Department of Pediatrics, Division of Neonatology, Lucile Packard Children's Hospital, Stanford University, 750 Welch Road, Palo Alto, CA 94304, USA.
BMJ Qual Saf. 2013 Feb;22(2):124-9. doi: 10.1136/bmjqs-2012-001336. Epub 2012 Oct 30.
To compare a novel neonatal resuscitation cart (NRC) to a generic code cart (GCC).
A prospective, randomised, controlled, crossover trial was performed to compare the utility of the NRC with the GCC during simulated deliveries of extremely low birthweight infants and infants with gastroschisis. Fifteen subjects participated. Mean times and accuracy of equipment and supply retrieval were compared for each scenario using the Wilcoxon test.
Mean acquisition times for the NRC were always faster (by 58% to 74%) regardless of scenario (p<0.01). Accuracy of equipment selection did not differ. Ease of use was judged using a Likert scale (1=easiest to use; 5=most difficult), with mean score for NRC 1.1 and GCC 3.7 (p<0.0001). All subjects rated the NRC as easier to use.
The NRC was superior to the GCC in acquisition speed, supply selection and ease of use.
比较新型新生儿复苏车（NRC）与通用急救车（GCC）。
采用前瞻性、随机、对照、交叉试验，比较 NRC 与 GCC 在极低出生体重儿和先天性脐膨出儿模拟分娩中的实用性。15 名受试者参与。使用 Wilcoxon 检验比较两种情况下设备和用品检索的平均时间和准确性。
无论场景如何，NRC 的平均获取时间总是更快（快 58%至 74%）（p<0.01）。设备选择的准确性没有差异。使用李克特量表（1=最容易使用；5=最难使用）评估易用性，NRC 的平均得分为 1.1，GCC 为 3.7（p<0.0001）。所有受试者均认为 NRC 更易于使用。
NRC 在获取速度、供应选择和易用性方面优于 GCC。
