Improving Time to Defibrillation Following Ventricular Tachycardia (VTach) and Ventricular Fibrillation (VFib) Cardiac Arrest: A Multicenter Retrospective and Prospective Quality Improvement Study.

IF 1 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

American Journal of Medical Quality Pub Date : 2023-03-01 DOI:10.1097/JMQ.0000000000000102

Sairamya Bodempudi, Lisa Wus, Juergen Kloo, Patrick Zeniecki, James Coromilas, Frances Mae West, Yair Lev

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引用次数: 0

Abstract

The goal of this study was to identify how often 2 independent centers defibrillated patients within the American Heart Association recommended 2-minute time interval following ventricular fibrillation/ventricular tachycardia arrest. A retrospective chart review revealed significant delays in defibrillation. Simulation sessions and modules were implemented to train nursing staff in a single nursing unit at a Philadelphia teaching hospital. Recruited nurses completed a code blue simulation session to establish a baseline time to defibrillation. They were then given 2 weeks to complete an online educational module. Upon completion, they participated in a second set of simulation sessions to assess improvement. First round simulations resulted in 33% with delayed defibrillation and 27% no defibrillation. Following the module, 77% of the second round of simulations ended in timely defibrillation, a statistically significant improvement ( P < 0.00001). Next steps involve prospective collection of the code blue data to analyze improvement in real code blue events.

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改善室性心动过速(VTach)和室性颤动(VFib)心脏骤停后的除颤时间:一项多中心回顾性和前瞻性质量改善研究。

本研究的目的是确定在美国心脏协会推荐的室性颤动/室性心动过速停止后2分钟间隔内，2个独立中心对患者进行除颤的频率。回顾性图表回顾显示除颤显著延迟。模拟课程和模块的实施，以培训护理人员在一个护理单位在费城教学医院。招募的护士完成了一个蓝色代码模拟会话，以建立除颤的基线时间。然后，他们有两周的时间来完成一个在线教育模块。完成后，他们参加了第二组模拟会议，以评估改进情况。第一轮模拟结果显示33%的患者有延迟除颤，27%的患者没有除颤。在该模块之后，77%的第二轮模拟以及时除颤结束，统计学上有显著改善(P < 0.00001)。接下来的步骤包括对蓝色代码数据的前瞻性收集，以分析实际蓝色代码事件的改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Medical Quality 医学-卫生保健

CiteScore

1.90

自引率

7.10%

发文量

124

审稿时长

6-12 weeks

期刊介绍： The American Journal of Medical Quality (AJMQ) is focused on keeping readers informed of the resources, processes, and perspectives contributing to quality health care services. This peer-reviewed journal presents a forum for the exchange of ideas, strategies, and methods in improving the delivery and management of health care.