IMSH Delivers Sessions - Scroll down to "ADD to your Briefcase"
National Evaluation of a Low-Dose, High-Frequency Cardiac Resuscitation Quality Improvement Program in the United Kingdom – CPR performance preliminary findings (1090-003849) (Research Abstract Oral: Resuscitation)
Start time: Monday, January 25, 2021, 3:30 PM End time: Monday, January 25, 2021, 4:30 PM Session Type: Research Abstracts (Completed Studies) Cost: $0.00
Content Category: Researcher
Hypothesis:
High-quality cardiopulmonary resuscitation (CPR) is critical for patient survival during a cardiac arrest, providing manual circulation of oxygenated blood while any reversible causes of the cardiac arrest are identified and treated (1). Yet the traditional methods of teaching CPR; in a classroom based high dose, low frequency sessions, have room to be improved. To address this, a programme has been developed to provide users with simulation training and learning technology, delivering live feedback and on-going assessments. The UK RQI Programme has been designed with mandated quarterly CPR training on a specially designed cart in the workplace. The national evaluation aims to explore any impact of RQI on CPR performance, compliance, cost-savings and acceptability to end-users. This work focuses on CPR performance – hypothesising that the UK RQI program will improve CPR skills performance of the participants.
Methods:
CPR performance data is under evaluation from three hospitals based in the United Kingdom, recruiting health care professionals from a variety of clinical environments. Participants entering the study complete an un-coached baseline assessment; assessing rescue CPR, compression-only, and ventilation only technique. Following the baseline participants engaged with quarterly coached training sessions before completing an un-coached assessment after 4-quarters of training (assessment1). Participants were given a percentage score calculated as a composite based on the various aspects of the activity and their adherence to BHF high-quality CPR standards. An overall score of 75% was deemed to indicative of high-quality CPR. Change analyses were conducted on the three performance variables (ventilation only, compression only, rescuer CPR) for adult and infant CPR using paired t-tests.
Results:
The mean adult CPR baseline score of 51.9% (Standard Error of Mean=1.6) increased to 66.4% (SEM=1.5) at assessment 1 (p<0.001, N= 249), mean adult ventilation score increased from 42.5 (SEM=2.9) at baseline to 70.3% (SEM=2.9) (p<0.001, N=142). Finally, the mean adult compression score increased from 59.2 (SEM=2.3) to 73.4 (SEM=2.0) (p<0.001, N=237). The improvement seen in mean CPR score for infants was not significant (P=0.1), rising from 39.6% (SEM=1.6) to 43.0% (SEM=1.7) at assessment 1 (N=224). However the mean score for infant ventilations rose from 35.8% (SEM=2.2) to 57.3% (SEM=2.0) (p<0.001, N=182). The mean score for compressions also significantly improved, increasing from 45.9% (SEM=2.6) to 66.3% (SEM=2.6) (p<0.001, N=209)
Co-Presenter: Prof Ralph MacKinnon, Royal Manchester Children's Hospital
Disclosure: No financial relationships with ineligible companies.
Co-Presenter: Naomi Herz, BS, MS, British Heart Foundation About the co-presenter: Naomi is the health intelligence lead at the BHF with a background in health economics. She has experience in health technology assessment in the US and UK, with particular interest in non-communicable diseases.
Disclosure: No financial relationships with ineligible companies.