Factors Affecting Team Size and Task Performance in Pediatric Trauma Resuscitation

Abstract

Resuscitation task completion varies by team size, with a nonlinear association between number of team members and completed tasks. Management of team size during high-acuity activations, those without prior notification, and those in which the patient has a penetrating injury may help optimize performance.

Filming for auditing of real-life emergency teams: a systematic review

“…A further eight studies were identified by checking the references lists. Among these 165 studies, 50 were eligible according to the inclusion criteria (online supplementary table S1),4 5 8 13 21–66 and five of these evaluated the impact of video review in regards to improvement in patient care (PICOS)8 21 23 41 62 (figure 1).…”

“…There were 6 cohort or case–control studies,8 21–23 27 42 27 cross-sectional studies24 25 28 30 33–40 43 44 46 47 49 51–54 56–59 65 66 and 17 case reports or series4 5 13 26 27 29 31 32 45 48 50 55 60–64 (figure 2). There were no trials or protocols of RCTs.…”

“…We identified five categories of team: cardiac arrest team (n=7),41–47 neonatal resuscitation team (n=18),48–65 trauma team (n=15),4 5 8 13 21–31 paediatric trauma team (n=9)32–40 and obstetric emergency team (n=1) 66. The 50 studies were conducted at 30 different hospitals situated in the USA (n=12), Australia (n=1), Europe (n=11) and Asia (n=5) (figure 2).…”

“…To audit the care provided in the video review, four categories of outcomes were identified: teams’ clinical performance (n=34), teams’ technical performance (n=13), teams’ non-technical performance (n=17) and patient outcome (n=14) (figure 2). Teams’ clinical performance consisted of the overall management of the emergency and was assessed in terms of adherence to protocol or guideline 4 5 8 21–28 30 32–45 47 54 55 57 58 62 63 66. Technical performance was assessed for procedures like intubation or chest compression depth 13 46 48 49 51–53 56 59–61 64 65.…”

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

“…14 In paediatric trauma the optimal team size is suggested to be seven persons with effectiveness decreasing with more team members. 15 Nonetheless, the optimal size of a cardiac arrest team is currently unknown.…”