%0 Journal Article
%T Improved recall of handover information in a simulated emergency - A randomised controlled trial.
%A Fischer P
%A Abendschein R
%A Berberich M
%A Grundgeiger T
%A Meybohm P
%A Smul T
%A Happel O
%J Resusc Plus
%V 18
%N 0
%D 2024 Jun
%M 38590446
暂无%R 10.1016/j.resplu.2024.100612
%X 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.