Naslov
Psychological and non-technical aspects of resuscitation or how I learned to stop worrying and love the communication

Autori
Delalić, Điđi ; Prkačin, Ingrid

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, pp prezentacija, stručni

Skup
4th South East European Emergency and Disaster Medicine Congress

Mjesto i datum
Tirana, Albanija, 26.05.2023. - 28.05.2023

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
Communication ; Human Factors ; Resuscitation

Sažetak
Aim: The aim of this paper is to present and discuss the psychological aspects of resuscitation, primarily interpersonal communication, decision making, processing stress and optimizing team performance and introduce novel performance-enhancing concepts such as mental practice and the zero point survey. Methods and materials: A literature search was performed using the MEDLINE, Scopus, Web of Science and Google Scholar databases. Articles from both the medical and clinical psychology journals were included. Besides the articles, books written by experts in decision- making from the field of clinical psychology were also analyzed and referenced where appropriate. Results Using mental practice (a training method based on vividly imagining performing a procedure step-by- step or managing a demanding clinical scenario) with an adequate level of mental imagery was shown to significantly improve technical skills in surgeons and team-based skills during resuscitation in emergency physicians. The use of standardized checklists during procedures and management of certain clinical scenarios has been shown as beneficial, improving physician adherence to evidence-based practice, reducing the incidence of adverse events and, in some studies, mortality rates. Implementation of the “sterile cockpit” concept (minimizing distractions and refraining from communication unrelated to the procedure being performed) reduced the rate of medication errors by 40% in one study and the rate of communication errors during cardiac surgery by 37% in another. Using standardized communication and pre-briefing reduced the times to initiation of critical interventions such as positive pressure ventilation and chest compressions in simulated neonatal resusciation. Conclusion While often neglected in formal training, non- technical aspects of resuscitation such as interpersonal communication, the presence of distractions, pre- briefing, having shared mental models etc are shown to improve outcomes and positively affect team performance during resuscitation. More attention should be paid to learning, understanding and improving cognitive models and processes underlying efficient communication and decision making in reanimatology.

Izvorni jezik
Engleski

Znanstvena područja
Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

POVEZANOST RADA