Checklists and consistency of care after resuscitation from in‐hospital cardiac arrest: A pilot study

Background In‐hospital cardiac arrest (IHCA) with the return of spontaneous circulation (ROSC) is a clinical scenario associated with potentially devastating outcomes. Objective Inconsistencies in post‐ROSC care exist and we sought to find a low cost way to decrease this variability. Designs, Settin...

Full description

Saved in:
Bibliographic Details
Published in:Journal of hospital medicine 2023-08, Vol.18 (8), p.677-684
Main Authors: Raikhel, Andrew V., Carlbom, David J., Ferraro, Stephen, Schulte, Vera, Johnson, Nicholas J., Town, James A.
Format: Article
Language:English
Subjects:
Cardiac arrest
Cardiopulmonary Resuscitation
Checklist
Documentation
Electrocardiography
Heart Arrest - therapy
Hospitals
Humans
Intervention
Pilot Projects
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background In‐hospital cardiac arrest (IHCA) with the return of spontaneous circulation (ROSC) is a clinical scenario associated with potentially devastating outcomes. Objective Inconsistencies in post‐ROSC care exist and we sought to find a low cost way to decrease this variability. Designs, Settings, and Participants We obtained pre and post intervention metrics including percentage of IHCA with a timely electrocardiogram (ECG), arterial blood gas (ABG), physician documentation, and documentation of patient surrogate communication after ROSC. Intervention We developed and implemented a post‐ROSC checklist for IHCA and measured post‐ROSC clinical care delivery metrics at our hospital during a 1‐year pilot period. Main Outcome and Results After the introduction of the checklist, 83.7% of IHCA had an ECG within 1 h of ROSC, compared to a baseline of 62.8% (p = 0.01). The rate of physician documentation within 6 h of ROSC was 74.4% after introduction of the checklist, compared to a baseline of 49.5% (p 
ISSN:1553-5592
1553-5606
DOI:10.1002/jhm.13149