title: So you want to conduct a randomised trial? Learnings from a 'failed' feasibility study of a Crisis Resource Management prompt during simulated paediatric resuscitation.
abstract: BACKGROUND
  No study has tested a Crisis Resource Management prompt on resuscitation performance.
  
  
  METHODS
  We conducted a feasibility, unblinded, parallel-group, randomised controlled trial at one Australian paediatric hospital (June-September 2014). Eligible participants were any doctor, nurse, or nurse manager who would normally be involved in a Medical Emergency Team simulation. The unit of block randomisation was one of six scenarios (3 control:3 intervention) with or without a verbal prompt. The primary outcomes tested the feasibility and utility of the intervention and data collection tools. The secondary outcomes measured resuscitation quality and team performance.
  
  
  RESULTS
  Data were analysed from six resuscitation scenarios (n=49 participants); three control groups (n=25) and three intervention groups (n=24). The ability to measure all data items on the data collection tools was hindered by problems with the recording devices both in the mannequins and the video camera.
  
  
  CONCLUSIONS
  For a pilot study, greater training for the prompt role and pre-briefing participants about assessment of their cardio-pulmonary resuscitation quality should be undertaken. Data could be analysed in real time with independent video analysis to validate findings. Two cameras would strengthen reliability of the methods.
authors.affiliation: Midwifery Research Unit, Mater Research Institute and University of Queensland, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia; Paediatric Intensive Care Unit, Mater Children's Hospital, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia; School of Nursing, Midwifery and Paramedicine, Australian Catholic University, PO Box 456, Virginia, Queensland 4101, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Teis
authors.affiliation: Midwifery Research Unit, Mater Research Institute and University of Queensland, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia; School of Nursing, Midwifery and Social Work, Level 3, Chamberlain Building (35), University of Queensland, St Lucia, Queensland 4165, Australia. Electronic address: jyai.allen@mater.uq.edu.au.
authors.forename: Jyai
authors.initials: J
authors.lastname: Allen
authors.affiliation: School of Nursing, Midwifery and Social Work, Level 3, Chamberlain Building (35), University of Queensland, St Lucia, Queensland 4165, Australia.
authors.forename: Nigel
authors.initials: N
authors.lastname: Lee
authors.affiliation: Midwifery Research Unit, Mater Research Institute and University of Queensland, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia; School of Nursing, Midwifery and Social Work, Level 3, Chamberlain Building (35), University of Queensland, St Lucia, Queensland 4165, Australia; Mothers, Babies and Women's Health, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia.
authors.forename: Sue
authors.initials: S
authors.lastname: Kildea
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards; D002648:Child; D056902:Clinical Alarms; D003625:Data Collection; D005240:Feasibility Studies; D006776:Hospitals, Pediatric; D006801:Humans; D010348:Patient Care Team; D016032:Randomized Controlled Trials as Topic / Q000379:methods*
keywords: Cardiopulmonary resuscitation; Crisis resource management; Feasibility study; Healthcare; Paediatrics; Randomised controlled trial; Simulation training