Improving response time and survival in ward based in-hospital cardiac arrest: A quality improvement initiative
Main finding · ROSC rateResult — go to the resultOdds ratio 2.05 CI 1.04–4.05Authors' conclusion
Implementation of a ward-based cardiac arrest QI initiative resulted in an improvement in ROSC rates, median call center and CAT response times.
Study context
- Population
- Ward-based in-hospital cardiac arrest
- Comparison
- Post-intervention vs Pre-intervention
- Outcome
- Rate of ROSC
Methodological detailsbefore-after, Model for Improvement, 3 Plan-Do-Study-Act (PDSA) cycles, multivariate adjustment
- Before-after
- Model for Improvement
- 3 PDSA cycles
- Multivariate adjustment
Main finding
ROSC rate
Odds ratio
2.05
CI 1.04–4.05
P = 0.04
Post-intervention vs Pre-intervention
OR 2.05 (CI 1.04–4.05); P = 0.04
As reported in the abstract
Secondary outcomes
| Outcome | OR (CI) | P value | |
|---|---|---|---|
| Survival to hospital dischargeAdjusted for possible confounders | 0.71 (0.25–2.06) | P = 0.53 | |
| 0.20.5125Odds ratio (log scale) |
Call center processing time
P = 0.03
CAT response time
P < 0.001
Original publication
Improving response time and survival in ward based in-hospital cardiac arrest: A quality improvement initiative. Resuscitation. Published 6 February 2024. doi:10. 1016/ j. resuscitation. 2024. 110134
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