PGY-3 Joseph M. Sanzari Children's Hospital Hackensack University Medical Center Caldwell, New Jersey, United States
Background: Rapid response teams (RRTs) and code teams are expected to respond to hospitalized acutely decompensating patients and cardiopulmonary arrests within a defined period of time. Mock training scenarios are used to educate and to evaluate resident performance in acute care situations that may require activation of a rapid response or code system. There is limited data regarding the effect of a defined response time on the performance of the activating team and therefore whether immediate care of these patients may be helped or hindered by knowledge of a time constraint. Objective: To explore the effect of time constraints on the performance of pediatric residents during mock scenarios that require activation of the rapid response or code team. Design/Methods: A single-center, prospective cohort study was performed to analyze pediatric resident performance during mock scenarios involving acute decompensation and/or cardiopulmonary arrest that would require activation of a RRT or code team. Each mock scenario was led by a pediatric intensivist to evaluate a resident’s ability to obtain information, perform interventions, and recognize the need to activate the pediatric RRT or code team. The independent variable was a time constraint implemented through stating the amount of time residents have to complete the scenario. The primary outcome measurement is the number of interventions performed by the pediatric residents in the mock scenarios. All scenarios were video recorded using Zoom and the data is collected through analysis of video recordings. Institutional Review Board approval was obtained in July 2022. Data collection will be complete in January 2024. The statistical analysis plan uses the Fisher's exact tests for comparison of the number of interventions performed between the group not given a defined time constraint and the group given a defined time constraint. Secondary analysis will include a t-test to compare the time to activation of the rapid response or code team in each group (with the time constraint vs. without).
