Safety, quality & education

Influence of airway trolley organization on efficiency and team performance: A randomized, crossover simulation study

Acta Anaesthesiol ScandPublished Randomised crossover simulation study

Authors' conclusion

Algorithm-based DATs with integrated cognitive aids may improve efficiency in difficult airway situations, compared to traditional DATs.

Study context

Population
Teams (anesthetist, nurse anesthetist, assistant nurse) in simulated unanticipated difficult airway scenarios
Participants
16 teams
Comparison
Algorithm-based DAT vs Standard DAT
Primary endpoint
Efficiency and team performance in difficult airway scenarios
Methodological detailsrandomised order, high-fidelity simulation
  • Randomised order
  • High-fidelity simulation

Primary result

As reported in the abstract

Efficiency and team performance
Fewer departures from the difficult airway algorithm with algorithm-based DAT
p = .010
Fewer unnecessary drawer openings with algorithm-based DAT
p = .002

Further findings

Subjective user ratings

Strong preference for algorithm-based DAT (all user-rated measures)
P < 0.0001

Team gender composition

Higher percentage of female team members improved adherence to the difficult airway algorithm
P = 0.043

Original publication

Influence of airway trolley organization on efficiency and team performance: A randomized, crossover simulation study. Acta Anaesthesiol Scand. Published 17 October 2022. doi:10.1111/aas.14155

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