Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: A prospective randomised simulator-based trial

Background Cardiac arrests are handled by teams rather than by individual health-care workers. Recent investigations demonstrate that adherence to CPR guidelines can be less than optimal, that deviations from treatment algorithms are associated with lower survival rates, and that deficits in performance are associated with shortcomings in the process of team-building. The aim of this study was to explore and quantify the effects of ad-hoc team-building on the adherence to the algorithms of CPR among two types of physicians that play an important role as first responders during CPR: general practitioners and hospital physicians. Methods To unmask team-building this prospective randomised study compared the performance of preformed teams, i.e. teams that had undergone their process of team-building prior to the onset of a cardiac arrest, with that of teams that had to form ad-hoc during the cardiac arrest. 50 teams consisting of three general practitioners each and 50 teams consisting of three hospital physicians each, were randomised to two different versions of a simulated witnessed cardiac arrest: the arrest occurred either in the presence of only one physician while the remaining two physicians were summoned to help ("ad-hoc"), or it occurred in the presence of all three physicians ("preformed"). All scenarios were videotaped and performance was analysed post-hoc by two independent observers. Results Compared to preformed teams, ad-hoc forming teams had less hands-on time during the first 180 seconds of the arrest (93 ± 37 vs. 124 ± 33 sec, P < 0.0001), delayed their first defibrillation (67 ± 42 vs. 107 ± 46 sec, P < 0.0001), and made less leadership statements (15 ± 5 vs. 21 ± 6, P < 0.0001). Conclusion Hands-on time and time to defibrillation, two performance markers of CPR with a proven relevance for medical outcome, are negatively affected by shortcomings in the process of ad-hoc team-building and particularly deficits in leadership. Team-building has thus to be regarded as an additional task imposed on teams forming ad-hoc during CPR. All physicians should be aware that early structuring of the own team is a prerequisite for timely and effective execution of CPR.

Team Working and Profiling Handout

Exercise and Handout for use in conjunction with Lecture on team working and profiling. Refers to Belbin model of team development. If you have missed the class, you should work through the activity, ideally find some other students to work with. It consists of a number of parts in addition to a self-evaluation checklist 1) A personal reflection activity (for use as the class settles) 2) A brief group activity to use during the lecture 3) A follow up activity, to complete an evaluation online from the belbin website 4) A follow up activity to work through the videos which have been produced by the LearnHigher Project

ELEC1032 Team Working and Profiling

Powerpoint Slide set used to manage in class activity based introduction to team profiling from the Belbin perspective.

Teams and Team Roles

Find out about the ways that people contribute to teams, and the importance of the roles in teambuilding

Teamwork:metoder til effektivt samarbejde

Forfatteren beskriver vigtigheden af visioner og mål i teamwork og diskuterer begreber som kreativ problemløsning, teambuilding, assertiv kommunikation, teamstøtte og coaching. Bogen byder også på metoder til at fremme et teams effektivitet, det enkelte teammedlems psykiske trivsel og det sociale klima i teamet generelt, og den kommer med forslag til teknikker til at fremme kreativitet og konkrete strategier til konflikt- og problemløsning.

Teamwork:metoder til effektivt samarbejde

Forfatteren beskriver vigtigheden af visioner og mål i teamwork og diskuterer begreber som kreativ problemløsning, teambuilding, assertiv kommunikation, teamstøtte og coaching. Bogen byder også på metoder til at fremme et teams effektivitet, det enkelte teammedlems psykiske trivsel og det sociale klima i teamet generelt, og den kommer med forslag til teknikker til at fremme kreativitet og konkrete strategier til konflikt- og problemløsning.

Teamwork:metoder til effektivt samarbejde

Forfatteren beskriver vigtigheden af visioner og mål i teamwork og diskuterer begreber som kreativ problemløsning, teambuilding, assertiv kommunikation, teamstøtte og coaching. Bogen byder også på metoder til at fremme et teams effektivitet, det enkelte teammedlems psykiske trivsel og det sociale klima i teamet generelt, og den kommer med forslag til teknikker til at fremme kreativitet og konkrete strategier til konflikt- og problemløsning.