Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation*

Yeung, Joyce; Ong, Giok; Davies, Robin P.; Gao, Fang; Perkins, Gavin D.

doi:10.1097/ccm.0b013e3182591fda

Cited by 139 publications

(99 citation statements)

References 49 publications

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“…[90][91][92] As such, it is the recommendation of the expert panel that every resuscitation event should have a designated team leader who directs and coordinates all components of the resuscitation with a central focus on delivering high-quality CPR. The team leader's responsibility is to organize a team of experts into an expert team by directing and prioritizing the essential activities.…”

Section: Team-level Logistics: How To Ensure High-quality Cpr In the mentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

836

521

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The "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care" increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation (CPR) is performed in all resuscitation attempts. There are 5 critical components of high-quality CPR: minimize interruptions in chest compressions, provide compressions of adequate rate and depth, avoid leaning between compressions, and avoid excessive ventilation. Although it is clear that high-quality CPR is the primary component in influencing survival from cardiac arrest, there is considerable variation in monitoring, implementation, and quality improvement. As such, CPR quality varies widely between systems and locations. Victims often do not receive high-quality CPR because of provider ambiguity in prioritization of resuscitative efforts during an arrest. This ambiguity also impedes the development of optimal systems of care to increase survival from cardiac arrest. This consensus statement addresses the following key areas of CPR quality for the trained rescuer: metrics of CPR performance; monitoring, feedback, and integration of the patient’s response to CPR; team-level logistics to ensure performance of high-quality CPR; and continuous quality improvement on provider, team, and systems levels. Clear definitions of metrics and methods to consistently deliver and improve the quality of CPR will narrow the gap between resuscitation science and the victims, both in and out of the hospital, and lay the foundation for further improvements in the future.

show abstract

Section: Team-level Logistics: How To Ensure High-quality Cpr In the mentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

836

521

View full text Add to dashboard Cite

show abstract

“…For the important outcome of skill performance at course conclusion (patient tasks) (assessed with time to completion of various patient tasks), we found low-quality evidence (downgraded for risk of bias and imprecision) from 8 randomized trials 110,120,[123][124][125][126][127][128] and very-low-quality evidence (downgraded for risk of bias and indirectness) from 4 observational studies [128][129][130][131] that showed that team or leadership training improved CPR hands-on time and time to initiation of various patient tasks at course conclusion. A dose-response gradient was found.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…For the important outcome of skill performance at course conclusion (leader performance), we found low-quality evidence (downgraded for risk of bias and imprecision) from 4 randomized studies 120,126,128,134 and very-low-quality evidence (downgraded for indirectness and imprecision) from 2 observational studies 122,131 that showed that leadership-trained learners demonstrated more frequent leadership behaviors at course conclusion.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 8: Education, Implementation, and Teams

et al. 2015

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“…Very small teams may not be able to provide quality resuscitation because the team leader on small teams may be more likely to take on practical task-solving, resulting in less effective resuscitation. 13 In contrast, small teams of two or three people results in the best outcome from cardiac arrest compared to larger teams. 14 In paediatric trauma the optimal team size is suggested to be seven persons with effectiveness decreasing with more team members.…”

Section: Discussionmentioning

confidence: 94%

Organisation of in-hospital cardiac arrest teams – A nationwide study

et al. 2015

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Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation*

Abstract: There is an association between team leadership skills and cardiac arrest simulation test score, preshock pause, and hands off ratio. Developing leadership skills should be considered an integral part of resuscitation training.

Cited by 139 publications

References 49 publications

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Part 8: Education, Implementation, and Teams

Organisation of in-hospital cardiac arrest teams – A nationwide study

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