Evidence map›Paper›PMID 42067953›Full record

ArticleAdvances in simulation (London, England)2026

Impact of an augmented reality-based decision support system on teamwork, leadership, provider workload and cognitive load during simulated cardiac arrest - a simulation-based randomized controlled trial.

Adam Cheng, Sergio Manzano, Johan N Siebert, Alexandre De Masi, Jennifer Davidson, Kangsoo Kim, Frédéric Ehrler, Delphine S Courvoisier, Donovan Duncan, Ana Rajic and 4 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Advances in simulation (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06376643 (Evaluation of an Augmented Reality and Screen-based Decision Support System for Cardiopulmonary Arrest), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06376643 nacompletednot on this map

Evaluation of an Augmented Reality and Screen-based Decision Support System for Cardiopulmonary Arrest: a Multicenter, Randomized Clinical Trial

TypeinterventionalSponsorJohan Siebert, MDRan2025 to 2025Enrolled54ConditionsCardiopulmonary Arrest, Resuscitation, PediatricArmsAugmented reality supportive tool, Conventional method (AHA pocket reference card)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

14 authors.

Adam ChengDepartments of Pediatrics and Emergency Medicine, Cumming School of Medicine, KidSIM Simulation Program, Alberta Children's Hospital, University of Calgary, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada. chenger@me.com.
Sergio ManzanoDepartment of Pediatric Emergency Medicine, Geneva Children's Hospital, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Johan N SiebertDepartment of Pediatric Emergency Medicine, Geneva Children's Hospital, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Alexandre De MasiFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Jennifer DavidsonCumming School of Medicine, KidSIM Simulation Program, Alberta Children's Hospital, University of Calgary, Calgary, Canada.
Kangsoo KimDepartment of Electrical and Software Engineering, Schulich School of Engineering, University of Calgary, Calgary, Canada.
Frédéric EhrlerDivision of Computer Sciences, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Delphine S CourvoisierQuality of Care Division, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Donovan DuncanDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Ana RajicEducational Technologies and Learning Sciences (TECFA), Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Sharleen K OlankaEducational Technologies and Learning Sciences (TECFA), Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Ryan KangDepartment of Electrical and Software Engineering, Schulich School of Engineering, University of Calgary, Calgary, Canada.
Yiqun LinKidSIM Simulation Program, Alberta Children's Hospital, Calgary, Canada.
InterFACE-AR Clinical Investigators

Funding

Fondation privée des Hôpitaux universitaires de Genève RP07Swiss National Science Foundation 10.002.119
6 · The paper itself

Abstract

backgroundIn cardiac arrest management, cognitive aids provide prompts to encourage recall of critical information, which may improve clinical performance. Whether cognitive aids influence provider workload, cognitive load, teamwork dynamics, or leadership during cardiac arrest remains unknown. In this study, we evaluated the effect of using a multi-faceted decision support system with augmented reality-based cognitive aids (i.e. InterFACE-AR) vs. the American Heart Association (AHA) Pediatric Advanced Life Support (PALS) pocket card on provider workload and cognitive load, teamwork, and leadership during simulated pediatric cardiac arrest.

methodsWe conducted secondary analysis of data collected from a prospective, randomized controlled trial comparing the use of the InterFACE-AR system to the AHA PALS pocket card during simulated pediatric cardiac arrest. Participants were recruited in groups of 3 to perform the roles of team leader, medication nurse, and documenting nurse. All teams completed a 12-min simulated cardiac arrest scenario. Provider workload (NASA-RTLX) and cognitive load (Paas score) were captured from participants after the scenario. Teamwork (TEAM score) and leadership performance (CALM score) were assessed via video review.

resultsA total of 18 simulation sessions were analyzed (Control: n = 9; InterFACE-AR: n = 9), involving 54 participants in total. Team leaders using the InterFACE-AR system had lower RTLX (mean difference [MD]: -15.0; 95% confidence interval [CI]: -27.0 to -4.6, p = 0.022) and Paas score (MD: -2.4; 95%CI: -3.6 to -1.4, p < 0.001), while documenting nurses showed similar reductions (RTLX -13.7, 95%CI: -26.7 to -0.4, p = 0.049; Paas -1.6, 95%CI: -2.8 to -0.1, p = 0.046) compared with those using PALS pocket card. Medication nurses demonstrated no statistically significant differences in RTLX (p = 0.098) or Paas score (p = 0.194). Teams using the InterFACE-AR system achieved significantly higher TEAM scores compared to those using PALS pocket card only (39.2 vs 35.8, MD: 3.4, 95%CI: 0.8 - 5.9, p = 0.030). CALM scores did not differ significantly between groups.

conclusionUse of an AR-based decision support system during simulated pediatric cardiac arrest reduces workload and cognitive load for the team leader and documenting nurse, but does not affect workload or cognitive load of medication nurses. Use of the InterFACE-AR system seems to improve teamwork performance but does not influence leadership performance of team leaders.

trial registrationClinicalTrials.gov. Identifier: NCT06376643 .

Indexed as

Augmented realityCardiopulmonary resuscitationCognitive aidCognitive loadLeadershipTeamworkWorkload

Identifiers

PMID42067953
PMCPMC13281596

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Registered trials

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.