Dispatcher-assisted cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest: A structured evaluation of communication issues using the SACCIA® safe communication typology.
- Pek JH Acute Care Clinic, Department of Medicine, Sengkang Health, 110 Sengkang East Way, Singapore 544886, Singapore. Electronic address: pek.jen.heng@singhealth.com.sg.
- de Korne DF Medical Innovation & Care Transformation, KK Women's & Children's Hospital, 100 Bukit Timah Road, 229899, Singapore; Health Services & Systems Research, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore; Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands. Electronic address: dirk.de.korne@kkh.com.sg.
- Hannawa AF Centre for Advancement of Healthcare Quality and Patient Safety, Faculty of Communication Sciences, Universita della Svizzera italiana, Via Buffi 13, 6900 Lugano, Switzerland. Electronic address: annegret.hannawa@usi.ch.
- Leong BSH Emergency Medicine Department, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. Electronic address: Benjamin_sh_leong@nuhs.edu.sg.
- Ng YY Emergency Department, Tan Tock Seng Hospital, 11 Jln Tan Tock Seng, Singapore 308433, Singapore. Electronic address: yih_yng_ng@ttsh.com.sg.
- Arulanandam S Medical Department, Singapore Civil Defence Force, 91 Ubi Avenue 4, Singapore 408827, Singapore. Electronic address: shalini_arulanandam@scdf.gov.sg.
- Tham LP Department of Emergency Medicine, KK Women's & Children's Hospital, 100 Bukit Timah Road, Singapore. Electronic address: tham.lai.peng@singhealth.com.sg.
- Ong MEH Department of Emergency Medicine, Singapore General Hospital, 1 Hospital Drive, 169608 Singapore; Health Services & Systems Research, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore. Electronic address: Marcus.ong.e.h@singhealth.com.sg.
- Ong GY Department of Emergency Medicine, KK Women's & Children's Hospital, 100 Bukit Timah Road, 229899 Singapore. Electronic address: gene.ong.y.k@singhealth.com.sg.
- 2019-04-19
Published in:
- Resuscitation. - 2019
Cardiac arrest
Cardiopulmonary resuscitation
Communication
Dispatcher-assisted
Paediatric
SACCIA
Safety
Adolescent
Cardiopulmonary Resuscitation
Child
Emergency Medical Service Communication Systems
Female
Humans
Male
Out-of-Hospital Cardiac Arrest
Program Evaluation
Registries
Retrospective Studies
Singapore
English
AIM
To evaluate communication issues during dispatcher-assisted cardiopulmonary resuscitation (DACPR) for paediatric out-of-hospital cardiac arrest in a structured manner to facilitate recommendations for training improvement.
METHODS
A retrospective observational study evaluated DACPR communication issues using the SACCIA® Safe Communication typology (Sufficiency, Accuracy, Clarity, Contextualization, Interpersonal Adaptation). Telephone recordings of 31 cases were transcribed verbatim and analysed with respect to encoding, decoding and transactional communication issues.
RESULTS
Sixty SACCIA communication issues were observed in the 31 cases, averaging 1.9 issues per case. A majority of the issues were related to sufficiency (35%) and accuracy (35%) of communication between dispatcher and caller. Situation specific guideline application was observed in CPR practice, (co)counting and methods of compressions.
CONCLUSION
This structured evaluation identified specific issues in paediatric DACPR communication. Our training recommendations focus on situation and language specific guideline application and moving beyond verbal communication by utilizing the smart phone's functions. Prospective efforts are necessary to follow-up its translation into better paediatric DACPR outcomes.
To evaluate communication issues during dispatcher-assisted cardiopulmonary resuscitation (DACPR) for paediatric out-of-hospital cardiac arrest in a structured manner to facilitate recommendations for training improvement.
METHODS
A retrospective observational study evaluated DACPR communication issues using the SACCIA® Safe Communication typology (Sufficiency, Accuracy, Clarity, Contextualization, Interpersonal Adaptation). Telephone recordings of 31 cases were transcribed verbatim and analysed with respect to encoding, decoding and transactional communication issues.
RESULTS
Sixty SACCIA communication issues were observed in the 31 cases, averaging 1.9 issues per case. A majority of the issues were related to sufficiency (35%) and accuracy (35%) of communication between dispatcher and caller. Situation specific guideline application was observed in CPR practice, (co)counting and methods of compressions.
CONCLUSION
This structured evaluation identified specific issues in paediatric DACPR communication. Our training recommendations focus on situation and language specific guideline application and moving beyond verbal communication by utilizing the smart phone's functions. Prospective efforts are necessary to follow-up its translation into better paediatric DACPR outcomes.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1016/j.resuscitation.2019.04.009
- PMID 30999084
- Persistent URL
- https://sonar.ch/global/documents/279118
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