Related Experiment Video
Updated: Nov 11, 2025
Setup and Execution Of the Blindfolded Code Training Exercise
Published on: March 29, 2019
Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation.
Dennis M Ren1, Anna Abrams, Maureen Banigan
1From the Division of Emergency Medicine (D.M.R., R.B., J.M.C, P.Z.), Children's National Hospital, Washington, DC; Division of Emergency Medicine (A.A.), Children's Hospital Colorado, Aurora, CO; Department of Anesthesiology and Critical Care Medicine (M.B.), Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics (R.B., J.M.C., A.G., R.I., P.Z.), George Washington University School of Medicine and Health Sciences; Simulation Program (L.N., H.A.W.), Children's National Hospital; School of Nursing & Allied Health (A.G.), Liverpool John Moores University in Liverpool, England; Division of Biostatistics and Study Methodology (R.I.), Children's Research Institute, Children's National Hospital, Washington, DC; Department of Pediatrics (M.O.), Maine Medical Center, Portland, ME; Department of Emergency Medicine (M.P.), University of Florida College of Medicine; University of Florida Center for Experiential Learning and Simulation (M.P.), University of Florida College of Medicine, Gainesville, FL; and Global Health Initiative Children's National Hospital (R.S.), Washington, DC.
Simulation training revealed variable team communication and safety behaviors among clinicians. Performance on critical safety actions and communication quality was fair, establishing a baseline for future quality improvement.
Area of Science:
- Healthcare simulation
- Teamwork and communication science
- Patient safety research
Background:
- Assessing baseline team communication is crucial for improving safety in emergent situations.
- Institution-wide simulation training was implemented to evaluate ad hoc team performance.
- Safety behaviors of clinicians in simulated emergent scenarios were measured.
Purpose of the Study:
- To establish a baseline assessment of team communication and safety behaviors.
- To identify specific areas for quality improvement in interprofessional teamwork.
- To evaluate the performance of ad hoc teams in simulated emergent situations.
Main Methods:
- 1404 clinicians participated in 2 interprofessional, video-recorded simulation scenarios.
- Two independent reviewers used a standardized instrument to evaluate 5 key safety behaviors.
- Quality of shared mental models, closed-loop communication, and overall team performance were scored on a 7-point scale.
Main Results:
- High frequency of escalating care (85%) and thinking out loud (87%) observed.
- Lower frequencies for sharing mental models (66%), identifying roles (27%), and establishing leadership (6%).
- Quality scores were fair: shared mental models (2.8/7), closed-loop communication (3.3/7), and overall team performance (3.2/7).
Conclusions:
- Ad hoc teams demonstrated variable performance in safety behaviors and fair quality in communication during simulations.
- Results provide a foundational assessment of teamwork and communication effectiveness.
- Findings will inform targeted quality improvement initiatives to enhance patient safety.
More Related Videos
Related Concept Videos
01:08Obedience
01:29SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
01:14SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
01:26Types of Reports III: Telephone and Verbal Reports
Here's an overview of each type:
Telephone Orders
01:25Role of Communication in the Nursing Process II: Planning and Implementation