Pediatrics
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Randomized Controlled Trial Comparative Study
Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.
Poor communication and teamwork may contribute to errors during neonatal resuscitation. Our objective was to evaluate whether interns who received a 2-hour teamwork training intervention with the Neonatal Resuscitation Program (NRP) demonstrated more teamwork and higher quality resuscitations than control subjects. ⋯ Trained participants exhibited more frequent teamwork behaviors (especially the HFT group) and better workload management and completed the resuscitation more quickly than did control subjects. The impact on team behaviors persisted for at least 6 months. Incorporating team training into the NRP curriculum is a feasible and effective way to teach interns teamwork skills. It also improves simulated resuscitation quality by shortening the duration.
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Randomized Controlled Trial Comparative Study
Interpreters: telephonic, in-person interpretation and bilingual providers.
Language barriers affect health care interactions. Large, randomized studies of the relative efficacy of interpreter modalities have not been conducted. ⋯ Both telephonic and in-person interpretation resulted in similar concordance in understanding of discharge diagnosis compared with bilingual providers. In general, noninferiority was also seen on qualitative measures, although there was a trend favoring telephonic over in-person interpretation.