The effect of two cognitive aid designs on team functioning during intra-operative anaphylaxis emergencies: A multi-centre simulation study

Marshall, S.D., Sanderson, P., Mcintosh, C.A. and Kolawole, H. (2016) The effect of two cognitive aid designs on team functioning during intra-operative anaphylaxis emergencies: A multi-centre simulation study. Anaesthesia, 71 4: 389-404. doi:10.1111/anae.13332


Author Marshall, S.D.
Sanderson, P.
Mcintosh, C.A.
Kolawole, H.
Title The effect of two cognitive aid designs on team functioning during intra-operative anaphylaxis emergencies: A multi-centre simulation study
Journal name Anaesthesia   Check publisher's open access policy
ISSN 1365-2044
0003-2409
Publication date 2016-04
Sub-type Article (original research)
DOI 10.1111/anae.13332
Volume 71
Issue 4
Start page 389
End page 404
Total pages 16
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2017
Language eng
Formatted abstract
This multi-centre repeated measures study was undertaken to determine how contrasting designs of cognitive aids affect team performance during simulated intra-operative anaphylaxis crises. A total of 24 teams consisting of a consultant anaesthetist, an anaesthetic trainee and anaesthetic assistant managed three simulated intra-operative anaphylaxis emergencies. Each team was assigned at random to a counterbalanced order of: no cognitive aid; a linear cognitive aid; and a branched cognitive aid, and scored for team functioning. Scores were significantly higher with a linear compared with either a branched version of the cognitive aid or no cognitive aid for ‘Team Overall Behavioural Performance’, difference between study groups (F-value) 5.8, p = 0.01. Aggregate scores were higher with the linear compared with the branched aid design (p = 0.03). Cognitive aids improve co-ordination of the team's activities and support team members to verbalise their actions. A linear design of cognitive aid improves team functioning more than a branched design.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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