The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses

NCT02209870 | Unknown

• 1 other identifier: 201106044RC
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Cardiopulmonary Arrest

Keywords

Cardiopulmonary resuscitation; Teamwork; electronic checklist

Outcome Measures

Primary Outcomes (1)

• return of spontaneous circulation

  return of spontaneous circulation

  60 minutes

Secondary Outcomes (5)

• Technical skill of CPR team

  30 minutes

• Non-technical skill of CPR team

  30 minutes

• survival for 2 hours

  2 hours

• survival to admission

  1 day

• Survival to discharge

  60 days

Study Arms (1)

E-checklist group

The patients after CPR team using E-checklist system

Behavioral: E-checklist Group

Interventions

E-checklist Group BEHAVIORAL

The patient group after E-checklist system deployed

E-checklist group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Emergency Department patient Out-of-Hospital cardiac arrest patient receive CPR in NTUH Emergency Department Age \> 18 years old

You may qualify if:

• Out-of-Hospital cardiac arrest patient present to NTUH ED
• Age \> 18 years old
• E-checklist system applied

You may not qualify if:

• E-Checklist system not applied
• Video not been recorded

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan, 100, Taiwan

Location

MeSH Terms

Conditions

Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Hui-Chih Wang, MD

  National Taiwan University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 31, 2013
• First Posted: August 6, 2014
• Study Start: January 1, 2011
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2016
• Last Updated: April 3, 2015

Record last verified: 2015-04

Locations

TW (1)