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The study sought consensus on communication elements and evaluated feasibility and efficacy through a modified Delphi process and a randomized pilot in 16 simulated CPR scenarios comparing standardised communication with closed-loop communication. Outcomes included audiovisual assessment of pause duration and measures of mental demand and frustration via NASA task load index.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/simulation-and-education-standardising-communication-to-improve-in-hospital-cardiopulmonary-resuscitation/373324/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/simulation-and-education-standardising-communication-to-improve-in-hospital-cardiopulmonary-resuscitation/373324.png","ImageObject",300,407,{"name":92,"@type":93},"Ezra","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-24","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the main goal of the study?","Question",{"text":113,"@type":114},"To establish consensus on standardised communication elements and test their feasibility and effectiveness in reducing chest compression pauses during in-hospital CPR events.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were the standardised communication elements developed?",{"text":118,"@type":114},"Through a modified Delphi consensus process, then pilot tested in simulated CPR scenarios with different team roles.",{"name":120,"@type":111,"acceptedAnswer":121},"Did standardised communication improve performance compared with closed-loop communication?",{"text":122,"@type":114},"Yes. It was associated with shorter peri-shock pauses for defibrillation, intubation pauses, and rhythm-check pauses, without increasing frustration index or mental demand.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},373324,1790269551,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Available online [at](at www.sciencedirect.com)[ www.sciencedirect.com](at www.sciencedirect.com)  \nResuscitation  \njournal [homepage:](homepage: www. elsevier. com/locate/resuscitation)[ www. elsevier. com/locate/resuscitation](homepage: www. elsevier. com/locate/resuscitation)  \nSimulation and education  \nStandardising communication to improve in-hospital cardiopulmonary resuscitation  \nKasper Glerup Lauridsena, b, c, d, *, Ichiro Watanabe c, Bo Løfgrena, b, e, Adam Chengf, Jordan Duval-Arnould g, Elizabeth A. Hunt g, h, i, Grace L. Good c, Dana Nilesd, Robert A. Berg d, Akira Nishisakic, d, Vinay M. Nadkarnic, d  \na Research Center for Emergency Medicine, Aarhus University Hospital, Denmark  \nb Department of Internal Medicine, Randers Regional Hospital, Denmark  \nc Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia, USA d Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, USA e Department of Cardiology, Aarhus University Hospital, USA  \nf Department of Pediatrics, Cumming School of Medicine, University of Calgary  \ng Simulation Center, Johns Hopkins Medicine, Johns Hopkins University Hospital, USA  \nh Division of Health Informatics, Johns Hopkins University Hospital, Johns Hopkins Pediatric Hospital, USA i Department of Pediatrics, Johns Hopkins University School of Medicine  \nAbstract  \nAim: Recommendations for standardised communication to reduce chest compression (CC) pauses are lacking. We aimed to achieve consensus and evaluate feasibility and efficacy using standardised communication during cardiopulmonary resuscitation (CPR) events.  \nMethods: Modified Delphi consensus process to design standardised communication elements. Feasibility was pilot tested in 16 simulated CPR scenarios (8 scenarios with physician team leaders and 8 with chest compressors) randomized (1:1) to standardised [INTERVENTION] vs. closed-loop communication [CONTROL]. Adherence and efficacy (duration of CC pauses for defibrillation, intubation, rhythm check) was assessed by audiovisual recording. Mental demand and frustration were assessed by NASA task load index subscales.  \nResults: Consensus elements for standardised communication included: 1) team preparation 15􀀁30 s before CC interruption, 2) pre-interruption countdown synchronized with last 5 CCs, 3) specific action words for defibrillation, intubation, and interrupting/resuming CCs. Median (Q1,Q3) adherence to standardised phrases was 98%(80%,100%) . Efficacy analysis showed a median [Q1,Q3] peri-shock pause of 5.1 s. [4.4; 5.8] vs. 7.5 s.[6.3; 8.8] seconds, p \u003C0.001, intubation pause of 3.8 s. [3.6; 5.0] vs. 6.9 s. [4.8; 10.1] seconds, p = 0.03, rhythm check pause of 4.2 [3.2,5.7] vs. 8.6 [5 .0,10 .5]seconds, p \u003C0 .001, median frustration indexof10/100[5,20]vs. 35/100[25,50], p \u003C0 .001, and median mental demand load of55/100[30,70] vs. 65/100 [50,85], p = 0.41 for standardised vs. closed loop communication.  \nConclusion: This pilot study demonstrated feasibility of using consensus-based standardised communication that was associated with shorter CC pauses for defibrillation, intubation, and rhythm checks without increasing frustration index or mental demand compared to current best practice, closed loop communication.  \nKeywords: In-hospital cardiac arrest, Advanced life support, Nontechnical skills, Communication, Delphi technique, Simulation  \n* Corresponding author at: Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, 19104 Philadelphia, PA, USA.  \nE-mail addresses: [lauridsekg@email.chop.edu](lauridsekg@email.chop.edu), [kglerup@clin.au.dk](kglerup@clin.au.dk) (K.G. Lauridsen).  \n[https://doi.org/10.1016/j.resuscitation.2019.12.013](https://doi.org/10.1016/j.resuscitation.2019.12.013)  \nReceived 12 September 2019; Received in revised form 12 December 2019; Accepted 19 December 2019 0300-9572/© 2019 Published by Elsevier B.V.  \nIntrodu","cbCaidV5WlmeIHbn","https://ap.wps.com/l/cbCaidV5WlmeIHbn","pdf",1011872,"English","# Abstract\n## Aim\n## Methods\n## Results\n## Conclusion\n# Introduction","[{\"question\":\"What was the main goal of the study?\",\"answer\":\"To establish consensus on standardised communication elements and test their feasibility and effectiveness in reducing chest compression pauses during in-hospital CPR events.\"},{\"question\":\"How were the standardised communication elements developed?\",\"answer\":\"Through a modified Delphi consensus process, then pilot tested in simulated CPR scenarios with different team roles.\"},{\"question\":\"Did standardised communication improve performance compared with closed-loop communication?\",\"answer\":\"Yes. It was associated with shorter peri-shock pauses for defibrillation, intubation pauses, and rhythm-check pauses, without increasing frustration index or mental demand.\"}]","Simulation and education - Standardising communication to improve in-hospital cardiopulmonary resuscitation | PDF",1790199079]