The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses
This trial is active, not recruiting.
|Sponsor||National Taiwan University Hospital|
|Start date||January 2011|
|End date||June 2016|
|Trial size||50 participants|
|Trial identifier||NCT02209870, 201106044RC|
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.
The patients after CPR team using E-checklist system
return of spontaneous circulation
time frame: 60 minutes
Technical skill of CPR team
time frame: 30 minutes
Non-technical skill of CPR team
time frame: 30 minutes
survival for 2 hours
time frame: 2 hours
survival to admission
time frame: 1 day
Survival to discharge
time frame: 60 days
Male or female participants at least 18 years old.
Inclusion Criteria: - Out-of-Hospital cardiac arrest patient present to NTUH ED - Age > 18 years old - E-checklist system applied Exclusion Criteria: - E-Checklist system not applied - Video not been recorded
|Official title||The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses|
|Principal investigator||Hui-Chih Wang, MD|
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