title: The cognitive aids in medicine assessment tool (CMAT) applied to five neonatal resuscitation algorithms.
abstract: The International Liaison Committee on Resuscitation (ILCOR) provides recommendations on neonatal resuscitation training and practice, which includes a template for a decision-making algorithm. We evaluated the design properties of the ILCOR algorithm and four adaptations by member resuscitation organizations using the validated Cognitive Aids in Medicine Assessment Tool (CMAT).
  
  
  
  Two experts rated five neonatal resuscitation algorithms against the CMAT and against medical device design criteria.
  
  
  
  The ILCOR algorithm scored 32 of a possible 60 CMAT points, showing an adherence rate to CMAT of 53%. The ILCOR algorithm scored higher than the design variations by member organizations. Nonetheless, there are design limitations in the ILCOR algorithm.
  
  
  
  In principle, cognitive aids can improve neonatal resuscitation team performance; however, a considered design process that incorporates the full complexity of the 'procedure as performed' is needed to improve future versions of the algorithm for incorporation in international guidelines.
authors.affiliation: School of Psychology, The University of Queensland, Brisbane, QLD, Australia.
authors.forename: M L
authors.initials: ML
authors.lastname: McLanders
authors.affiliation: Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, VIC, Australia.
authors.forename: S D
authors.initials: SD
authors.lastname: Marshall
authors.affiliation: School of Psychology, The University of Queensland, Brisbane, QLD, Australia.|School of Information Technology and Electrical Engineering (ITEE), The University of Queensland, Brisbane, QLD, Australia.|School of Medicine, The University of Queensland, Brisbane, QLD, Australia.
authors.forename: P M
authors.initials: PM
authors.lastname: Sanderson
authors.affiliation: School of Medicine, The University of Queensland, Brisbane, QLD, Australia.|Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
authors.forename: H G
authors.initials: HG
authors.lastname: Liley
mesh_terms: D000465:Algorithms; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000592:standards*; D003071:Cognition; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007231:Infant, Newborn; D009359:Neonatology / Q000193:education / Q000592:standards*; D017410:Practice Guidelines as Topic