Abstract P149: CPR Feedback Improves the Quality of Chest Compressions Performed by Healthcare Providers

Healthcare Providers ◽

Rest Period ◽

Purpose : Healthcare providers are often unable to perform chest compressions (CC) consistently within AHA guideline recommendations of 100 CC/minute at a depth of 1.5–2 in. The present study examined the effect of audiovisual CPR feedback on the quality of CC performed by healthcare providers. Methods: One hundred twenty-five ACLS and BCLS trained hospital based healthcare professionals participated in “CPR challenges” at 14 U.S. hospitals. Participants performed 2 minutes of CC on a manikin without any feedback initially. Following a ≥90 second rest period and ~20 second orientation to the audiovisual feedback prompts, participants repeated 2 minutes of CC with feedback prompts. Data were recorded using a ZOLL AED Plus. Rescuers were categorized based upon mean depth of CC without feedback: 1) under-performers (depth<1.5in; n=60); 2) within guideline-performers (depth<1.5–2in; n=52); and 3) over-performers (depth>2in; n=13). Results: Mean depth of CC improved with CPR feedback (1.57±0.36in without feedback vs. 1.71±0.13in with feedback, mean±SD, p<0.0001) and the percentage of CC within 1.5–2in increased from 38 to 87% (p<0.0001). In under-performers, depth of CC substantially increased with CPR feedback (1.30±0.12 vs. 1.66±0.13in; p<0.0001) and the percentage of CC within 1.5–2in improved from 9 to 81% (p<0.0001). Over-performers were corrected to meet AHA guidelines for depth with feedback (2.31±0.40 vs. 1.83±0.07in, p=0.001). The percentage of CC within 1.5–2 in improved from 13 to 90% with feedback (p<0.0001). For within guideline-performers, depth of CC was similar with and without feedback (1.70±0.14 vs.1.74±0.10in, p=0.08) but the percentage of CC within 1.5–2 in increased with feedback from 79 to 92% (p<0.0001). Rate of CC was corrected with CPR feedback in under-performers (110±17 vs. 100±4 CC/min, p<0.0001) but was unchanged with feedback in within guideline-performers (103±15 vs. 100±3 CC/min, p=0.2) and over-performers (97±14 vs. 100±8 CC/min, p=0.4). Conclusions: Audiovisual feedback improves the quality of CC provided by hospital-based healthcare professionals in a manikin testing scenario. Healthcare providers can improve consistency of CC with CPR feedback regardless of their performance without feedback.

Strategies for Expanding Access and Improving the Quality of Pharmaceutical Services

Pharmaceutical Sciences ◽

10.4018/978-1-5225-1762-7.ch014 ◽

2017 ◽

pp. 340-365

Author(s):

Marcus Vinícius Dias-Souza

Keyword(s):

Geographic Distribution ◽

Healthcare Providers ◽

Pharmaceutical Services ◽

Effective Strategies ◽

Administrative Management ◽

Low Education ◽

Assistance Systems ◽

Pharmaceutical Enterprises

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.

Abstract 229: Cardiopulmonary Resuscitation Compliance of Clinical Nurses Using Feedback Technology from the Zoll R Series Defibrillator

Circulation ◽

10.1161/circ.142.suppl_4.229 ◽

2020 ◽

Vol 142 (Suppl_4) ◽

Author(s):

Martha A Boudreau

Keyword(s):

Visual Feedback ◽

Chest Compression ◽

Technology Use ◽

Healthcare Providers ◽

Rest Period ◽

Visual Display ◽

Chest Compressions ◽

Compression Performance ◽

Clinical Nurses ◽

Use Of Technology

Use of technology driven devices aimed at providing audio-visual feedback during CPR have been developed, however research is limited to their usefulness effecting chest compression quality of clinical nurses who are often first to respond and begin chest compression on patients experiencing cardiac arrest. This study aimed to examine CPR chest compression compliance of nurses with and without feedback from the Zoll R Series® defibrillator on a manikin. Hypothesis: Audio-visual feedback technology use from the Zoll R Series defibrillator improves the percentage of appropriate chest compression depth and rate of nurses during a CPR manikin demonstration exercise. Methods: Thirty-four nurses participated using an AHA approved manikin. Each nurse performed two minutes of uninterrupted chest compressions without feedback, followed by a rest period and two minutes of uninterrupted chest compressions using feedback technology from the defibrillator. Compression data for rate and depth and total compressions in target within AHA 2015 ECC Guidelines were recorded by the defibrillator and entered into Zoll RescueNet® software. Demographics obtained for years of BLS and ACLS certification. Results: Of the 34 nurses, mean years of ACLS certification was 3.4 years and 11.7 certified years of BLS. Compressions performed with feedback showed a higher percentage of compressions in target (M = 87.37, SD= 15.95) including rate (M= 86.33, SD =15.13) and depth (M= 97.12, SD = 5.63) of compressions compared to percent compressions in target without feedback (M= 64.42, SD = 30.54) including rate (M= 65.73, SD = 32.44) and depth (M=93.34, SD = 19.99) of compressions. Twenty nine or 85% of the 34 nurses improved chest compression performance using feedback. No significant correlation found between years of BLS and ACLS certification and pre and post feedback compliance. Conclusions: Defibrillators offering verbal encouragement and a visual display allow for adjustments in rate and depth of compressions to maintain chest compressions compliance within ECC Guidelines. Further studies should investigate whether the incorporation of feedback technology use in mock code and CPR training sessions could improve CPR performance of healthcare providers including nurses.

