Common Errors in Resuscitation: A Simulation Study of Teamwork in Emergencies

Cardiopulmonary resuscitation (CPR) is a critical intervention in emergency care, where effective teamwork significantly influences patient outcomes. Despite structured training, common errors continue to occur during resuscitation, often linked to gaps in team performance. This opinion paper explores these recurring errors and their impact on team dynamics during simulated resuscitation scenarios. Using a simulation-based approach drawn from Pediatric Advanced Life Support (PALS) and Advanced Cardiovascular Life Support (ACLS) courses, multidisciplinary healthcare teams were observed managing high-fidelity emergency simulations. Team performance was assessed through key domains including communication, leadership, coordination, and decision-making. Recurrent errors and challenges were documented and analyzed through faculty observation and debriefing sessions. Findings highlight consistent pitfalls such as delayed CPR initiation, unclear role assignments, miscommunication, and improper use of equipment. These issues were often attributed not to knowledge deficits, but to breakdowns in team coordination and high-stress decision-making. This paper underscores the value of simulation as a tool for uncovering latent safety threats and enhancing team performance. The insights gained can inform the development of targeted training strategies, support policy improvements, and strengthen clinical practice, ultimately contributing to safer and more effective resuscitation efforts in real emergencies.