Research analysis: Using continuous feedback to drive cardiac arrest care improvements

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The Municipal Emergency Medical Services of Vienna implemented a standardized post-resuscitation feedback system and performed a two-year evaluation of its impact on performance and patient outcomes. They recently published their results in “Resuscitation.”

Within 48 hours of every out-of-hospital cardiac arrest (OHCA) from August 2013 through July 2015 (n = 2466) providers received comprehensive feedback on their performance related to “compression rate, compression ratio, ventilation rate, chest compression during defibrillator loading phase, total duration of hands-off intervals and measurement of end-tidal carbon dioxide (etCO2).”

The thresholds for “good performance/guideline conformity” vs. “wrong/missing” performance and guideline conformity were based on predetermined American Heart Association (AHA) and European Resuscitation Council (ERC) cutoffs. They are described in Figure 2 in the paper.

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