This presentation discusses a study called CONTOUR that aims to improve team performance in pediatric cardiac arrest through the use of cognitive aids. The study will test the impact of a "reader" cognitive aid, the CARD system, and an integrated approach on teamwork and adherence to resuscitation guidelines. It is a randomized controlled simulation-based study involving multi-professional healthcare teams. The presentation provides background on the problem, outlines the study approach and design, research question, timeline, and contact information for the presenter.

1. ALERT Presentation: CONsolidating
Tools for OUtcomes in
Resuscitation (CONTOUR)
Jonathan Duff
University of Alberta, Edmonton, AB, CAN
INSPIRE @ IMSH 2017 – Orlando, FL, USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • Although there are consensus guidelines to manage pediatric cardiac
arrest, real world team performance often deviates from these
guidelines due to poor teamwork, resulting in poor outcomes.
• A cognitive aid “reader” is a team member who follows the cognitive
aid, conveys information to the team leader and lets them know if they
are deviating from the protocol.
• A novel promising solution for successful management of crisis
scenarios is called the Cognitive Aids for Role Definition (CARD)
system.
• Integrate the knowledge-based and team-based cognitive aids, in
order to delineate the synergistic effect of integrating the CARD
system with knowledge-based cognitive aids or “reader”.
International Network for Simulation-based Pediatric Innovation, Research and Education
Background

3. International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
• This is a simulation-based, randomized controlled, factorial
multicenter study

4. • Population: Teams of multi-professional
resuscitation pediatric healthcare providers
• Intervention: Reader/Copilot, CARD, Integrated
• Control/Comparison: CRM
• Outcome(s):Improved teamwork and adherence
to consensus guidelines
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

5. • ALERT Presentation: January 2017
• Local Grant Proposal: Feb/March 2017
• IRB Submission: Feb/March/Apr 2017
• Recruitment / Data Collection:
Starting in May 2017 and Ending 2018
• Data Analysis: Oct/Nov/Dec 2018
• Abstract Presentation: Jan 2019
• Manuscript Preparation: Feb/March 2019
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline

6. - Do you have feedback from similar
experiences in using cognitive aids?
International Network for Simulation-based Pediatric Innovation, Research and Education
Question to improve study

7. At INSPIRE @ IMSH 2017:
Recruit Centres
In 2 months:
IRB submissions
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish

8. Dr. Dylan Bould
Children’s Hospital of Eastern Ontario
dylanbould@gmail.com
613-737-7600 ext 3739
https://clinicaltrials.gov/ct2/show/NCT026
76024International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information