The effect of real-time CPR feedback and post event debriefing on patient and processes focused outcomes: A cohort study: trial protocol

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Matthew W Cooke²  Nigel Stallard²  Ben Abella¹  Fang Gao²  Sarah Woolley³  Sarah Quinton³  Robin P Davies³  Gavin D Perkins² 

[1] Center for Resuscitation Science and Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA;University of Warwick, Warwick Medical School, Gibbet Hill Road, Coventry CV4 7AL, UK;Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, B9 5SS, UK

关键词: resuscitation;    quality;    guideline adherence;    emergency medicine;    defibrillation;    cardiopulmonary resuscitation;    cardiac arrest;   

Others  :  826937
DOI  :  10.1186/1757-7241-19-58

 received in 2011-09-02, accepted in 2011-10-18,  发布年份 2011

【 摘 要 】

Background

Cardiac arrest affects 30-35, 000 hospitalised patients in the UK every year. For these patients to be given the best chance of survival, high quality cardiopulmonary resuscitation (CPR) must be delivered, however the quality of CPR in real-life is often suboptimal. CPR feedback devices have been shown to improve CPR quality in the pre-hospital setting and post-event debriefing can improve adherence to guidelines and CPR quality. However, the evidence for use of these improvement methods in hospital remains unclear. The CPR quality improvement initiative is a prospective cohort study of the Q-CPR real-time feedback device combined with post-event debriefing in hospitalised adult patients who sustain a cardiac arrest.

Methods/design

The primary objective of this trial is to assess whether a CPR quality improvement initiative will improve rate of return of sustained spontaneous circulation in in-hospital-cardiac-arrest patients. The study is set in one NHS trust operating three hospital sites. Secondary objectives will evaluate: any return of spontaneous circulation; survival to hospital discharge and patient cerebral performance category at discharge; quality of CPR variables and cardiac arrest team factors. Methods: All three sites will have an initial control phase before any improvements are implemented; site 1 will implement audiovisual feedback combined with post event debriefing, site 2 will implement audiovisual feedback only and site 3 will remain as a control site to measure any changes in outcome due to any other trust-wide changes in resuscitation practice. All adult patients sustaining a cardiac arrest and receiving resuscitation from the hospital cardiac arrest team will be included. Patients will be excluded if; they have a Do-not-attempt resuscitation order written and documented in their medical records, the cardiac arrest is not attended by a resuscitation team, the arrest occurs out-of-hospital or the patient has previously participated in this study. The trial will recruit a total of 912 patients from the three hospital sites.

Conclusion

This trial will evaluate patient and process focussed outcomes following the implementation of a CPR quality improvement initiative using real-time audiovisual feedback and post event debriefing.

Trial registration

ISRCTN56583860

【 授权许可】

   
2011 Perkins et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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