Saving Time Under Pressure: Effectiveness of Standardizing Pediatric Resuscitation Carts

Hospital Pediatrics
Erich MaulPhilip M Westgate

Abstract

Resuscitation situations are high risk and high stress, and delays in care can have significant influences on outcomes. Standardization of care protocols and equipment is postulated to decrease some of the stress and risk. The objective of this study was to document increased efficiency in finding resuscitation equipment in a standardized resuscitation cart. A new standardized resuscitation cart design was created, and a multimedia education program addressing the new design was launched. A goal was set to find required equipment in <15 seconds. Five cohorts of 10 nurses were timed at finding randomly chosen items 1, 12, 49, 152, and 351 days after new cart launch. t tests were used to compare estimated acquisition times of requested items using the new cart system to the old cart system (baseline), and a separate regression analysis was used to model skill degradation. All pairwise comparisons showed significant decreases in mean acquisition time compared with baseline. One day after launch, the mean time to find items was reduced by 46%. Mean time to find requested items was below the goal of 15 seconds 12, 49, and 152 days after launch. This effect was lost by 351 days from launch. Regression analysis predicted the time to f...Continue Reading

Citations

Apr 14, 2017·Current Opinion in Critical Care·Taylor McCormickPaul E Pepe
Mar 27, 2018·World Journal of Emergency Medicine·Gabrielle A JacquetJamil D Bayram
Apr 23, 2021·Revista da Escola de Enfermagem da U S P·Vanessa Fortes da SilvaAdriana Eich Kuhnen
Apr 22, 2021·Surgical Neurology International·Jesus Manuel Esteban GarciaRuben Martin Laez

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