Can hospital adult code-teams and individual members perform high-quality CPR? A multicenter simulation-based study incorporating an educational intervention with CPR feedback

被引：1

作者：

Rideout, Jesse M. ^{[1
]}

Ozawa, Edwin T. ^{[2
]}

Bourgeois, Darlene J. ^{[3
]}

Chipman, Micheline ^{[4
]}

Overly, Frank L. ^{[5
]}

机构：

[1] Tufts Med Ctr, Dept Emergency Med, Boston, MA 02111 USA

[2] Lahey Hosp & Med Ctr, Dept Anesthesiol, Burlington, MA USA

[3] Lahey Hosp & Med Ctr, Ctr Profess Dev & Simulat, Burlington, MA USA

[4] Maine Med Ctr, Hanna Ford Ctr Safety Innovat & Simulat, Portland, ME 04102 USA

[5] Hasbro Childrens Hosp, Brown Emergency Med & Pediat, Providence, RI USA

来源：

RESUSCITATION PLUS | 2021年 / 7卷

关键词：

High-quality CPR; Basic life support; CPR feedback device; Simulation; In-hospital cardiac arrest; Deliberate practice; Inter-professional team training; CARDIOVASCULAR CARE SCIENCE; CARDIOPULMONARY-RESUSCITATION; CARDIAC-ARREST; INTERNATIONAL CONSENSUS; DELIBERATE PRACTICE; CHEST COMPRESSIONS; STEP STOOL; IMPACT; SURVIVAL; PAUSES;

D O I：

10.1016/j.resplu.2021.100126

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Aims: A multicenter simulation-based research study to assess the ability of interprofessional code-teams and individual members to perform highquality CPR (HQ-CPR) at baseline and following an educational intervention with a CPR feedback device. Methods: Five centers recruited ten interprofessional teams of AHA-certified adult code-team members with a goal of 200 participants. Baseline testing of chest compression (CC) quality was measured for all individuals. Teams participated in a baseline simulated cardiac arrest (SCA) where CC quality, chest compression fraction (CCF), and peri-shock pauses were recorded. Teams participated in a standardized HQ-CPR and abbreviated TeamSTEPPS (R) didactic, then engaged in deliberate practice with a CPR feedback device. Individuals were assessed to determine if they could achieve >= 80% combined rate and depth within 2020 AHA guidelines. Teams completed a second SCA and CPR metrics were recorded. Feedback was disabled for assessments except at one site where real-time CPR feedback was the institutional standard. Linear regression models were used to test for site effect and paired t-tests to evaluate significant score changes. Logistic univariate regression models were used to explore characteristics associated with the individual achieving competency. Results: Data from 184 individuals and 45 teams were analyzed. Baseline HQ-CPR mean score across all sites was 18.5% for individuals and 13.8% for teams. Post-intervention HQ-CPR mean score was 59.8% for individuals and 37.0% for teams. There was a statistically significant improvement in HQCPR mean scores of 41.3% (36.1, 46.5) for individuals and 23.2% (17.1, 29.3) for teams (p<0.0001). CCF increased at 3 out of 5 sites and there was a mean 5-s reduction in peri-shock pauses (p<0.0001). Characteristics with a statistically significant association were height (p=0.01) and number of times performed CPR (p=0.01). Conclusion: Code-teams and individuals struggle to perform HQ-CPR but show improvement after deliberate practice with feedback as part of an educational intervention. Only one site that incorporated real-time CPR feedback devices routinely achieved >= 80% HQ-CPR.

引用

页数：8