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Paeds Casesprofessional-practice-and-evidence

Paeds Cases · professional-practice-and-evidence

Leading a paediatric resuscitation team — OSCE

OSCE on leading a paediatric resuscitation team and defending how you build a high-performing interprofessional team: role allocation, closed-loop communication, shared mental model, psychological safety, TeamSTEPPS and SBAR, structured handover, conflict and the evidence for team training.

osce team leadership communication4 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
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Study tools

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A four-year-old arrests on the ward at three in the morning; the senior registrar arrives first to two nurses, a resident and a pharmacist at the bed space with the parents watching; the registrar must take the team leader role, allocate roles, run the resuscitation, then defend to the examiner how they would build a team that performs when they are not there.

Station brief (8–10 minutes)

A four-year-old arrests on the paediatric ward at three in the morning. You arrive first as the senior registrar. Two nurses, a resident and a pharmacist are at the bed space, and the parents are watching from the doorway. The examiner will ask you to take the team leader role and describe, step by step, how you would run this resuscitation — and then how you would build a team that performs this well when you are not standing in it. You will be questioned on role allocation, closed-loop communication, the shared mental model, psychological safety and speak-up, the TeamSTEPPS toolkit, structured handover, and the evidence for team training. Do not invent local staffing ratios or mandated policy numbers. [4] [11]

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References7ShowHide
  1. [2]Leonard M, Graham S, Bonacum D The human factor: the critical importance of effective teamwork and communication in providing safe care. Quality & safety in health care, 2004.PMID 15465961
  2. [3]Salas E, DiazGranados D, Klein C, Burke CS Does team training improve team performance? A meta-analysis. Human factors, 2008.PMID 19292013
  3. [4]Manser T Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta anaesthesiologica Scandinavica, 2009.PMID 19032571
  4. [5]Zwarenstein M, Goldman J, Reeves S Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. The Cochrane database of systematic reviews, 2009.PMID 19588316
  5. [11]Cheng A, Donoghue A, Gilfoyle E, Eppich W Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatric critical care medicine, 2012.PMID 21499181
  6. [13]Starmer AJ, Spector ND, Srivastava R, West DC Changes in medical errors after implementation of a handoff program. The New England journal of medicine, 2014.PMID 25372088
  7. [14]Al-Sawai A Leadership of healthcare professionals: where do we stand? Oman medical journal, 2013.PMID 23904925
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