Evidence map›Paper›PMID 32794144›Full record

ArticleNeurocritical care2020

Crisis Resource Management and High-Performing Teams in Hyperacute Stroke Care.

Phavalan Rajendram, Lowyl Notario, Cliff Reid, Charles R Wira, Jose I Suarez, Scott D Weingart, Houman Khosravani

Open access · bronzeAbstract readEditorial
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurocritical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Team debriefs during the COVID-19 pandemic in long-term care homes: Essential elements.Canadian family physician Medecin de famille canadien · 2021
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Phavalan Rajendram *Brain Resuscitation Lab, Neurology Quality and Innovation Laboratory (NQIL), Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Room H335 - 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Lowyl Notario *Department of Emergency Services, Sunnybrook Health Sciences Centre, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Cliff Reid *Department of Emergency Medicine, Northern Beaches Hospital, Frenchs Forest, Sydney, Australia.
Charles R Wira *Department of Emergency Medicine and Acute Stroke Service, Yale School of Medicine, New Haven, USA.
Jose I Suarez *Division of Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, USA.
Scott D Weingart *Division of Emergency Critical Care, Stony Brook Medicine, Stony Brook, USA.
Houman KhosravaniBrain Resuscitation Lab, Neurology Quality and Innovation Laboratory (NQIL), Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Room H335 - 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada. houman@stroke.dev.ORCID http://orcid.org/0000-0002-4059-9420
Sunnybrook Health Science Centre · CAJohns Hopkins University · USStony Brook Medicine · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

background and purposeManagement of stroke patients in the acute setting is a high-stakes task with several challenges including the need for rapid assessment and treatment, maintenance of high-performing team dynamics, management of cognitive load affecting providers, and factors impacting team communication. Crisis resource management (CRM) provides a framework to tackle these challenges and is well established in other resuscitative disciplines. The current Coronavirus Disease 2019 (COVID-19) pandemic has exposed a potential quality gap in emergency preparedness and the ability to adapt to emergency scenarios in real time.

methodsAvailable resources in the literature in other disciplines and expert consensus were used to identify key elements of CRM as they apply to acute stroke management.

resultsWe outline essential ingredients of CRM as a means to mitigate nontechnical challenges providers face during acute stroke care. These strategies include situational awareness, triage and prioritization, mitigation of cognitive load, team member role clarity, communication, and debriefing. Incorporation of CRM along with simulation is an established tool in other resuscitative disciplines and can be incorporated into acute stroke care.

conclusionsAs stroke care processes evolve during these trying times, the importance of consistent, safe, and efficacious care facilitated by CRM principles offers a unique avenue to alleviate human factors and support high-performing teams.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Health ResourcesHumansPandemicsPneumonia, ViralSARS-CoV-2StrokeCritical carePandemicsPatient care teamStroke

Identifiers

PMID32794144
PMCPMC7426067
OpenAlexW3049547800

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.