Acute cardiac care & resuscitationCross-sectional study

Perceived cognitive load among emergency department code blue teams: distribution, correlates and relationship with team performance

ResuscitationPublished

  • multicentre cross-sectional study with prospective data collection

Authors' conclusion

Perceived cognitive load was unevenly distributed within resuscitation teams, with highest levels among team leaders. Higher team leader cognitive load was associated with higher load among other team members and lower TEAM-assessed performance, highlighting team leader cognitive load as a relevant target for future research and interventions to support resuscitation team performance.

Study context

Population
Authentic clinical emergency department code blue (resuscitation) teamshealthcare professional observations in 58 resuscitations · resuscitations 58
Participants
228 participants
Exposure
Perceived cognitive load across team roles and its association with team performance

Main finding

As reported in the abstract

Perceived cognitive load among team leaders (Paas 9-point mental effort scale)

Team leaders, highest across roles

mean 5.5, SD 1.7

Observational data: associations, not effects.

Further findings

Team leader role and perceived cognitive load (multilevel analysis)

β (team leader role)
β = 1.12, 95% CI 0.27-1.98, p = 0.025
Increasing age and more than ten years of clinical experience associated with lower load

Team leaders' perceived cognitive load and cognitive load among team members

β (positive association)
β = 0.53, 95% CI 0.38-0.67, p < 0.001

Team leaders' perceived cognitive load and Team Emergency Assessment Measure (TEAM)-assessed team performance

β (negative association)
β = −0.80, 95% CI −1.38 to −0.23, p = 0.007

Original publication

Perceived cognitive load among emergency department code blue teams: distribution, correlates and relationship with team performance. Resuscitation. Published 11 July 2026. doi:10.1016/j.resuscitation.2026.111206

Summarised from the published abstract; every number is checked against it