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Objectives <p>We used quality improvement (QI) methodology to improve cardiopulmonary resuscitation (CPR) data collection within the emergency department (ED) for non-traumatic cardiac arrests. This novel program aimed to improve CPR data collection from a baseline of 48.7–80% between August 15th, 2023–April 14th, 2024.</p> Methods <p>The outcome measure was percentage of cases with CPR data available. The secondary measures included CPR rate and depth (composite measure), compression fraction, and CPR pauses &lt; 10&#xa0;s. Manual review of electronic health records and Zoll Case Review<sup>©</sup> was utilized for data extraction. The project team was created utilizing a stakeholder matrix. Diagnostics included an Ishikawa diagram, QI huddles, simulation, and process mapping. Interventions included: introduction of an emergency medical services (EMS)-to-ED adapter, simulation and education, and data debriefing. Elements were introduced and tested with simulation prior to implementation. P-charts and x-charts were used to determine successful completion of aims.</p> Results <p>CPR data were available in 48.7% (19/39) of cardiac arrest cases during the baseline period (February 15th, 2023–August 14th, 2023). Special cause variation was met during the implementation period with a shift (≥ 8 consecutive points above or below median), improving data collection to 89.1% (49/55). Improvements were identified with a shift for CPR in target for rate and depth (1.8–20.4%) and compression fraction (82.2–86.9%). No special cause variation was identified for CPR pauses &lt; 10&#xa0;s.</p> Conclusion <p>Through the use of QI methodology, we successfully improved CPR data collection within our ED from 48.7–89.1% for non-traumatic cardiac arrests. Improvements were seen in CPR in target for rate and depth, and compression fraction. This program provides a foundation for reliable CPR performance measurement and improvement, and serves as an example for other ED’s with similar interest in CPR performance improvement.</p>

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Implementation of a CPR quality data collection program in the emergency department: a quality improvement initiative

  • 期刊论文

  • 发表日期：

    2025年3月7日

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  • Garrick Mok,
  • Samuel Vaillancourt,
  • Minnie Fu,
  • Sara Gray,
  • Lucas B. Chartier,
  • Natalie Wong,
  • Katherine S. Allan,
  • Farah Warsi,
  • Celine Callender,
  • Melissa McGowan,
  • Andrew Petrosoniak

摘要

Objectives

We used quality improvement (QI) methodology to improve cardiopulmonary resuscitation (CPR) data collection within the emergency department (ED) for non-traumatic cardiac arrests. This novel program aimed to improve CPR data collection from a baseline of 48.7–80% between August 15th, 2023–April 14th, 2024.

Methods

The outcome measure was percentage of cases with CPR data available. The secondary measures included CPR rate and depth (composite measure), compression fraction, and CPR pauses < 10 s. Manual review of electronic health records and Zoll Case Review© was utilized for data extraction. The project team was created utilizing a stakeholder matrix. Diagnostics included an Ishikawa diagram, QI huddles, simulation, and process mapping. Interventions included: introduction of an emergency medical services (EMS)-to-ED adapter, simulation and education, and data debriefing. Elements were introduced and tested with simulation prior to implementation. P-charts and x-charts were used to determine successful completion of aims.

Results

CPR data were available in 48.7% (19/39) of cardiac arrest cases during the baseline period (February 15th, 2023–August 14th, 2023). Special cause variation was met during the implementation period with a shift (≥ 8 consecutive points above or below median), improving data collection to 89.1% (49/55). Improvements were identified with a shift for CPR in target for rate and depth (1.8–20.4%) and compression fraction (82.2–86.9%). No special cause variation was identified for CPR pauses < 10 s.

Conclusion

Through the use of QI methodology, we successfully improved CPR data collection within our ED from 48.7–89.1% for non-traumatic cardiac arrests. Improvements were seen in CPR in target for rate and depth, and compression fraction. This program provides a foundation for reliable CPR performance measurement and improvement, and serves as an example for other ED’s with similar interest in CPR performance improvement.