A clinical study of a novel resuscitation trolley
Project summary
The National Patient Safety Agency contacted the Helen Hamlyn Centre to initiate a redesign of the resuscitation trolley as a result of critical incidents relating to the current standard trolley design.
The trolley has been redesigned as a collaboration between the Helen Hamlyn Centre and Imperial College.
The current project aims to assess the trolley in a simulated, and then a clinical environment. The study has been divided into 3 main stages, all looking at the outcomes listed below:
a) Effects on equipment availability and restocking
b) Effects on teamwork during a resuscitation attempt
c) User opinions of the “Resus:Station”
Stage 1: Randomised cross-over simulation study comparing the use of the Resus:Station with the current standard trolley when used by resuscitation teams during cardiac arrest simulations
Stage 2: Randomised cross-over study assessing the ease of checking and stocking the Resus:Station compared with the current standard trolley
Stage 3: Assessment of the Resus:Station in the clinical environment
Project team
- Susanna Walker (key contact and Principal Investigator)
- Charles Vincent
- Raj Aggarwal
- Nick Sevdalis
- Anthony MacKay
- Sanjay Gautama
- Vashist Deelchand
Key project outputs
Peer-reviewed papers
- Walker S, Brett S. "Oiling the wheels of intensive care to reduce "Machine Friction": the best way to improve outcomes? Crit Care Med 2010; 38(10):S642-648
- Brodie A, Kinross J, Bailey M, Aggarwal R, and Vincent C. Using Failure Modes and Effects Analysis to identify hazards within resuscitation. The International Journal of Risk and Safety in Medicine. 2009, 21(4):201-215
- Smith A, Kinross J, Bailey M, Aggarwal R, Toresen D and Vincent C. Re-stocking the resuscitation trolley: how good is compliance with checking procedures? Clinical Risk, 2008; 14(1):4-7
Awards
- 2007 Medical Futures Innovation Awards: Anaesthesia and Critical Care Best Device
- 2007 Medical Futures Innovation Awards: Overall winner, Anaesthesia and Critical Care Innovation
Conference presentations (posters)
- Walker S, McKay A, Deelchand V, Gautama S, Sevdalis N, Vincent C. Assessment of a newly designed resuscitation trolley in a simulated environment. Poster presentation - European Resuscitation Congress, Porto Dec 2010
- Walker S, Lambden S, McKay A, Gautama S, Aggarwal R, Vincent C. Unannounced in-situ simulation represents a realistic method for teaching the technical and non-technical skills required for resuscitation. Poster presentation - European Society of Intensive Care Medicine Annual Congress, Barcelona, Oct 201
- Walker S, lambden S, McKay A, Gautama S, Vincent C, Sevdalis N. Development, reliatiblity, and content validation of the Observational Skill-based Clinical assessment tool for Resuscitation (OSCAR). Poster presentation - European Resuscitation Congress, Porto, Dec 2010
- Brodie A, Kinross J, Aggarwal R & Vincent C. Using Failure Mode Effect Analysis to identify hazards within resuscitation. Society for Acute Medicine 2nd International Conference. Imperial College London; 29th-30th September 2008.
- Brodie A, Koutantji M, Sevdalis N, Davis R & Vincent C. A systematic review of patient satisfaction with care in gastrointestinal cancer patients. Health Psychology Annual Conference. Bath; 9th-12th September 2008.
- Adams S, Smith A, Long S, Ames D & Vincent C. Anticipatory Medicine and Safety Skills – A training programme. International Forum on Quality and Safety in Health Care. Paris; 22nd -25th April 2008.
- Kinross J, Smith A, Aggarwal R, Bailey M, Vincent C & Darzi A – Resuscitation Events: The Observational Perspective. Resuscitation 2006. Stavanger (Norway); May 2006.
Conference presentations (oral)
- Walker S, Lambden S, McKay A, Gautama S, Vincent C, Sevdalis N. Development, Reliability, and content validation of OSCAR. Oral Presentation - European Society of Intensive Care Medicien Annual Congress, Barcelona Oct 2010
- Walker S, McKay A, Deelchand V, Gautama S, Sevdalis N, Vincent C. Evaluation of the effect of a newly designed resuscitation trolley on the efficiency of the cardiac arrest team in a simulated environment. Oral presentation - Resuscitation Council (UK) Symposium. Birmingham Nov 2010
- Walker S, Lambden S, McKay A, Gautama S, Aggarwal R, Vincent C. Unannounced in-situ simulation represents a realistic method for teaching the technical and non-technical skills required for resuscitation. Oral presentation - European Resuscitation Congress, Porto Dec 2010
- Deelchand V, Mullord P, Mckay A, Walker S, Sevdalis N, Vincent C. Can the resuscitation trolley design support nurses in the process of checking and stocking a resuscitation trolley? Oral presentation - European Resuscitation Congress, Porto Dec 2010
- A Smith, J Kinross, R Aggarwal, C Vincent - Using Failure Mode Effect Analysis to identify hazards within resuscitation. Society for Acute Medicine 2nd International Conference. Imperial College London 29th-30th September 2008.
- A Smith. Anticipatory Medicine: An Essential Component of Patient Safety – Healthcare Systems, Ergonomics and Patient Safety 2008. Strasbourg; 25th-27th June 2008.


