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Comparing the utility of a novel neonatal resuscitation cart with a generic code cart using simulation: a randomised, controlled, crossover trial
  1. Ritu Chitkara1,
  2. Anand K Rajani1,
  3. Henry C Lee2,
  4. Sara F Snyder Hansen1,
  5. Louis P Halamek1
  1. 1Department of Pediatrics, Division of Neonatology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, California, USA
  2. 2Department of Pediatrics, Division of Neonatology, University of California San Francisco, San Francisco,  California, USA
  1. Correspondence to Dr Ritu Chitkara, Department of Pediatrics, Division of Neonatology, Lucile Packard Children's Hospital, Stanford University, 750 Welch Road, Suite 315, Palo Alto, CA 94304, USA; ritu79{at}gmail.com

Abstract

Objective To compare a novel neonatal resuscitation cart (NRC) to a generic code cart (GCC).

Study design A prospective, randomised, controlled, crossover trial was performed to compare the utility of the NRC with the GCC during simulated deliveries of extremely low birthweight infants and infants with gastroschisis. Fifteen subjects participated. Mean times and accuracy of equipment and supply retrieval were compared for each scenario using the Wilcoxon test.

Results Mean acquisition times for the NRC were always faster (by 58% to 74%) regardless of scenario (p<0.01). Accuracy of equipment selection did not differ. Ease of use was judged using a Likert scale (1=easiest to use; 5=most difficult), with mean score for NRC 1.1 and GCC 3.7 (p<0.0001). All subjects rated the NRC as easier to use.

Conclusions The NRC was superior to the GCC in acquisition speed, supply selection and ease of use.

  • Communication
  • Crew resource management
  • Critical care
  • Healthcare quality improvement
  • Human error

https://doi.org/10.1136/bmjqs-2012-001336

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