Mechanical, Team-Focused, Video-Reviewed Cardiopulmonary Resuscitation Improves Return of Spontaneous Circulation After Emergency Department Implementation.
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation
/ adverse effects
Checklist
Clinical Competence
Emergency Service, Hospital
Female
Formative Feedback
Heart Arrest
/ diagnosis
Hospital Mortality
Humans
Male
Patient Care Team
Patient Discharge
Program Evaluation
Quality Improvement
Quality Indicators, Health Care
Return of Spontaneous Circulation
Task Performance and Analysis
Time Factors
Treatment Outcome
Video Recording
cardiac arrest
cardiopulmonary resuscitation
emergency department
high performance
mechanical chest compressions
quality improvement
team‐based care
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
17 03 2020
17 03 2020
Historique:
entrez:
11
3
2020
pubmed:
11
3
2020
medline:
10
3
2021
Statut:
ppublish
Résumé
Background Outcomes in cardiac arrest remain suboptimal. Mechanical cardiopulmonary resuscitation (CPR) has not demonstrated clear clinical benefit; however, video review provides the capability to monitor CPR quality and provide constructive feedback to individuals and teams to improve their performance. The aim of our study was to evaluate cardiac arrest outcomes before and after initiation of a mechanical, team-focused, video-reviewed CPR intervention. Methods and Results In 2018, our emergency department began using mechanical CPR; a new team-focused strategy with nurse-led Advanced Cardiovascular Life Support; and biweekly, multidisciplinary video review of cardiac arrests. A revised approach to resuscitation was generated from a performance improvement session, and in situ simulation was used to disseminate our approach. The primary outcome of this study was the return of spontaneous circulation rate before and after our mechanical, team-focused, video-reviewed CPR intervention. Secondary outcomes included survival to admission and discharge. Multivariable logistic regression modeling was used. The pre- and postintervention groups were similar at baseline. A total of 248 patients were included in our study (97 before and 151 after mechanical, team-focused, video-reviewed CPR). Return of spontaneous circulation was higher in the intervention group (41% versus 26%;
Identifiants
pubmed: 32151218
doi: 10.1161/JAHA.119.014420
pmc: PMC7335530
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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