Abstract
Communication and teamwork are essential during inpatient emergencies such as cardiac arrest and rapid response (RR) codes. We investigated whether wearing numbered jerseys affect directed commands, teamwork, and performance during simulated codes. Eight teams of 6 residents participated in 64 simulations. Four teams were randomized to the experimental group wearing numbered jerseys, and four to the control group wearing work attire. The experimental group used more directed commands (49% vs. 31%, p <.001) and had higher teamwork score (25 vs. 18, p <.001) compared with control group. There was no difference in time to initiation of chest compression, bag-valve-mask ventilation, and correct medications. Time to defibrillation was longer in the experimental group (190 vs. 140 seconds, p =.035). Using numbered jerseys during simulations was associated with increased use of directed commands and better teamwork. Time to performance of clinical actions was similar except for longer time to defibrillation in the jersey group.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 24-31 |
| Number of pages | 8 |
| Journal | Journal for Healthcare Quality |
| Volume | 43 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2021 |
Keywords
- cardiac arrest code
- directed command
- rapid response
- simulation
- teamwork
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health
