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Operations & systems

Team leaders carry highest cognitive load

Perceived cognitive load among emergency department code blue teams: distribution, correlates and relationship with team performance
Resuscitation · Added 3 August 2026

This multicentre cross-sectional study of 58 resuscitations found perceived cognitive load was highest among team leaders (mean 5.5/9) and higher team leader cognitive load was associated with higher load among team members and lower TEAM-assessed performance.

Study type
Cross-sectional
Design
Multicentre cross-sectional study with prospective data collection in ED resuscitations
Participants
58 resuscitations, 228 healthcare professional observations
Main finding
Team leaders had highest perceived cognitive load (mean 5.5, SD 1.7; β = 1.12, 95% CI 0.27-1.98); higher team leader load associated with higher team member load (β = 0.53) and lower TEAM-assessed performance
Caveat
Cross-sectional design using self-reported cognitive load; ED setting only, small sample
Bottom line
Context only

Why it matters in Australia (High relevance). Directly applicable to resuscitation team training and leadership, with clear implications for supporting team leaders during high-acuity events

Learning goal

Recognise how distributed cognitive load across resuscitation team roles affects our team performance.

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