alert 2014-new-cheng

A Bundled Intervention to Improve Outcomes from Pediatric Cardiac Arrest

Adam Cheng (University of Calgary), Vinay Nadkarni (CHOP)

INSPIRE @ IMSH 2014: San Francisco, California,USA

International Network for Simulation-based Pediatric Innovation, Research and Education

• Outcomes from cardiac arrest are poor

• Several interventions (used in isolation) have been

shown to improve performance of CPR– Use of real-time CPR feedback devices

– Post-arrest debriefing with quantitative CPR data

– Distributed CPR training (rolling refreshers)

• No studies combining these interventions and

evaluating impact on real patient outcomes


Background

• P: For pediatric intensive care unit healthcare providers

• I: Does the implementation of a bundled intervention including:

(a) AHA RQI program; (b) simulation cardiac arrest program

with post-event CPR debriefing; and (c) use of real-time CPR

feedback during real events

• C: Current practice

• O: Improve quality of CPR during practice, simulated events,

real events, and ROSC in real patients?


PICO Question

• Single group pre/post study

• Subjects: pediatric ICU providers (individuals and

teams)

– Attendings, fellows, residents, nurses, RT’s

• Phase 1: Baseline data capture

• Phase 2: Intervention phase

• Phase 3: Assessment phase


Approach / Design

• Performance of CPR during practice

• Performance of CPR during simulated events

• Performance of CPR during real events

• Outcomes from cardiac arrest: ROSC


Design: Outcomes

• How long should each phase be?

• Should debriefing occur for simulated events and real

events?

• How many simulated events should be done per month?

• Multi-center?


Questions

Name: Adam Cheng

Institution: Alberta Children’s Hospital (KidSIM)

E-mail: [email protected]

Phone: +1-403-955-2633


Contact Information