Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study

被引:9
|
作者
Schmidt, Anders S. [1 ,2 ,3 ]
Lauridsen, Kasper G. [1 ,2 ,3 ]
Adelborg, Kasper [4 ,5 ]
Lofgren, Bo [2 ,3 ,6 ]
机构
[1] Reg Hosp Randers, Clin Res Unit, DK-8930 Randers NE, Denmark
[2] Reg Hosp Randers, Dept Internal Med, Skovlyvej 1, Randers NE, Denmark
[3] Aarhus Univ Hosp, Res Ctr Emergency Med, DK-8000 Aarhus, Denmark
[4] Aarhus Univ Hosp, Dept Clin Epidemiol, DK-8000 Aarhus, Denmark
[5] Aarhus Univ Hosp, Dept Cardiol, DK-8000 Aarhus, Denmark
[6] Aarhus Univ, Inst Clin Med, Aarhus, Denmark
关键词
cardiopulmonary resuscitation; health plan implementation; hospital policy; quality of medical care; EUROPEAN RESUSCITATION; COUNCIL GUIDELINES; LIFE-SUPPORT; SURVIVAL;
D O I
10.1097/MEJ.0000000000000296
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 81%. Hospital BLS course duration was [median (interquartile range)] 2.3 (1.5-2.5) h, whereas ALS course duration was 4.0 (2.5-8.0) h. Implementation of ERC 2010 guidelines on BLS is limited in Danish hospitals 2 years after guideline publication, whereas the majority of hospitals adhere to the ALS algorithm. CPR training differs among hospitals. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:232 / 234
页数:3
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