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Effects of script-based role play in cardiopulmonary resuscitation team training
  1. Sung Phil Chung1,
  2. Junho Cho2,
  3. Yoo Seok Park1,
  4. Hyung Goo Kang3,
  5. Chan Woong Kim4,
  6. Keun Jeong Song5,
  7. Hoon Lim6,
  8. Gyu Chong Cho7
  1. 1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea
  2. 2Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea
  3. 3Department of Emergency Medicine, Hanyang University, Seoul, Korea
  4. 4Department of Emergency Medicine, Chung-Ang University, Seoul, Korea
  5. 5Department of Emergency Medicine, Samsung Medical Center, Seoul, Korea
  6. 6Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
  7. 7Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea
  1. Correspondence to Dr Yoo Seok Park, Department of Emergency Medicine, Severance Hospital, 250 Seongsanno, Seodaemun-gu, Seoul, Republic of Korea 120-752; pys0905{at}


Background The purpose of this study is to compare the cardiopulmonary resuscitation (CPR) team dynamics and performance between a conventional simulation training group and a script-based training group.

Methods This was a prospective randomised controlled trial of educational intervention for CPR team training. Fourteen teams, each consisting of five members, were recruited. The conventional group (C) received training using a didactic lecture and simulation with debriefing, while the script group (S) received training using a resuscitation script. The team activity was evaluated with checklists both before and after 1 week of training. The videotaped simulated resuscitation events were compared in terms of team dynamics and performance aspects.

Results Both groups showed significantly higher leadership scores after training (C: 58.2±9.2 vs 67.2±9.5, p=0.007; S: 57.9±8.1 vs 65.4±12.1, p=0.034). However, there were no significant improvements in performance scores in either group after training. There were no differences in the score improvement after training between the two groups in dynamics (C: 9.1±12.6 vs S: 7.4±13.7, p=0.715), performance (C: 5.5±11.4 vs S: 4.7±9.6, p=0.838) and total scores (C: 14.6±20.1 vs S: 12.2±19.5, p=0.726).

Conclusion Script-based CPR team training resulted in comparable improvements in team dynamics scores compared with conventional simulation training. Resuscitation scripts may be used as an adjunct for CPR team training.

  • Cardiopulmonary resuscitation
  • patient care team
  • task performance
  • leadership
  • major incidents
  • training
  • resuscitation

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  • Funding This study was supported by the Korea Research Foundation (KRF-2008-331-E00326).

  • Competing interests None.

  • Patient consent Written informed consent was obtained from all patients.

  • Ethics approval This study was conducted with the approval of the Gangnam Severance Hospital, Yonsei University Health System.

  • Provenance and peer review Not commissioned; externally peer reviewed.