Abstract 20375: Physicians Disagree on Team Leadership and Have Limited Knowledge of Task Allocation on the Cardiac Arrest Team - A Nationwide Study
Introduction: In-hospital resuscitation is performed by an ad hoc cardiac arrest team. Team members generally change daily. Lack of task allocation and delayed team leader identification may compromise the quality of resuscitation. Team meetings at the beginning of members’ duty period and post-arrest debriefings may improve resuscitation quality.
Aim: To investigate 1) knowledge of task allocation among physicians on cardiac arrest teams, 2) if cardiac arrest team meetings were held at the beginning of members’ duty period, and 3) if debriefings were held post arrest.
Methods: This is a nationwide cross-sectional study covering all Danish public, somatic hospitals (n=45). Telephone interviews were conducted with all physicians, who were member of a cardiac arrest team on the day of the interview. Interviews were performed using a structured questionnaire.
Results: In total, 93 physicians (53% male) participated. There was a median of 2 (IQR: 1-3) physicians on each team. In hospitals (n=36) with more than one physician on the cardiac arrest team, physicians disagreed on team member composition (81%) and task allocation (97%). In 16% of hospitals, two physicians on duty both claimed to be the team leader, and in 4% of hospitals none of the physicians claimed to be team leader. Overall, 8% of physicians could not state who the team leader was, 24% could not state who should defibrillate, 22% could not state who should administer drugs, and 6% were unaware of their own task. Cardiac arrest team meetings held at the beginning of members’ period on duty were reported by 4% of physicians, whereas debriefings after cardiac arrest were reported by 20% of physicians.
Conclusions: Physicians disagree on who is the team leader and are unaware of task allocation on the cardiac arrest team. Team meetings at the beginning of members’ duty period and post arrest debriefings are infrequently used.
Author Disclosures: K.G. Lauridsen: None. A.S. Schmidt: None. P.G. Caap: None. R.S. Aagaard: None. B. Løfgren: None.
- © 2016 by American Heart Association, Inc.