Abstract 17361: Low Dose- High Frequency, Case Based Psychomotor CPR Training Improves Compression Fraction for Patients With In-hospital Cardiac Arrest
Background: High quality CPR is critical for survival from cardiac arrest. Low dose- high frequency case based simulation has been demonstrated to be a feasible method to enhance CPR skill retention with high levels of program compliance. It is unknown whether utilizing this training method yields improved CPR quality measures during cardiac arrest. We evaluated CPR performance during in-hospital cardiac arrest following the implementation of a novel low dose- high frequency case based psychomotor CPR training (Resuscitation Quality Improvement™ (RQI), American Heart Association, Dallas, TX).
Methods: The RQI system was launched on two nursing units in a university teaching hospital. The Simulation station was placed in the nursing units with quarterly activities integrated into normal clinical duties of 100 individuals. Evaluation of this training included monitoring staff compliance and in-hospital clinical CPR quality metrics Pre and Post RQI. Clinical CPR metrics monitored included compression fraction and compressions/min evaluated 6 months Pre-RQI (Jan-June 2014) and 6 months Post-RQI (completion of 4 quarters of training)(Jan-June 2016). RQI was launched December 2014. Statistics are presented as means with 95% confidence intervals.
Results: The RQI program was launched with completion of 4 quarters by Dec 2015. Program compliance for the two nursing units through 4 quarters was 97.1% with lack of compliance being primarily due to medical leave exemptions and 1 delinquent participant per quarter. Concerning clinical CPR quality, compression fraction improved Pre to Post RQI (Pre: 83% (77 to 89) to Post: 93% (91 to 94), P <0.001). In contrast, compressions per minute increased slightly Pre to Post RQI (Pre: 109 (101 to 118) and Post: 120 (116 to 123), P =0.008).
Conclusions: Low dose- high frequency case based psychomotor CPR training enhanced in-hospital clinical CPR quality. Program compliance was high throughout training facilitating improved CPR performance. Interestingly, improved compression fraction was associated with increased compressions/min, which were still within 2015 AHA Guideline recommendations. Further research is necessary to understand the effect of RQI on in-hospital cardiac arrest morbidity and mortality.
Author Disclosures: A.R. Panchal: Other; Modest; AHA/ECC Science Subcommittee Member. G. Norton: None. E. Gibbons: None. J. Buehler: None. R. Husa: None. D.E. Slattery: Other; Modest; Writer for AHA ACLS Course, AHA Mission Lifeline Subcommittee Member. M.C. Kurz: Research Grant; Modest; AHA: In Kind Research Support. Other; Modest; AHA/ECC Systems of Care Subcommittee Member.
- © 2016 by American Heart Association, Inc.