Situation Awareness in Neonatal Resuscitation Requires Intentional System Design.
We describe the necessity and application of situation awareness (SA) in the context of neonatal resuscitation. Neonatal resuscitation is a time-constrained, high-pressure situation requiring efficient team decision making. In these moments, health care professionals benefit from team SA, coming together to synthesize real-time information through a shared mental model, predicting potential outcomes and adjusting clinical course for the best possible outcome.
Leveraging literature on situation awareness from human factors science as our foundational theory and comparing to clinical and operational observations of neonatal resuscitation, we evaluate barriers to SA in this context. We further examine previous studies on effective standards, simulation-based trainings, and debriefings in the context of neonatal resuscitation.
We identify significant challenges to effective team SA in the current healthcare system, from out-of-sync health information systems to shifting neonatal resuscitation team roles to complex patients requiring immediate intervention. Improving neonatal resuscitation requires rethinking hospital systems to support pathways to complete team situation awareness, including investments in real-time data on accessible in-delivery room monitors, predictive algorithms and decision support, simulation-based training with video debriefings, and standardized protocols.
Increasing supportive systems for situation awareness for neonatal resuscitation could improve safety and effectiveness in the delivery room.
Leveraging literature on situation awareness from human factors science as our foundational theory and comparing to clinical and operational observations of neonatal resuscitation, we evaluate barriers to SA in this context. We further examine previous studies on effective standards, simulation-based trainings, and debriefings in the context of neonatal resuscitation.
We identify significant challenges to effective team SA in the current healthcare system, from out-of-sync health information systems to shifting neonatal resuscitation team roles to complex patients requiring immediate intervention. Improving neonatal resuscitation requires rethinking hospital systems to support pathways to complete team situation awareness, including investments in real-time data on accessible in-delivery room monitors, predictive algorithms and decision support, simulation-based training with video debriefings, and standardized protocols.
Increasing supportive systems for situation awareness for neonatal resuscitation could improve safety and effectiveness in the delivery room.