Speaking up and sharing information improves trainee neonatal resuscitations

J Patient Saf. 2012 Dec;8(4):202-9. doi: 10.1097/PTS.0b013e3182699b4f.


Objectives: To identify teamwork behaviors associated with improving efficiency and quality of simulated resuscitation training.

Methods: Secondary analysis of a randomized controlled trial of trainees undergoing neonatal resuscitation training was performed. Trainees at a large academic center (n = 100) were randomized to receive standard curriculum (n = 36) versus supplemental team training curriculum (n = 62). A 2-hour team training session focused on communication skills, and team behaviors served as the intervention. Outcomes of interest included resuscitation duration, time required to complete a simulated newborn resuscitation, and performance score, determined by evaluation of each of the team's steps during simulated resuscitation scenarios.

Results: The teamwork behaviors assertion and sharing information were associated with shorter resuscitation duration and higher performance scores. Each additional use of assertion (per minute) was associated with a duration reduction of 41 s (95% confidence interval [CI], -71.5 to -10.2) and an increase in performance score of 1.6% (95% CI, 0.4-2.7). Each additional use of sharing information (per minute) was associated with a 14-second reduction in duration (95% CI, -30.4 to 2.9) and a 0.8% increase in performance score (95% CI, 0.05-1.5).

Conclusions: Teamwork behaviors of assertion and sharing information are 2 important mediators of efficiency and quality of resuscitations.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Academic Medical Centers / organization & administration*
  • Clinical Competence
  • Communication
  • Humans
  • Infant, Newborn
  • Inservice Training / organization & administration*
  • Internship and Residency
  • Interprofessional Relations
  • Patient Care Team / organization & administration*
  • Randomized Controlled Trials as Topic
  • Resuscitation / methods*