Improved recall of handover information in a simulated emergency – A randomised controlled trial
Background: 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 inform...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424000638 |
| _version_ | 1797221726705156096 |
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| author | Paul Fischer Robin Abendschein Monika Berberich Tobias Grundgeiger Patrick Meybohm Thorsten Smul Oliver Happel |
| author_facet | Paul Fischer Robin Abendschein Monika Berberich Tobias Grundgeiger Patrick Meybohm Thorsten Smul Oliver Happel |
| author_sort | Paul Fischer |
| collection | DOAJ |
| description | Background: 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. Methods: 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. Results: 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. Conclusions: Concerning in-hospital emergencies, a structured handover in a distraction reduced environment can improve information uptake of the team leader. |
| first_indexed | 2024-04-24T13:10:01Z |
| format | Article |
| id | doaj.art-c79d397666a148f6b0ede39d4d3c1bc1 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-24T13:10:01Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-c79d397666a148f6b0ede39d4d3c1bc12024-04-05T04:41:43ZengElsevierResuscitation Plus2666-52042024-06-0118100612Improved recall of handover information in a simulated emergency – A randomised controlled trialPaul Fischer0Robin Abendschein1Monika Berberich2Tobias Grundgeiger3Patrick Meybohm4Thorsten Smul5Oliver Happel6University Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Oberdürrbacher Straße 6, 97080 Würzburg, Germany; Corresponding author at: University Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Oberdürrbacher Straße 6, 97080 Würzburg, Germany.Julius-Maximilians-Universität Würzburg, Institute Human-Computer-Media, Oswald-Külpe-Weg 82, 97074 Würzburg, GermanyUniversity Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Oberdürrbacher Straße 6, 97080 Würzburg, GermanyJulius-Maximilians-Universität Würzburg, Institute Human-Computer-Media, Oswald-Külpe-Weg 82, 97074 Würzburg, GermanyUniversity Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Oberdürrbacher Straße 6, 97080 Würzburg, GermanyDepartment of Anaesthesiology and Critical Care, Hospital of Passau, Innstraße 76 94032 Passau, GermanyUniversity Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Oberdürrbacher Straße 6, 97080 Würzburg, GermanyBackground: 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. Methods: 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. Results: 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. Conclusions: Concerning in-hospital emergencies, a structured handover in a distraction reduced environment can improve information uptake of the team leader.http://www.sciencedirect.com/science/article/pii/S2666520424000638Handover/handoffSBARWorking memoryMedical emergencySimulationPatient safety |
| spellingShingle | Paul Fischer Robin Abendschein Monika Berberich Tobias Grundgeiger Patrick Meybohm Thorsten Smul Oliver Happel Improved recall of handover information in a simulated emergency – A randomised controlled trial Resuscitation Plus Handover/handoff SBAR Working memory Medical emergency Simulation Patient safety |
| title | Improved recall of handover information in a simulated emergency – A randomised controlled trial |
| title_full | Improved recall of handover information in a simulated emergency – A randomised controlled trial |
| title_fullStr | Improved recall of handover information in a simulated emergency – A randomised controlled trial |
| title_full_unstemmed | Improved recall of handover information in a simulated emergency – A randomised controlled trial |
| title_short | Improved recall of handover information in a simulated emergency – A randomised controlled trial |
| title_sort | improved recall of handover information in a simulated emergency a randomised controlled trial |
| topic | Handover/handoff SBAR Working memory Medical emergency Simulation Patient safety |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424000638 |
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