Time without ventilation during intubation in neonates as a patient-centred measure of performance.

Aims: Time without ventilation is often much longer than an intubation attempt, yet patient stability relies on effective gas exchange. We argue that in addition to existing performance criteria, intubation performance measures should include interruption to effective ventilation.

Methods: We reviewed video recorded resuscitations of 31 term and preterm newborns that included at least one intubation attempt.

The accuracy of clinical assessments as a measure for teamwork effectiveness.

Introduction: Team training in healthcare is usually evaluated by observers who either score trainees' behaviors, social skills, and cognitive skills during simulation or measure changes in the clinical state of a mannequin. Both methods have shortcomings that limit their usefulness. We propose Brunswik's probabilistic functionalism and the Accuracy Score (AS), a measure emerging from judgment analysis, as elements of a complementary approach that could increase the objectivity of team training evaluation.

Clinicians can accurately assign Apgar scores to video recordings of simulated neonatal resuscitations.

Introduction: The Apgar score is used to describe the clinical condition of newborns. However, clinicians show low reliability when assigning Apgar scores to video recordings of actual neonatal resuscitations. Simulators provide a controlled environment for recreating and recording resuscitations.

Presenting video recordings of newborn resuscitations in debriefings for teamwork training.

Background: The Neonatal Resuscitation Program (NRP) and similar courses have been used to train clinicians. However, formal teamwork training was not included in these courses, and their effectiveness has been questioned. In adult resuscitation, debriefings using video recordings have improved outcomes, but recordings of neonatal resuscitation have been used primarily for research.