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  • Title: Impact of a CPR feedback device on healthcare provider workload during simulated cardiac arrest.
    Author: Brown LL, Lin Y, Tofil NM, Overly F, Duff JP, Bhanji F, Nadkarni VM, Hunt EA, Bragg A, Kessler D, Bank I, Cheng A, International Network for Simulation-based Pediatric Innovation, Research, Education CPR Investigators (INSPIRE).
    Journal: Resuscitation; 2018 Sep; 130():111-117. PubMed ID: 30049656.
    Abstract:
    OBJECTIVE: We aimed to describe the differences in workload between team leaders and CPR providers during a simulated pediatric cardiac arrest, to evaluate the impact of a CPR feedback device on provider workload, and to describe the association between provider workload and the quality of CPR. METHODS: We conducted secondary analysis of data from a randomized trial comparing CPR quality in teams with and without use of a real-time visual CPR feedback device [1]. Healthcare providers (team leaders and CPR providers) completed the NASA Task Load Index survey after participating in a simulated cardiac arrest scenario. The effect of provider roles and real-time feedback on workload were compared with independent t-tests. RESULTS: Team leaders reported higher levels of mental demand, temporal demand, performance-related workload and frustration, while CPR providers reported comparatively higher physical workload. CPR providers reported significantly higher average workload (control 58.5 vs. feedback 62.3; p = 0.035) with real-time feedback provided compared to the group without feedback. Providers with high workloads (average score >60) had an increased percentage of time with guideline-compliant CPR depth versus those with low workloads (average score <60) (p = 0.034). CONCLUSIONS: Healthcare providers reported high workloads during a simulated pediatric cardiac arrest. Physical and mental workloads differed based on provider role. CPR providers using a CPR feedback device reported increased average workloads. The quality of CPR improved with higher reported physical workloads.
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