دورية أكاديمية
أعرض في EDS

Structured Callouts, the Shared Mental Model, and Teamwork: A Video-Based Study in a Pediatric Emergency Department.

التفاصيل البيبلوغرافية
العنوان: Structured Callouts, the Shared Mental Model, and Teamwork: A Video-Based Study in a Pediatric Emergency Department.
المؤلفون: Wolfgang M; From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Labudde EJ; Pediatric Residency Program, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Ruff K; Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Geis G, Frey M; From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Boyd S; From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Harun N; From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Kerrey BT
المصدر: Pediatric emergency care [Pediatr Emerg Care] 2024 Mar 01; Vol. 40 (3), pp. 203-207. Date of Electronic Publication: 2023 Apr 11.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8507560 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-1815 (Electronic) Linking ISSN: 07495161 NLM ISO Abbreviation: Pediatr Emerg Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985-
مواضيع طبية MeSH: Patient Care Team* , Pediatric Emergency Medicine*, Humans ; Child ; Retrospective Studies ; Clinical Competence ; Emergency Service, Hospital ; Emergencies ; Resuscitation
مستخلص: Objectives: The shared mental model is essential to high-quality resuscitations. A structured callout (SCO) is often performed to establish the shared mental model, but the literature on SCOs is limited. The objectives of this study are to describe performance of SCOs during pediatric medical emergencies and to determine whether a SCO is associated with better teamwork.
Methods: This was a retrospective study in the resuscitation area of an academic pediatric emergency department, where performance of a SCO is a standard expectation. Only medical or nontrauma patients were eligible for inclusion. Data collection was performed by structured video review by 2 observers and verified by a third blinded observer. A SCO was defined as team leader (Pediatric Emergency Medicine fellow or faculty physician) verbalization of at least 1 element of the patient history/examination or an assessment of patient physiology and 1 element of the diagnostic or therapeutic plan. We independently measured teamwork using the Teamwork Emergency Assessment Measure (TEAM) tool.
Results: We reviewed 60 patient encounters from the pediatric emergency department resuscitation area between April 2018 and June 2020. Median patient age was 6 years; the team leader was a Pediatric Emergency Medicine fellow in 55% of encounters. The physician team leader performed a SCO in 38 (63%) of patient encounters. The TEAM scores were collected for 46 encounters. Mean TEAM score (SD) was 42.3 (1.7) in patients with a SCO compared with 40.0 (3.0) in those without a SCO ( P = 0.007).
Conclusions: Performance of a SCO was associated with better teamwork, but the difference was of unclear clinical significance.
Competing Interests: Disclosure: The authors declare no conflict of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20230411 Date Completed: 20240229 Latest Revision: 20240301
رمز التحديث: 20240301
DOI: 10.1097/PEC.0000000000002939
PMID: 37039447
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-1815
DOI:10.1097/PEC.0000000000002939