Therapeutic hypothermia for out-of-hospital cardiac arrest: implementation in a district general hospital emergency department

Patil, Shashank; Bhayani, Sadiq; Denton, John M; Nolan, Jerry P.

doi:10.1136/emj.2010.091439

Cited by 4 publications

(2 citation statements)

References 29 publications

(21 reference statements)

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“… 24 25 Currently, TTM after cardiac arrest has been implemented in EDs in many countries, including South Korea. 26 Thus, the collaboration between physician champions and ED nurses is important for successful TTM implementation.…”

Section: Discussionmentioning

confidence: 99%

Implementation of the guidelines for targeted temperature management after cardiac arrest: a longitudinal qualitative study of barriers and facilitators perceived by hospital resuscitation champions

Kim

Lee

et al. 2016

BMJ Open

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Objectives To identify the barriers to and facilitators of implementing guidelines for targeted temperature management (TTM) after cardiac arrest perceived by hospital resuscitation champions and to investigate the changes in their perceptions over the early implementation period. Design A longitudinal qualitative study (up to 2 serial semistructured interviews over 1 year and focus groups). The individual interviews and focus groups were transcribed and coded by 2 independent assessors. Contents were analysed thematically; group interaction was also examined. Setting 21 hospitals, including community and tertiary care centres in South Korea. Participants 21 hospital champions (14 acting champions and 7 managerial champions). Results The final data set included 40 interviews and 2 focus groups. The identified barriers and facilitators could be classified into 3 major themes: (1) healthcare professionals’ perceptions of the guidelines and protocols, (2) interdisciplinary and interprofessional collaboration and (3) organisational resources. Lack of resources was the most commonly agreed on barrier for the acting champions, whereas lack of interdisciplinary collaboration was the most common barrier for the managerial champions. Educational activities and sharing successfully treated cases were the most frequently identified facilitators. Most of the participants identified and agreed that cooling equipment was an important barrier as well as a facilitator of successful TTM implementation. Perception of the guidelines and protocols has improved with the accumulation of clinical experience over the study period. Conclusions Healthcare professionals’ internal barriers to TTM implementation may be influenced by new guidelines and can be changed with the accumulation of successful clinical experiences during the early implementation period. Promoting interprofessional and interdisciplinary collaboration through educational activities and the use of cooling equipment with an automated feedback function can improve adherence to guidelines in hospitals with limited human resources in critical care.

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Section: Discussionmentioning

confidence: 99%

Implementation of the guidelines for targeted temperature management after cardiac arrest: a longitudinal qualitative study of barriers and facilitators perceived by hospital resuscitation champions

Kim

Lee

et al. 2016

BMJ Open

View full text Add to dashboard Cite

show abstract

“…There is a trend of superior neurologic functional states with early initiation of targeted temperature management (TTM) with OHCA victims (Patil et al, 2011;Hollenbeck et al, 2012;Rittenberg, 2012). TTM defined, is the induction of mild to moderate internal temperature reduction followed by controlled rewarming to normothermia in postcardiac arrest patients (HUP, 2012;Holzer, 2010).…”

Section: Introductionmentioning

confidence: 99%