Medicine Humans Female Prospective Studies Research Article |
| Zdroj: | BMC Emergency Medicine |
| ISSN: | 1471-227X |
| DOI: | 10.1186/s12873-017-0117-6 |
| Popis: | Background Chest compressions are a core element of cardio-pulmonary resuscitation. Despite periodic training, real-life chest compressions have been reported to be overly shallow and/or fast, very likely affecting patient outcomes. We investigated the effect of a brief Crew Resource Management (CRM) training program on the correction rate of improperly executed chest compressions in a simulated cardiac arrest scenario. Methods Final-year medical students (n = 57) were randomised to receive a 10-min computer-based CRM or a control training on ethics. Acting as team leaders, subjects performed resuscitation in a simulated cardiac arrest scenario before and after the training. Team members performed standardised overly shallow and fast chest compressions. We analysed how often the team leader recognised and corrected improper chest compressions, as well as communication and resuscitation quality. Results After the CRM training, team leaders corrected improper chest compressions (35.5%) significantly more often compared with those undergoing control training (7.7%, p = 0.03*). Consequently, four students have to be trained (number needed to treat = 3.6) for one improved chest compression scenario. Communication quality assessed by the Leader Behavior Description Questionnaire significantly increased in the intervention group by a mean of 4.5 compared with 2.0 (p = 0.01*) in the control group. Conclusion A computer-based, 10-min CRM training improved the recognition of ineffective of chest compressions. Furthermore, communication quality increased. As guideline-adherent chest compressions have been linked to improved patient outcomes, our CRM training might represent a brief and affordable approach to increase chest compression quality and potentially improve patient outcomes. Electronic supplementary material The online version of this article (doi:10.1186/s12873-017-0117-6) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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