Improved Cardiopulmonary Resuscitation Performance With CODE ACES2: A Resuscitation Quality Bundle

• Published in: Journal of the American Heart Association 2018-12, Vol.7 (24), p.e009860-e009860
• Main Authors: Hunt, Elizabeth A, Jeffers, Justin, McNamara, LeAnn, Newton, Heather, d, Kenneth, Bernier, Meghan, Tucker, Elizabeth W, Jones, Kareen, O'Brien, Caitlin, Dodge, Pamela, Vanderwagen, Sarah, Salamone, Cheryl, Pegram, Tamara, Rosen, Michael, Griffis, Heather M, Duval-Arnould, Jordan
• Format: Article
• Language: English
• Subjects: cardiopulmonary arrest; cardiopulmonary resuscitation (CPR); emergency cardiac care; Original Research; pediatrics; quality and outcomes; quality improvement
• ISSN: 2047-9980
• DOI: 10.1161/JAHA.118.009860

Background Over 6000 children have an in‐hospital cardiac arrest in the United States annually. Most will not survive to discharge, with significant variability in survival across hospitals suggesting improvement in resuscitation performance can save lives. Methods and Results A prospective observational study of quality of chest compressions (CC) during pediatric in‐hospital cardiac arrest associated with development and implementation of a resuscitation quality bundle. Objectives were to: 1) implement a debriefing program, 2) identify impediments to delivering high quality CC, 3) develop a resuscitation quality bundle, and 4) measure the impact of the resuscitation quality bundle on compliance with American Heart Association (AHA) Pediatric Advanced Life Support CC guidelines over time. Logistic regression was used to assess the relationship between compliance and year of event, adjusting for age and weight. Over 3 years, 317 consecutive cardiac arrests were debriefed, 38% (119/317) had CC data captured via defibrillator‐based accelerometer pads, data capture increasing over time: (2013:13% [12/92] versus 2014:43% [44/102] versus 2015:51% [63/123], P