Improving Time to Defibrillation Following Ventricular Tachycardia (VTach) and Ventricular Fibrillation (VFib) Cardiac Arrest: A Multicenter Retrospective and Prospective Quality Improvement Study

TY - JOUR

T1 - Improving Time to Defibrillation Following Ventricular Tachycardia (VTach) and Ventricular Fibrillation (VFib) Cardiac Arrest

T2 - A Multicenter Retrospective and Prospective Quality Improvement Study

AU - Bodempudi, Sairamya

AU - Wus, Lisa

AU - Kloo, Juergen

AU - Zeniecki, Patrick

AU - Coromilas, James

AU - West, Frances Mae

AU - Lev, Yair

N1 - Publisher Copyright: Copyright © 2022 the American College of Medical Quality.

PY - 2023/3/1

Y1 - 2023/3/1

N2 - The goal of this study was to identify how often 2 independent centers defibrillated patients within the American Heart Association recommended 2-minute time interval following ventricular fibrillation/ventricular tachycardia arrest. A retrospective chart review revealed significant delays in defibrillation. Simulation sessions and modules were implemented to train nursing staff in a single nursing unit at a Philadelphia teaching hospital. Recruited nurses completed a code blue simulation session to establish a baseline time to defibrillation. They were then given 2 weeks to complete an online educational module. Upon completion, they participated in a second set of simulation sessions to assess improvement. First round simulations resulted in 33% with delayed defibrillation and 27% no defibrillation. Following the module, 77% of the second round of simulations ended in timely defibrillation, a statistically significant improvement ( P < 0.00001). Next steps involve prospective collection of the code blue data to analyze improvement in real code blue events.

AB - The goal of this study was to identify how often 2 independent centers defibrillated patients within the American Heart Association recommended 2-minute time interval following ventricular fibrillation/ventricular tachycardia arrest. A retrospective chart review revealed significant delays in defibrillation. Simulation sessions and modules were implemented to train nursing staff in a single nursing unit at a Philadelphia teaching hospital. Recruited nurses completed a code blue simulation session to establish a baseline time to defibrillation. They were then given 2 weeks to complete an online educational module. Upon completion, they participated in a second set of simulation sessions to assess improvement. First round simulations resulted in 33% with delayed defibrillation and 27% no defibrillation. Following the module, 77% of the second round of simulations ended in timely defibrillation, a statistically significant improvement ( P < 0.00001). Next steps involve prospective collection of the code blue data to analyze improvement in real code blue events.

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U2 - https://doi.org/10.1097/JMQ.0000000000000102

DO - https://doi.org/10.1097/JMQ.0000000000000102

M3 - Article

C2 - 36519966

SN - 1062-8606

VL - 38

SP - 73

EP - 80

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

IS - 2

ER -