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Related Experiment Videos

Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.

E J Thomas1, B Taggart, S Crandell

  • 1The University of Texas Center of Excellence for Patient Safety Research and Practice, Houston, TX 77030, USA. Eric.Thomas@uth.tmc.edu

Journal of Perinatology : Official Journal of the California Perinatal Association
|June 1, 2007
PubMed
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Adding a teamwork curriculum to the Neonatal Resuscitation Program (NRP) significantly improved team behaviors during simulated resuscitations. This enhanced training equips interns with crucial skills for better neonatal care.

Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Teamwork in Medicine

Background:

  • The Neonatal Resuscitation Program (NRP) is a standard training course for healthcare professionals.
  • Effective teamwork is critical during neonatal resuscitation to improve patient outcomes.
  • Existing NRP training may not adequately address team dynamics and human error.

Purpose of the Study:

  • To integrate a team training and human error curriculum into the standard NRP.
  • To evaluate the impact of this enhanced curriculum on teamwork behaviors during simulated neonatal resuscitations.
  • To test the hypothesis that teams receiving the new course would demonstrate superior teamwork compared to the standard NRP.

Main Methods:

  • Interns were randomly assigned to either the standard NRP or NRP with an added team training curriculum.

Related Experiment Videos

  • Participants underwent simulated neonatal resuscitations at the conclusion of the training.
  • Observers, blinded to group allocation, assessed predefined teamwork behaviors including information sharing, inquiry, assertion, evaluation of plans, workload management, and vigilance.

    • Main Results:

    • Teams in the NRP with team training group showed significantly higher frequencies of information sharing, inquiry, and assertion compared to the control group.
    • Nearly all teams in the enhanced training group demonstrated vigilance (100%) and effective workload management (88%) throughout the simulation.
    • The overall frequency of any team behavior was substantially greater in the enhanced training group (3.34 episodes/min) versus the standard group (1.03 episodes/min).

    Conclusions:

    • The addition of a teamwork and human error curriculum to the NRP significantly enhances team behaviors in interns during simulated neonatal resuscitations.
    • This improved teamwork is likely to contribute to better clinical performance and patient safety.
    • The findings support the incorporation of comprehensive team training into neonatal resuscitation education.