PDF(Pubmed)
Abstract：
UNASSIGNED: Handovers during medical emergencies are challenging due to time-critical, dynamic and oftentimes unorderly and distracting situations. We evaluated the effect of distraction-reduced clinical surroundings during handover on (1) the recall of handover information, (2) the recall of information from the surroundings and (3) self-reported workload in a simulated in-hospital cardiac arrest scenario.
UNASSIGNED: In a parallel group design, emergency team leaders were randomly assigned to receive a structured handover of a cardio-pulmonary resuscitation (CPR) either inside the room (\"inside group\") right next to the ongoing CPR or in front of the room (\"outside group\") with no audio-visual distractions from the ongoing CPR. Based on the concept of situation awareness, the primary outcome was a handover score for the content of the handover (0-19 points) derived from the pieces of information given during handover. Furthermore, we assessed team leaders\' perception of their surroundings during the scenario (0-5 points) and they rated their subjective workload using the NASA Task Load Index.
UNASSIGNED: The outside group (n = 30) showed significant better recall of handover information than the inside group (n = 30; mean difference = 1.86, 95% CI = 0.67 to 3.06, p = 0.003). The perception of the surroundings (n = 60; mean difference = -0.27, 95% CI = -0.85 to 0.32, p = 0.365) and the NASA Task Load Index (n = 58; mean difference = 1.1; p = 0.112) did not differ between the groups.
UNASSIGNED: Concerning in-hospital emergencies, a structured handover in a distraction reduced environment can improve information uptake of the team leader.
UNASSIGNED: In a parallel group design, emergency team leaders were randomly assigned to receive a structured handover of a cardio-pulmonary resuscitation (CPR) either inside the room (\"inside group\") right next to the ongoing CPR or in front of the room (\"outside group\") with no audio-visual distractions from the ongoing CPR. Based on the concept of situation awareness, the primary outcome was a handover score for the content of the handover (0-19 points) derived from the pieces of information given during handover. Furthermore, we assessed team leaders\' perception of their surroundings during the scenario (0-5 points) and they rated their subjective workload using the NASA Task Load Index.
UNASSIGNED: The outside group (n = 30) showed significant better recall of handover information than the inside group (n = 30; mean difference = 1.86, 95% CI = 0.67 to 3.06, p = 0.003). The perception of the surroundings (n = 60; mean difference = -0.27, 95% CI = -0.85 to 0.32, p = 0.365) and the NASA Task Load Index (n = 58; mean difference = 1.1; p = 0.112) did not differ between the groups.
UNASSIGNED: Concerning in-hospital emergencies, a structured handover in a distraction reduced environment can improve information uptake of the team leader.
摘要：
■由于时间紧迫，医疗紧急情况下的交接具有挑战性，动态和经常无序和分散注意力的情况。我们评估了在移交过程中减少分心的临床环境对（1）召回移交信息的影响，（2）在模拟的院内心脏骤停场景中，从周围环境中召回信息和（3）自我报告的工作量。
■在并行组设计中，应急小组负责人被随机分配到正在进行的心肺复苏术(CPR)的内部("内部组")或在正在进行的CPR的前面("外部组")接受结构性的心肺复苏术交接。基于情境意识的概念，主要结果是从切换期间给出的信息片段得出的切换内容的切换分数(0-19分)。此外，我们评估了团队领导者在场景中对周围环境的感知（0-5分），并使用NASA任务负荷指数对他们的主观工作量进行了评估。
■外部组（n=30）的移交信息回忆率明显优于内部组（n=30；平均差异=1.86，95％CI=0.67至3.06，p=0.003）。对周围环境的感知（n=60；平均差=-0.27，95％CI=-0.85至0.32，p=0.365）和NASA任务负荷指数（n=58；平均差=1.1；p=0.112）两组之间没有差异。
■关于医院内的紧急情况，在减少分心的环境中进行结构化的移交可以提高团队领导者的信息吸收。
■在并行组设计中，应急小组负责人被随机分配到正在进行的心肺复苏术(CPR)的内部("内部组")或在正在进行的CPR的前面("外部组")接受结构性的心肺复苏术交接。基于情境意识的概念，主要结果是从切换期间给出的信息片段得出的切换内容的切换分数(0-19分)。此外，我们评估了团队领导者在场景中对周围环境的感知（0-5分），并使用NASA任务负荷指数对他们的主观工作量进行了评估。
■外部组（n=30）的移交信息回忆率明显优于内部组（n=30；平均差异=1.86，95％CI=0.67至3.06，p=0.003）。对周围环境的感知（n=60；平均差=-0.27，95％CI=-0.85至0.32，p=0.365）和NASA任务负荷指数（n=58；平均差=1.1；p=0.112）两组之间没有差异。
■关于医院内的紧急情况，在减少分心的环境中进行结构化的移交可以提高团队领导者的信息吸收。
