Improving cardiopulmonary resuscitation in the emergency department by real-time video recording and regular feedback learning

Ausbildung und Implementierung der Reanimation

“…Die "Formel des Überlebens" endet mit der lokalen Implementierung [ [102,[176][177][178][179][180][181]. [191][192][193][194][195][196][197].…”

Kurzdarstellung

“…Die Messung der Leistung und die Einführung von Qualitäts-managementsystemen werden das Erreichen optimaler Ergebnisse weiter fördern [939,[955][956][957][958][959][960].…”

An evaluation of three methods of in-hospital cardiac arrest educational debriefing: The cardiopulmonary resuscitation debriefing study

“…As key process data are infrequently reported in previous debriefing studies, it is not possible to make direct comparison with debriefing studies where the intervention has been shown to be associated with improvements in CPR quality. [5,7,26,27] Importantly, if interventions were implemented as part of standard practice, they would likely be delivered by resuscitation officers based predominantly at one hospital which would make delivery more straightforward. [29] The most likely explanation for study findings is that interventions were ineffective in the context in which they were implemented.…”

“…[5,7,26,28,30] A meta-analysis of cardiac arrest debriefing reported that the intervention was associated with an improvement in flow-fraction (mean difference 6.80, 95% CI 4.19 to 9.40, p<0.001) and return of spontaneous circulation (odds ratio 1.46, 95% CI 1.01-2.13, p=0.05). [12] However, baseline CPR quality in index studies was typically poor.…”

“…[2][3][4] A common approach is weekly group educational meetings at which clinical staff review recent cardiac arrest events. [5][6][7] In an American hospital, the implementation of this educational debriefing approach was associated with a significant improvement in cardiopulmonary resuscitation (CPR) quality and return of spontaneous circulation (ROSC). [5] In a study covering 131 US hospitals, the presence of at least monthly debriefings was independently associated with improved survival to discharge.…”