Evidence map›Paper›PMID 33683616›Full record

Trial reportCJEM2021

Does utilization of an intubation safety checklist reduce omissions during simulated resuscitation scenarios: a multi-center randomized controlled trial.

Chantal Forristal, Kaitlin Hayman, Norma Smith, Sameer Mal, Melanie Columbus, Nadia Farooki, Kristine Van Aarsen, Shelley McLeod, David Ouellette

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in CJEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors.

Chantal ForristalDivision of Emergency Medicine, Department of Medicine, Western University, London, ON, Canada.
Kaitlin Hayman *Department of Medicine, University of Toronto, Toronto, ON, Canada.
Norma SmithLondon InterCommunity Health Centre, London, ON, Canada.
Sameer MalDivision of Emergency Medicine, Department of Medicine, Western University, London, ON, Canada.
Melanie ColumbusDepartment of Emergency Medicine, London Health Sciences Centre, E1-125 Westminster Tower, 800 Commissioners Road East, London, ON, N6A 5W9, Canada.
Nadia FarookiDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Kristine Van AarsenDepartment of Emergency Medicine, London Health Sciences Centre, E1-125 Westminster Tower, 800 Commissioners Road East, London, ON, N6A 5W9, Canada. Kristine.VanAarsen@lhsc.on.ca.
Shelley McLeodDivision of Emergency Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
David OuelletteDivision of Emergency Medicine, Department of Medicine, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChecklists have been used to decrease adverse events associated with medical procedures. Simulation provides a safe setting in which to evaluate a new checklist. The objective of this study was to determine if the use of a novel peri-intubation checklist would decrease practitioners' rates of omission of tasks during simulated airway management scenarios.

methodsFifty-four emergency medicine (EM) practitioners from two academic centers were randomized to either their usual approach or use of our checklist, then completed three simulated airway management scenarios. A minimum of two assessors documented the number of tasks omitted and the time until definitive airway management. Discrepancies between assessors were resolved by single assessor video review. Participants also completed a post-simulation survey.

resultsThe average percentage of omitted tasks over three scenarios was 45.7% in the control group (n = 25) and 13.5% in the checklist group (n = 29)-an absolute difference of 32.2% (95% CI 27.8, 36.6%). Time to definitive airway management was longer in the checklist group in the first two of three scenarios (difference of 110.0 s, 95% CI 55.0 to 167.0; 83.0 s, 95% CI 35.0 to 128.0; and 36.0 s, 95% CI -18.0 to 98.0 respectively).

conclusionsIn this dual-center, randomized controlled trial, use of an airway checklist in a simulated setting significantly decreased the number of important airway tasks omitted by EM practitioners, but increased time to definitive airway management.

Indexed as

ChecklistResuscitationAirway ManagementHumansIntubation, IntratrachealAirwayChecklistSimulation

Identifiers

PMID33683616
PMCPMC7747776

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.