Cardiac arrest & resuscitation

Perceived cognitive load among emergency department code blue teams: distribution, correlates and relationship with team performance

ResuscitationPublished Cross-sectional study

Authors' conclusion

Perceived cognitive load was unevenly distributed within resuscitation teams, with highest levels among team leaders. Higher team leader cognitive load was associated with higher load among other team members and lower TEAM-assessed performance

Study context

Population
ED code blue (resuscitation) teams in authentic clinical cardiac arrest resuscitations58 resuscitations
Participants
228 participants
Outcome
Perceived cognitive load across team roles (Paas 9-point mental effort scale) and its association with team performance (TEAM)
Methodological detailsmulticentre, prospective data collection
  • Multicentre
  • Prospective data collection

Main finding

As reported in the abstract

Perceived cognitive load and team performance

β

1.12

95% CI 0.27–1.98P = 0.025

Team leader role · higher perceived cognitive load; multilevel analysis

β

0.53

95% CI 0.38–0.67P < 0.001

Team leaders' perceived cognitive load · association with team members' cognitive load

β

−0.80

95% CI −1.38 to −0.23P = 0.007

Team leaders' perceived cognitive load · association with Team Emergency Assessment Measure (TEAM)-assessed team performance

Team leaders

5.5

mean · SD 1.7

Observational data: associations, not effects.

Original publication

Perceived cognitive load among emergency department code blue teams: distribution, correlates and relationship with team performance. Resuscitation. Published 11 July 2026. doi:10.1016/j.resuscitation.2026.111206

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