Abstract 234: Assessment of a Newly Designed Resuscitation Trolley in a Simulated Environment
Introduction In 2006, data from the UK National Reporting and Learning System (NRLS) database highlighted the fact that ill-stocked resuscitation trolleys directly led to a number of preventable deaths. Of 86 reported incidents involving resuscitation trolleys, 10 contributed to the deaths of patients. In light of this data the National Patient Safety Agency (NPSA) sponsored a redesign of the resuscitation trolley. Over the past 2 years a complex design process culminated in a new ergonomically designed “Resus:Station” prototype.
Objectives To assess the usability and impact on teamwork of “Resus:Station” when compared with the standard resuscitation trolley in a series of simulated cardiac arrest scenarios.
Methods 15 expert Cardiac Arrest Teams comprising an Anesthesiologist, a Physician, and a Nurse were recruited (45 participants in total). Teams performed resuscitation simulations using both trolleys, with order of use randomised. All research sessions were recorded to facilitate structured debriefing. Following each simulation participants completed questionnaires scoring trolley usability, safety, effects on Resuscitation, and design on 7-point Likert scales. They also indicated their preference for trolley (Resus:Station or old trolley). Team performance was assessed from the video recordings by two trained blinded raters using a validated tool to assess quality of teamworking with each trolley, and to determine differences in efficiency of resuscitation.
Results Strongly significant (p<0.001) differences favouring the Resus:Station over the old trolley were obtained on all user-rated aspects (usability, safety, effects on Resuscitation, and design). Quality of teamworking in the observed teams did not differ significantly between trolleys, however efficiency of the team was seen to improve when using the new Resus:Station.
Conclusions The Resus:Station is safe to use in a simulated environment, there is no detrimental effect on team performance, some improvement in efficiency, and it is strongly preferred by clinical staff. In view of these strongly positive results, the “Resus:Station is being assessed further in a real clinical environment.
- Behavioral aspects
- Cardiopulmonary resuscitation
- Healthcare innovation
- Patient safety
- Quality improvement
- © 2011 by American Heart Association, Inc.