The Effect of Numbered Jerseys on Directed Commands, Teamwork, and Clinical Performance During Simulated Emergencies

Yekaterina Kim; Akiva A. Dym; Karen Yang; Daniel G. Fein; Maneesha Bangar; Hannah R.B. Ferenchick; Adam B. Keene; Deborah Orsi; Moses A. Washington; Lewis A. Eisen

doi:10.1097/JHQ.0000000000000264

The Effect of Numbered Jerseys on Directed Commands, Teamwork, and Clinical Performance During Simulated Emergencies

Yekaterina Kim, Akiva A. Dym, Karen Yang, Daniel G. Fein, Maneesha Bangar, Hannah R.B. Ferenchick, Adam B. Keene, Deborah Orsi, Moses A. Washington, Lewis A. Eisen

Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Communication and teamwork are essential during inpatient emergencies such as cardiac arrest and rapid response (RR) codes. We investigated whether wearing numbered jerseys affect directed commands, teamwork, and performance during simulated codes. Eight teams of 6 residents participated in 64 simulations. Four teams were randomized to the experimental group wearing numbered jerseys, and four to the control group wearing work attire. The experimental group used more directed commands (49% vs. 31%, p <.001) and had higher teamwork score (25 vs. 18, p <.001) compared with control group. There was no difference in time to initiation of chest compression, bag-valve-mask ventilation, and correct medications. Time to defibrillation was longer in the experimental group (190 vs. 140 seconds, p =.035). Using numbered jerseys during simulations was associated with increased use of directed commands and better teamwork. Time to performance of clinical actions was similar except for longer time to defibrillation in the jersey group.

Original language	English (US)
Pages (from-to)	24-31
Number of pages	8
Journal	Journal for Healthcare Quality
Volume	43
Issue number	1
DOIs	https://doi.org/10.1097/JHQ.0000000000000264
State	Published - Jan 1 2021

Keywords

cardiac arrest code
directed command
rapid response
simulation
teamwork

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/JHQ.0000000000000264

Cite this

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abstract = "Communication and teamwork are essential during inpatient emergencies such as cardiac arrest and rapid response (RR) codes. We investigated whether wearing numbered jerseys affect directed commands, teamwork, and performance during simulated codes. Eight teams of 6 residents participated in 64 simulations. Four teams were randomized to the experimental group wearing numbered jerseys, and four to the control group wearing work attire. The experimental group used more directed commands (49% vs. 31%, p <.001) and had higher teamwork score (25 vs. 18, p <.001) compared with control group. There was no difference in time to initiation of chest compression, bag-valve-mask ventilation, and correct medications. Time to defibrillation was longer in the experimental group (190 vs. 140 seconds, p =.035). Using numbered jerseys during simulations was associated with increased use of directed commands and better teamwork. Time to performance of clinical actions was similar except for longer time to defibrillation in the jersey group. ",

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AU - Kim, Yekaterina

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AU - Fein, Daniel G.

AU - Bangar, Maneesha

AU - Ferenchick, Hannah R.B.

AU - Keene, Adam B.

AU - Orsi, Deborah

AU - Washington, Moses A.

AU - Eisen, Lewis A.

N1 - Publisher Copyright: © National Association for Healthcare Quality.

PY - 2021/1/1

Y1 - 2021/1/1

N2 - Communication and teamwork are essential during inpatient emergencies such as cardiac arrest and rapid response (RR) codes. We investigated whether wearing numbered jerseys affect directed commands, teamwork, and performance during simulated codes. Eight teams of 6 residents participated in 64 simulations. Four teams were randomized to the experimental group wearing numbered jerseys, and four to the control group wearing work attire. The experimental group used more directed commands (49% vs. 31%, p <.001) and had higher teamwork score (25 vs. 18, p <.001) compared with control group. There was no difference in time to initiation of chest compression, bag-valve-mask ventilation, and correct medications. Time to defibrillation was longer in the experimental group (190 vs. 140 seconds, p =.035). Using numbered jerseys during simulations was associated with increased use of directed commands and better teamwork. Time to performance of clinical actions was similar except for longer time to defibrillation in the jersey group.

AB - Communication and teamwork are essential during inpatient emergencies such as cardiac arrest and rapid response (RR) codes. We investigated whether wearing numbered jerseys affect directed commands, teamwork, and performance during simulated codes. Eight teams of 6 residents participated in 64 simulations. Four teams were randomized to the experimental group wearing numbered jerseys, and four to the control group wearing work attire. The experimental group used more directed commands (49% vs. 31%, p <.001) and had higher teamwork score (25 vs. 18, p <.001) compared with control group. There was no difference in time to initiation of chest compression, bag-valve-mask ventilation, and correct medications. Time to defibrillation was longer in the experimental group (190 vs. 140 seconds, p =.035). Using numbered jerseys during simulations was associated with increased use of directed commands and better teamwork. Time to performance of clinical actions was similar except for longer time to defibrillation in the jersey group.

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The Effect of Numbered Jerseys on Directed Commands, Teamwork, and Clinical Performance During Simulated Emergencies

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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