title: Organisation of in-hospital cardiac arrest teams - a nationwide study.
abstract: BACKGROUND
  In-hospital cardiac arrests are treated by a team of health care providers. Improving team performance may increase survival. Currently, no international standards for cardiac arrest teams exist in terms of member composition and allocation of tasks.
  
  
  OBJECTIVE
  To describe the composition of in-hospital cardiac arrest teams and review pre-arrest allocation of tasks.
  
  
  METHODS
  A nationwide cross-sectional study was performed. Data on cardiac arrest teams and pre-arrest allocation of tasks were collected from protocols on resuscitation required for hospital accreditation in Denmark. Additional data were collected through telephone interviews and email correspondence. Psychiatric hospitals and hospitals serving outpatients only were excluded.
  
  
  RESULTS
  Data on the cardiac arrest team were available from 44 of 47 hospitals. The median team size was 5 (25th percentile; 75th percentile: 4; 6) members. Teams included a nurse anaesthetist (100%), a medical house officer (82%), an orderly (73%), an anaesthesiology house officer (64%) and a medical assistant (20%). Less likely to participate was a cardiology house officer (23%) or a cardiology specialist registrar (5%). Overall, a specialist registrar was represented on 20% of teams and 20% of cardiac arrest teams had a different team composition during nights and weekends. In total, 41% of teams did not define a team leader pre-arrest, and the majority of the teams did not define the tasks of the remaining team members.
  
  
  CONCLUSIONS
  In Denmark, there are major differences among cardiac arrest teams. This includes team size, profession of team members, medical specialty and seniority of the physicians. Nearly half of the hospitals do not define a cardiac arrest team leader and the majority do not define the tasks of the remaining team members.
authors.affiliation: Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Clinical Research Unit, Regional Hospital of Randers, Randers, Denmark; Department of Internal Medicine, Regional Hospital of Randers, Randers, Denmark.
authors.forename: Kasper Glerup
authors.initials: KG
authors.lastname: Lauridsen
authors.affiliation: Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Clinical Research Unit, Regional Hospital of Randers, Randers, Denmark; Department of Internal Medicine, Regional Hospital of Randers, Randers, Denmark.
authors.forename: Anders Sjørslev
authors.initials: AS
authors.lastname: Schmidt
authors.affiliation: Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Kasper
authors.initials: K
authors.lastname: Adelborg
authors.affiliation: Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Clinical Research Unit, Regional Hospital of Randers, Randers, Denmark; Department of Internal Medicine, Regional Hospital of Randers, Randers, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark. Electronic address: bl@clin.au.dk.
authors.forename: Bo
authors.initials: B
authors.lastname: Løfgren
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002985:Clinical Protocols; D003430:Cross-Sectional Studies; D003718:Denmark; D006323:Heart Arrest / Q000628:therapy*; D057209:Hospital Rapid Response Team / Q000458:organization & administration*; D006801:Humans
keywords: Cardiopulmonary resuscitation; Code team; Emergency care; Non-technical skills; Quality of medical care; Systems of care