The quality of cardiopulmonary resuscitation (CPR) has been identified as an important determinants for patient survival, yet many studies revealed poor CPR guidelines compliance in real-life practice for both health care providers and lay persons. Common shortcomings identified include an insufficient number of chest compression, too rapid lung inflations, and too much hands-off time. The poor quality of CPR is associated with lower survival rate. Besides, some other problems could be found during resuscitation, such as prolonged intubation time, delayed first shock delivery or unsteady drug delivery interval. These problems can't be blamed on the only person but the teamwork. Certain measurements could improve the performance of the resuscitation team, such as audio prompt or checklist. Methods proposed and improvised to improve the quality of CPR have included CPR assisted devices, automatic driven devices or audio prompt system. However, some of these methods are hardly incorporate with the original resuscitation process since it could be an extra workload. Therefore, the investigators try to provide an digitized checklist combined with visual and audio alarming system, which could not only minimize the workload of chart recording but also remind the team to perform essential procedures in time. Information gained from a video-recording evaluation system had been employed to improve the resuscitation skills. The improvement of resuscitation quality also could be found through video-recording after certain intervention. It can also avoid the interference of the resuscitation and find out other harmful factors to CPR quality.
Study Type
OBSERVATIONAL
Enrollment
50
The patient group after E-checklist system deployed
National Taiwan University Hospital
Taipei, Taiwan, Taiwan
return of spontaneous circulation
return of spontaneous circulation
Time frame: 60 minutes
Technical skill of CPR team
including time to first shockable rhythm, no-flow time, frequency of chest compression, successful rate of rhythm conversion, Time to first shock
Time frame: 30 minutes
Non-technical skill of CPR team
Team structure and leadership, situation monitoring, workload management, communication
Time frame: 30 minutes
survival for 2 hours
maintained spontaneous circulation for up to 2 hours
Time frame: 2 hours
survival to admission
Survival to admission
Time frame: 1 day
Survival to discharge
Survival to discharge from hospital
Time frame: 60 days
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