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document
Positive impact of crisis resource management training on no-flow time and team member verbalisations during simulated cardiopulmonary resuscitation : a randomised controlled trial . OBJECTIVES To evaluate the impact of video-based interactive crisis resource management ( CRM ) training on no-flow time ( NFT ) and on proportions of team member verbalisations ( TMV ) during simulated cardiopulmonary resuscitation ( CPR ) . Further , to investigate the link between team leader verbalisation accuracy and NFT . METHODS The randomised controlled study was embedded in the obligatory advanced life support ( ALS ) course for final-year medical students . Students ( 176 ; 25.35±1.03 years , 63 % female ) were alphabetically assigned to 44 four-person teams that were then randomly ( computer-generated ) assigned to either CRM intervention ( n=26 ) , receiving interactive video-based CRM-training , or to control intervention ( n=18 ) , receiving an additional ALS-training . Primary outcomes were NFT and proportions of TMV , which were subdivided into eight categories : four team leader verbalisations ( TLV ) with different accuracy levels and four follower verbalisation categories ( FV ) . Measurements were made of all groups administering simulated adult CPR . RESULTS NFT rates were significantly lower in the CRM-training group ( 31.4±6.1 % vs. 36.3±6.6 % , p=0.014 ) . Proportions of all TLV categories were higher in the CRM-training group ( p < 0.001 ) . Differences in FV were only found for one category ( unsolicited information ) ( p=0.012 ) . The highest correlation with NFT was found for high accuracy TLV ( direct orders ) ( p=0.06 ) . CONCLUSIONS The inclusion of CRM training in undergraduate medical education reduces NFT in simulated CPR and improves TLV proportions during simulated CPR . Further research will test how these results translate into clinical performance and patient outcome .
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Intervention_Educational
crisis resource management training
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Intervention_Physical
simulated cardiopulmonary resuscitation
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Intervention_Educational
video-based interactive crisis resource management ( CRM ) training
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Intervention_Physical
simulated cardiopulmonary resuscitation ( CPR )
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Intervention_Educational
CRM intervention
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Intervention_Educational
interactive video-based CRM-training
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Intervention_Control
control intervention
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Intervention_Educational
CRM training
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Intervention_Physical
simulated CPR
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Outcome_Other
no-flow time ( NFT )
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Outcome_Other
team member verbalisations ( TMV )
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Participant_Age
Students (
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Participant_Sample-size
176
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Participant_Age
; 25.35±1.03 years , 63 %
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Participant_Sex
female
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Participant_Sample-size
44 four-person teams