Abstract
BackgroundEffective 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.MethodsWe 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.DiscussionThis 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 registrationClinicalTrials.gov NCT04464603. Registered on 9 July 2020.
Highlights
Effective team communication, coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR)
Ehrler et al Trials (2021) 22:277 (Continued from previous page). This clinical trial will assess the impact of a collaborative mobile health (mHealth) tool on increasing situational awareness and effective team communication during in-hospital pediatric resuscitation
Pediatric cardiac arrest (CA) is a high-risk low-frequency event associated with death or severe neurological sequelae in survivors
Summary
Coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR). Despite advances in resuscitation science and improvement of cardiac arrest (CA) survival over the past decades, only approximately 38% of children survive to hospital discharge after pediatric in-hospital cardiac arrest (p-IHCA) This number decreases to 6% to 20% after out-of-hospital cardiac arrest (p-OHCA) due to a non-traumatic cause [1, 2]. While rescuers have to assume individually assigned tasks, they should share a common and congruent goal-directed mental model This implies effective non-technical cognitive and social skills to deliver optimal care, such as task management and coordination, team dynamics, leadership, SA, communication, and decision-making [9, 12,13,14,15,16,17,18]. SA and communication play a pivotal role
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
