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The effect of random leader
role assignment on task and
team performance during
resuscitation
Shashikanth Reddy Ambati
Nor...
Background
• Human factors influence quality
and outcomes of CPR.1
• One of the most consistent human
factor limitations i...
Background
Lack of a defined leader role delays
care and impairs communication in
resuscitation.2

International Network f...
Hypotheses
1. Identified leader role will improve the
effectiveness of medical response and
team performance
2. Profession...
PICO Question
• P : Resuscitation caregivers
• I : Identified leader role (physician or
nurse)
• C: No Identified leader r...
Approach / Design
• Scenario: Infant in respiratory distress.
• Randomization: 4-person
resuscitation team to Intervention...
Approach/Design
• Time line: q1 month simulations × 24
months@ local sim center
• The scenarios will be video recorded.
• ...
Outcomes
1. Primary Outcome: Time to BVM
2. Secondary Outcomes: Time to
compressions, time to IV medications
and team perf...
3 Questions to improve study
1. Feed back on the design.
2. Looking to make into a multicenter
study.
3. For possible gran...
Contact Information
• Shashikanth Reddy Ambati
• CCMC, North Shore LIJ
Hospital
• shashiambati@gmail.com

International Ne...
References
1.

S.Hunziker, F.Tschan. NK Semmer, Howell, S.Marsch. Human factors in
resuscitation: Lessons learned from sim...
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Alert 2014-new-ambati2

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Alert 2014-new-ambati2

  1. 1. The effect of random leader role assignment on task and team performance during resuscitation Shashikanth Reddy Ambati Northshore-LIJ (New York, NY) Pediatric Critical Care Fellow INSPIRE @ IMSH 2014: San Francisco, CA,USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background • Human factors influence quality and outcomes of CPR.1 • One of the most consistent human factor limitations is failure to identify leader International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. Background Lack of a defined leader role delays care and impairs communication in resuscitation.2 International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Hypotheses 1. Identified leader role will improve the effectiveness of medical response and team performance 2. Profession of the leader(Physician or Nurse) will affect team performance International Network for Simulation-based Pediatric Innovation, Research and Education
  5. 5. PICO Question • P : Resuscitation caregivers • I : Identified leader role (physician or nurse) • C: No Identified leader role • O: Time to BVM; Time to Compressions; Time to IV medications; Team Performance3 International Network for Simulation-based Pediatric Innovation, Research and Education
  6. 6. Approach / Design • Scenario: Infant in respiratory distress. • Randomization: 4-person resuscitation team to Intervention or Control • Intervention- identified leader • Control- no identified leader International Network for Simulation-based Pediatric Innovation, Research and Education
  7. 7. Approach/Design • Time line: q1 month simulations × 24 months@ local sim center • The scenarios will be video recorded. • Data collection: observed times, scores on team performance scale3 International Network for Simulation-based Pediatric Innovation, Research and Education
  8. 8. Outcomes 1. Primary Outcome: Time to BVM 2. Secondary Outcomes: Time to compressions, time to IV medications and team performance International Network for Simulation-based Pediatric Innovation, Research and Education
  9. 9. 3 Questions to improve study 1. Feed back on the design. 2. Looking to make into a multicenter study. 3. For possible granting agencies. International Network for Simulation-based Pediatric Innovation, Research and Education
  10. 10. Contact Information • Shashikanth Reddy Ambati • CCMC, North Shore LIJ Hospital • shashiambati@gmail.com International Network for Simulation-based Pediatric Innovation, Research and Education
  11. 11. References 1. S.Hunziker, F.Tschan. NK Semmer, Howell, S.Marsch. Human factors in resuscitation: Lessons learned from simulator studies. J Emerg Trauma Shock. 2010 Oct; 3(4):389-94. 2. Fernandez Castelao E, Russo SG, Riethmüller M, Boos M. Effects of team coordination during cardiopulmonary resuscitation: A systematic review of the literature. J Crit Care. 2013 Aug;28(4):504- 21. 3. Nicholas Allen Hamilton, Alicia N. Kieninger, etal. Video Review Using Reliable Evaluation Metric Improves Team Function in High-Fidelity Simulated Trauma Resuscitation. Journal of Surgical Education volume 69/Number 3 May/June 2012. 4. Elizabeth A. Hunt, MD, Allen R. Walker, MD, Donald H. Shaffner, MD, Marlene R. Miller, MD, Peter J. Pronovost, MD. Simulation of In-Hospital Pediatric Medical Emergencies and Cardiopulmonary Arrests: Highlighting the Importance of the First 5 Minutes. Pediatrics. 2008 Jan; 121(1):e34-4.

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