Journal article
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival
BMJ open quality, Vol.12(3), p.e002220
09/01/2023
DOI: 10.1136/bmjoq-2022-002220
PMCID: PMC10510939
PMID: 37730270
Abstract
Delays in treatment of in-hospital cardiac arrests (IHCAs) are associated with worsened survival. We sought to assess the impact of a bundled intervention on IHCA survival in patients on centralised telemetry. A retrospective quality improvement study was performed of a bundled intervention which incorporated (1) a telemetry hotline for telemetry technicians to reach nursing staff; (2) empowerment of telemetry technicians to directly activate the IHCA response team and (3) a standardised escalation system for automated critical alerts within the nursing mobile phone system. In the 4-year study period, there were 75 IHCAs, including 20 preintervention and 55 postintervention. Cox proportional hazard regression predicts postintervention individuals have a 74% reduced the risk of death (HR 0.26, 95% CI 0.08 to 0.84) during a code and a 55% reduced risk of death (HR 0.45, 95% CI 0.23 to 0.89) prior to hospital discharge. Overall code survival improved from 60.0% to 83.6% (p=0.031) with an improvement in ventricular tachycardia/ventricular fibrillation (VT/VF) code survival from 50.0% to 100.0% (p=0.035). There was no difference in non-telemetry code survival preintervention and postintervention (71.4% vs 71.3%, p=0.999). The bundled intervention, including improved communication between telemetry technicians and nurses as well as empowerment of telemetry technicians to directly activate the IHCA response team, may improve IHCA survival, specifically for VT/VF arrests.
Details
- Title: Subtitle
- Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival
- Creators
- Cody McCoy - Indiana University – Purdue University IndianapolisNeil Keshvani - The University of Texas Southwestern Medical CenterMaryam Warsi - University of WashingtonL Steven Brown - Parkland Health & Hospital SystemCarlos Girod - The University of Texas Southwestern Medical CenterEugene S Chu - Parkland Health & Hospital SystemAnita A Hegde - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- BMJ open quality, Vol.12(3), p.e002220
- DOI
- 10.1136/bmjoq-2022-002220
- PMID
- 37730270
- PMCID
- PMC10510939
- NLM abbreviation
- BMJ Open Qual
- ISSN
- 2399-6641
- eISSN
- 2399-6641
- Publisher
- BMJ Publishing Group
- Language
- English
- Date published
- 09/01/2023
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984771655702771
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