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Table 1 Specific task performance and task consideration data

From: Does an electronic cognitive aid have an effect on the management of severe gynaecological TURP syndrome? A prospective, randomised simulation study

 

Class and levelb,c

Cognitive Aid (n = 8)

No Cognitive Aid (n = 9)

Differences in adherence

Acute Heart Failure and Pulmonary Oedema

• Calls for help early

n/a

8 (100.0)

9 (100.0)

0%a

• Intubates patient

IC

8 (100.0)

9 (100.0)

0%a

• Increases PEEP above respirators’ default value of 5 mbar

n/a

7 (87.5)

3 (33.0)

54.5%

• Considers or starts infusion of vasopressor

IIb B

7 (87.5)

2 (22.0)

65.5%

• Considers or starts infusion of inotropic agent

IIb C

8 (100.0)

1 (11.0)

89%

• Considers or starts infusion of IV vasodilator

IIa B

8 (100)

2 (22.0)

78%

• Gives furosemide IV

IC

8 (100)

6 (67.0)

33%

Acute Hyponatraemia

• Does not delay treatment of hyponatraemia but initiates prompt infusion of hypertonic saline

1D

4 (50.0)

1 (11.0)

39%

• Starts infusion with recommended dose of 150 ml 3% hypertonic saline

1D

8 (100.0)

1 (11.0)

89%

• Knows that pre-prepared 150 ml bottles of 3% hypertonic saline are stored at the ICU

1D

7 (87.5)

1 (11.0)

76.5%

  1. AHF acute heart failure, PEEP positive endexpiratory pressure, SBP systolic blood pressure
  2. Values in column 3 (Cognitive Aid) and 4 (No Cognitive Aid) are number of teams correctly considering or performing the task. Values in column 5 are differences in adherence to the individual task between the cognitive aid group and the control group
  3. aWith the exception of the tasks “Calls for help early” and “Intubates patient” the adherence for tasks was higher in the cognitive aid group
  4. bClass of recommendation and level of evidence as stated in the ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure [25]
  5. cStrength of recommendation and quality of evidence (GRADE Methodology) as stated in the Clinical practice guideline on diagnosis and treatment of hyponatraemia [17]
  6. n/a = not applicable