Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2015
Does real-time objective feedback and competition improve performance and quality in manikin CPR training--a prospective observational study from several European EMS.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness and perceived value of feedback used in cardiac arrest simulation education: a mixed-method systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Feasibility of Self-Directed Learning of Cardiopulmonary Resuscitation Skills Using Interactive Video in SimZone 0: Pilot Randomized Educational Trial.JMIR formative research · 2026Trial
- Designing and implementing the first national CPR championship in Greece: the "KIDS SAVE LIVES - TA PAIDIA SOZOUN ZOES" experience.Resuscitation plus · 2026Article
- Performance Indicators in Emergency Medical Services: A Scoping Review of Dashboard Applications in the Context of Crisis Management.Archives of academic emergency medicine · 2026Review
- Driving innovation: When design collaboration becomes open source, how do reward mechanisms and in-process feedback act as catalysts.PloS one · 2025Article
- Methods of Using a Manual Defibrillator during Simultaneous Cardiac Arrest in Two Patients-Analysis of the Actions of Emergency Medical Response Teams during the Championships in Emergency Medicine.Journal of clinical medicine · 2024Article
- What Mistakes Can Be Made When Performing the Electrical Cardioversion Procedure?-Analysis of Emergency Medical Team Performance during the Championships in Emergency Medicine.Healthcare (Basel, Switzerland) · 2024Article
- Implementation of a Smart Teaching and Assessment System for High-Quality Cardiopulmonary Resuscitation.Diagnostics (Basel, Switzerland) · 2024Article
- Application of Technology in Cardiopulmonary Resuscitation, a Narrative Review.Journal of clinical medicine · 2023Review
- Comparison Between Self-Deliberate Practice and Directed Learning Training Methods for Basic Life Support Knowledge and High-Quality Cardiopulmonary Resuscitation Skill Retention in Second-Year Medical Students 3 and 6 Months After Training.Medical science educator · 2023Article
- Analysis of Emergency Medical Response Team Performance during the International Winter Championships in Emergency Medicine.Medicina (Kaunas, Lithuania) · 2022Article
- Does Real-time Feedback Guide Devices Improve the Quality of Chest Compressions in the Bystander (Naves) Provider?Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies have reported that the quality of cardiopulmonary resuscitation (CPR) is important for patient survival. Real time objective feedback during manikin training has been shown to improve CPR performance. Objective measurement could facilitate competition and help motivate participants to improve their CPR performance. The aims of this study were to investigate whether real time objective feedback on manikins helps improve CPR performance and whether competition between separate European Emergency Medical Services (EMS) and between participants at each EMS helps motivation to train.
methodsTen European EMS took part in the study and was carried out in two stages. At Stage 1, each EMS provided 20 pre-hospital professionals. A questionnaire was completed and standardised assessment scenarios were performed for adult and infant out of hospital cardiac arrest (OHCA). CPR performance was objectively measured and recorded but no feedback given. Between Stage 1 and 2, each EMS was given access to manikins for 6 months and instructed on how to use with objective real-time CPR feedback available. Stage 2 was undertaken and was a repeat of Stage 1 with a questionnaire with additional questions relating to usefulness of feedback and the competition nature of the study (using a 10 point Likert score). The EMS that improved the most from Stage 1 to Stage 2 was declared the winner. An independent samples Student t-test was used to analyse the objective CPR metrics with the significance level taken as p < 0.05.
resultsOverall mean Improvement of CPR performance from Stage 1 to Stage 2 was significant. The improvement was greater for the infant assessment. The participants thought the real-time feedback very useful (mean score of 8.5) and very easy to use (mean score of 8.2). Competition between EMS organisations recorded a mean score of 5.8 and competition between participants recorded a mean score of 6.0.
conclusionsThe results suggest that the use of real time objective feedback can significantly help improve CPR performance. Competition, especially between participants, appeared to encourage staff to practice and this study suggests that competition might have a useful role to help motivate staff to perform CPR training.
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