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

• Conditions: Cardiopulmonary Arrest
• Interventions: Behavioral: E-checklist Group

• Registration Number: NCT02209870
• Lead Sponsor: National Taiwan University Hospital

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-01
• Study First Submitted: 2013-05-31
• Study First Submitted QC: 2014-08-05
• Study First Posted: 2014-08-06
• Status Verified: 2015-04
• Last Update Submitted: 2015-04-01
• Last Update Posted: 2015-04-03
• Primary Completion: 2016-06
• Study Completion: 2016-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 50

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
E-checklist group	E-checklist Group	The patients after CPR team using E-checklist system

Primary Outcome Measures

Name	Time	Method
return of spontaneous circulation	60 minutes	return of spontaneous circulation

Secondary Outcome Measures

Name	Time	Method
Non-technical skill of CPR team	30 minutes	Team structure and leadership, situation monitoring, workload management, communication
Technical skill of CPR team	30 minutes	including time to first shockable rhythm, no-flow time, frequency of chest compression, successful rate of rhythm conversion, Time to first shock
survival for 2 hours	2 hours	maintained spontaneous circulation for up to 2 hours
survival to admission	1 day	Survival to admission
Survival to discharge	60 days	Survival to discharge from hospital

Trial Locations

Locations (1)

National Taiwan University Hospital; 🇨🇳 Taipei, Taiwan