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Sepsis alerts work! Just not in the patients who fire the alerts

PulmCCM

A 2021 analysis of Epic’s sepsis model revealed atrocious false positive and negative rates. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021. 2021 Aug 1;181(8):1065-1070. 2021 Aug 1;181(8):1144.

Sepsis 45
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Tailored leadership training in emergency medicine: qualitative exploration of the impact of the EMLeaders programme on consultants and trainees in England

Emergency Medicine Journal

Background Emergency medicine (EM) consultants are expected to provide leadership to facilitate optimal clinical results, effective teamwork and learning. Methods Qualitative data collected from 2021 to 2022 were drawn from an online survey of RCEM members in England, which included four open questions about leadership training.

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Neonatal Resus for the Pre-Hospital Non-Neonatologist

Greater Sydney Area HEMS

Role allocation and teamwork will help to keep this under control – if you have enough team members, consider allocating a team member to read the algorithm and act as scribe, allocate another team member to draw up drugs, and consider calling for clinical support from the DRC. ReferencesKariuki, E. BJA Education. 21 : 12, 470-485.

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Learning about human factors in the emergency department

Don't Forget the Bubbles

A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Challenging hierarchy in healthcare teams – ways to flatten gradients to improve teamwork and patient care. 2021; 164: 70-78. StatPearls Publishing, Treasure Island (FL) ; 2021.

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A Simplified Approach to Managing the Difficult Airway in Children

Don't Forget the Bubbles

This mitigates many of the psychological barriers and facilitates better teamwork. The Vortex: striving for simplicity, context independence and teamwork in an airway cognitive tool. doi:10.1136/archdischild-2021-322520 Kennedy CC, Cannon EK, Warner DO, Cook DA. What is the next step in a CICO event? Don’t Forget the Bubbles.

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Culture of safety in an adult and paediatric emergency department before and after the COVID-19 pandemic

Emergency Medicine Journal

The survey was repeated in 2021 after the first wave of the COVID-19 pandemic. The 2021 questionnaire was completed by 79 AED workers and 50 PED workers. In both services, the dimension that was most favourably assessed was ‘Teamwork in the Service’ while ‘Provision of Staff’ was least favourably assessed.

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AI May Allow Physicians To Regain Their Humanity

ACEP Now

Her use of teaming as a verb aptly captures the fast-paced, flexible nature of teamwork in the ED. Teamwork on the fly. link] Published September 16, 2021. 1,2 As Edmondson described, ED teams disband almost as quickly as they are assembled. Life (Basel). 2020;10(12):327. Edmondson AC. Harvard Business Review. Net Health.