P0682 / #1679: COMPARISON OF CRISIS RESOURCE MANAGEMENT SKILLS DURING CARDIOPULMONARY RESUSCITATION AMONG PEDIATRIC HEALTH CARE PROFESSIONALS: A SIMULATION BASED STUDY

Abstract

Aims & Objectives: Cardiopulmonary resuscitation (CPR) is a team endeavor. Crisis Resource Management (CRM) is team training focusing on behavioral skills, resource utilization, communication, leadership and teamwork. CRM skills can decay over time after training. In this simulation study on CPR, we compared CRM skills of pediatric residents and nurses who have completed Pediatric Advanced Life Support Course (PALS) course less than 6-months versus more than 12-months ago. Methods:Design: Prospective observational study (January 2019- December 2019). Setting: Simulation scenario on high fidelity simulator. Participants: Pediatric residents and nursing staff. Outcome: CRM skills of leader and team members assessed using Mayo’s high-performance teamwork scale and Anesthesiologist Non-Technical skills (ANTS) tool. Results: Total 102 participants (residents-89 and nurses-13) divided into group-A (n=45) and group-B (n=57). Leaders in both groups had shown non-significant but below par CRM skills in terms of introducing team members (65.4% vs 82%), assigning roles (54.6% vs 59%) and summarizing the case (66.8% vs 68.2%). Group A participants felt problem as tem leader more often (82% vs 45.4%; p=0.04). Among team members, we found statistically significant difference in terms of leader recognition by team members (61% vs 62.5%, p= 0.01). There was no significant difference in terms of understanding roles (p= 0.22), clear message (p= 0.26), closing loop (p= 0.60), using checklist (p=0.80) and active participation (p= 0.80). Conclusions: In a simulated witnessed cardiac arrest, CRM skill were below par and were associated with poor team performance. This highlights the need for more emphasis on CRM skills in ALS course