{Reference Type}: Journal Article
{Title}: Improved recall of handover information in a simulated emergency - A randomised controlled trial.
{Author}: Fischer P;Abendschein R;Berberich M;Grundgeiger T;Meybohm P;Smul T;Happel O;
{Journal}: Resusc Plus
{Volume}: 18
{Issue}: 0
{Year}: 2024 Jun
暂无{DOI}: 10.1016/j.resplu.2024.100612
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>Concerning in-hospital emergencies, a structured handover in a distraction reduced environment can improve information uptake of the team leader.