Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Choi KF (1), Ip MY (1), Lam WY (1), Law SP (1), Lee M (1), Ng MS (1), Yuen YP (1), Cheng SM (1)
Affiliation :
(1)The Department of Paediatrics, Prince of Wales Hospital
Introduction :
Resuscitation is a complex, time-critical and stressful task requiring effective teamwork. An analysis of all medical errors occurring in neonatal resuscitation revealed that the majority were due to ineffective teamwork and communication breakdown. The introduction of Crew Resource Management (CRM) in neonatal resuscitation aims to address cognitive and interpersonal behaviors that contribute to optimize the team dynamic and achieve better outcome in the resuscitation.
Objectives :
The objective of introducing CRM training in neonatal resuscitation as our strategies is to apply its concept to clinical settings and standardize the manner of communication between staff so as to promote patient safety during the resuscitation in our unit. Also, the goal is to enhance staff competency and confidence during neonatal resuscitation by strengthening their resuscitation skill and team dynamic.
Methodology :
Pre-intervention data was collected before the bedside training. Briefing sessions were organized for nurses to introduce about the concepts of CRM and how to apply in neonatal resuscitation. Simulation-based training and workshop were conducted afterwards. Post-intervention data collection was carried out to evaluate its effectiveness of the training.
Result & Outcome :
The nursing knowledge of CRM concept was relatively low (57%) before the training. After the briefing session, the staff's knowledge greatly improved, and they attained an average score of 100% in the post-education test. The overall satisfaction of the training was high (94%). During the simulation-based training, staff was able to apply the CRM concept in the neonatal resuscitation. A significant improvement in competence and self-confidence among staff also achieved. The bedside training and workshop were useful in improving confidence in applying CRM in neonatal resuscitation. The nursing staff presented positive attitude and provided impressive feedback regarding the training. The program successfully strengthened nursing knowledge of CRM and NRP concepts, also reinforced the team dynamic. Based on these positive outcomes, it is recommended to promote and sustain this program in our unit.
