TY - JOUR
T1 - Dispatcher-assisted cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest
T2 - A structured evaluation of communication issues using the SACCIA ® safe communication typology
AU - Pek, Jen Heng
AU - de Korne, Dirk Frans
AU - Hannawa, Annegret Friederike
AU - Leong, Benjamin Siew Hong
AU - Ng, Yih Yng
AU - Arulanandam, Shalini
AU - Tham, Lai Peng
AU - Ong, Marcus Eng Hock
AU - Ong, Gene Yong Kwang
N1 - Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85064637091&partnerID=8YFLogxK
U2 - 10.1016/j.resuscitation.2019.04.009,
DO - 10.1016/j.resuscitation.2019.04.009,
M3 - Article
C2 - 30999084
SN - 0300-9572
VL - 139
SP - 144
EP - 151
JO - Resuscitation
JF - Resuscitation
ER -