MULDERS, BAS (2025) DE INVLOED VAN OMGEVINGSFACTOREN OP DE KWALITEIT VAN REANIMATIES IN EEN SIMULATIEOMGEVING. thesis, Medicine.
Full text available on request.Abstract
In the Netherlands, approximately 17,000 people experience a cardiac arrest outside of the hospital each year, with a quarter surviving. The exact number of resuscitations in hospitals is unknown, but at Maxima MC, around 30 occur annually. Key predictors for the outcome include patient characteristics, time to start, and quality of resuscitation. It is known that difficult environmental factors negatively affect resuscitation quality, but the extent of this impact is unknown. This study examines the impact of environmental factors on resuscitation quality in simulations. Certified healthcare professionals from the ER, ICU, and CCU at Maxima MC participated in 14 sessions under varying conditions. In addition to a 'normal' scenario, they experienced a scenario with impaired communication due to face masks and background noise (60 dB). Resuscitation quality was assessed based on compression quality, protocol adherence, and team communication. No statistically significant differences were found between the normal and intervention scenarios in terms of compression quality, communication, or protocol adherence. The percentage of compressions with the correct depth and frequency differed by -4% (95% CI, -19% to 7%; p=0.328), ventilation duration by 0.1 seconds (95% CI, -0.4 sec. to 0.2 sec.; p=0.158), and time to begin the 4 H's and 4 T's by 13.0 seconds (95% CI, -17.0 to 38.5; p=0.388). However, a significant learning effect was observed for compression depth, chest compression fraction (CCF), and ventilation time. The intervention scenario did not have a statistically significant effect on performance, suggesting that external factors like background noise and face masks have less impact than initially thought. A learning effect was observed between the scenarios, with improvements in compression depth, CCF, and ventilation time.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | OEVER, HUUB VAN DEN and BUENEN, NOUD |
| Faculty: | Medical Sciences |
| Date Deposited: | 17 Apr 2026 12:48 |
| Last Modified: | 17 Apr 2026 12:48 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3925 |
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