{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:59:27Z","timestamp":1785257967397,"version":"3.55.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,7,21]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Mechanical cardiopulmonary resuscitation (MCPR) devices provide consistent compressions, yet guidelines discourage routine use partly because deployment can increase no\u2010flow time. Although nontechnical skills improve manual CPR performance, their association with deployment safety during MCPR remains unclear. This study examined the association between nontechnical skills and cumulative no\u2010flow time during MCPR deployment in real\u2010world resuscitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We conducted a prospective observational study of video\u2010recorded cardiac arrest events in a tertiary emergency department. NTS were assessed by trained raters using the Team Emergency Assessment Measure (TEAM). The primary outcome was the association between TEAM scores and cumulative no\u2010flow time during deployment, analyzed with multivariable linear mixed\u2010effects models adjusted for patient characteristics and team leader clustering. Secondary outcomes included MCPR deployment duration and other technical intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Eighty\u2010five eligible MCPR cases were analyzed. For each 1\u2010point increase in TEAM global rating, cumulative no\u2010flow time was 6\u2009seconds shorter (95% CI, \u221210 to \u22121;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.009). Higher TEAM global rating was also associated with shorter MCPR deployment duration (\u221220\u2009seconds;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.003) and earlier intravenous line placement (\u221243\u2009seconds;\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.011). Leadership was the only TEAM subdimension significantly associated with cumulative no\u2010flow time (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Higher nontechnical skills ratings, particularly leadership, were associated with shorter cumulative no\u2010flow time and greater operational efficiency during MCPR deployment. These findings support an association between team nontechnical performance and deployment efficiency in real\u2010world mechanical resuscitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.049012","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:17:54Z","timestamp":1784287074000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Nontechnical Skills and Leadership Are Associated With More Efficient Mechanical Cardiopulmonary Resuscitation Deployment in Real\u2010World Cardiac Arrest"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6417-876X","authenticated-orcid":false,"given":"Chun\u2010Ju","family":"Lien","sequence":"first","affiliation":[{"name":"National Taiwan University Hospital Hsin\u2010Chu Branch","place":["Hsinchu, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8524-6389","authenticated-orcid":false,"given":"Shuo\u2010Kuen","family":"Huang","sequence":"additional","affiliation":[{"name":"National Taiwan University Hospital Hsin\u2010Chu Branch","place":["Hsinchu, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-4507","authenticated-orcid":false,"given":"Jia\u2010How","family":"Chang","sequence":"additional","affiliation":[{"name":"National Taiwan University Hospital Hsin\u2010Chu Branch","place":["Hsinchu, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4800-2561","authenticated-orcid":false,"given":"Edward Pei\u2010Chuan","family":"Huang","sequence":"additional","affiliation":[{"name":"National Taiwan University Hospital Hsin\u2010Chu Branch","place":["Hsinchu, Taiwan"]},{"name":"National Taiwan University","place":["Taipei, 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