A Primer for Beginners in Pharmaceutical Care

Research Anthology on Rehabilitation Practices and Therapy ◽

10.4018/978-1-7998-3432-8.ch005 ◽

2021 ◽

pp. 73-94

Author(s):

Marcus Vinícius Dias-Souza

Keyword(s):

Pharmaceutical Care ◽

Geographic Distribution ◽

Healthcare Providers ◽

Clinical Services ◽

Effective Strategies ◽

Administrative Management ◽

Clinical Laboratories ◽

Assistance Systems

This article describes how pharmacists are highly accessible healthcare professionals, and their clinical services are among the most accessible healthcare assistance systems worldwide considering the availability, geographic distribution and location of compounding pharmacies, clinical laboratories and drugstores. Pharmacists need to move from the focus in administrative management to patient-oriented practice, such that the access and the quality of clinical services can be improved. Pharmaceutical Care can influence pharmaceutical services to become more accessible and with a broader coverage of patients. Here is presented an approach on the implementation of effective strategies to improve the quality of Pharmacists' performance as specialized healthcare providers.

Assessment of the quality of chest compressions in healthcare professionals

Resuscitation ◽

10.1016/j.resuscitation.2017.08.139 ◽

2017 ◽

Vol 118 ◽

pp. e56

Author(s):

Artem Kuzovlev ◽

Viktor Moroz ◽

Arkady Goloubev ◽

Sergey Abdusalamov ◽

Kirill Kuzmichev ◽

...

Keyword(s):

Cloud Computing Applications for Quality Health Care Delivery - Advances in Healthcare Information Systems and Administration ◽

Demystifying Quality of Healthcare in the Cloud

10.4018/978-1-4666-6118-9.ch015 ◽

2014 ◽

pp. 284-301 ◽

Cited By ~ 3

Author(s):

Anastasius Moumtzoglou

Keyword(s):

Cloud Computing ◽

Sharp Increase ◽

Healthcare Providers ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Treatment Techniques ◽

New Applications ◽

Elusive Concept

Healthcare services have experienced a sharp increase in demand while the shortages in licensed healthcare professionals have formed one of the toughest challenges that healthcare providers face. In addition, illness has become more complex while advancement in technology and research have expedited the rise of modern and more effective diagnoses and treatment techniques. Cloud computing allows healthcare professionals to share medical records, including all sorts of image and accuracy while new applications or workloads can be started much faster, without going through the entire procurement process or testing the interoperability of the entire infrastructure. Moreover, although the notion of organizational culture is now routinely invoked in organizations and management literature, it remains an elusive concept. However, it is clear that managing the culture is one path towards improving healthcare, and cloud computing introduces a dynamic system adaptation, affecting the quality of care. This is explored in this chapter.

Factors Influencing Healthcare Professionals’ Perception towards EHR/EMR Systems in Gulf Cooperation Council Countries: A Systematic Review

Oman Medical Journal ◽

10.5001/omj.2020.85 ◽

2020 ◽

Vol 35 (6) ◽

pp. e192-e192

Author(s):

Bander Alanazi ◽

Kerryn Butler-Henderson ◽

Mohammed R. Alanazi

Keyword(s):

Systematic Review ◽

Medical Records ◽

Healthcare Providers ◽

Gulf Cooperation Council ◽

Successful Implementation ◽

Health Technologies ◽

Factors Influencing ◽

Electronic Health

Electronic health and medical records are widely adopted in many healthcare settings worldwide to improve the quality of care. Users’ perception is a significant factor influencing the successful implementation and use of e-health technologies. This systematic review aimed to identify factors influencing the perceptions of healthcare professionals towards the adoption and use of electronic health and medical record systems to improve the quality of healthcare services in the countries of the Gulf Cooperation Council. We identified primary studies evaluating healthcare professionals’ perception towards electronic health records and/or electronic medical records in the Gulf region. Seven electronic databases, including Medline, CINAHL, Informit Health Collection, Science Direct, ProQuest, PubMed, and Scopus were used to search for the relevant articles published between January 2007 and December 2016. Thirteen articles met the inclusion criteria and were included in this systematic review. Both individual and system-related factors were found to positively or negatively influence healthcare providers’ perceptions towards the systems. Understanding the impact of healthcare professionals’ perception of health information technology is important for policymakers involved in the implementation programs to ensure their success. Future studies should evaluate other individual characteristics such as age, gender, and profession of the healthcare providers on their perceptions towards e-health technologies.

Assessment of the quality of chest compressions in healthcare professionals

10.26226/morressier.59b171e9d462b8028d896279 ◽

2017 ◽

Author(s):

Artem Kuzovlev

Keyword(s):

Introduction

Pain Care Essentials ◽

10.1093/med/9780199768912.003.0001 ◽

2019 ◽

pp. 1-4

Author(s):

Antje M. Barreveld ◽

Beth B. Hogans

Keyword(s):

Nurse Practitioners ◽

Physical Therapists ◽

Healthcare Providers ◽

Physician Assistants ◽

Early Career ◽

Management Approaches ◽

First Time ◽

Pain Care

Pain has profound effects on human productivity and quality of life. Pain can result in patients experiencing stigma in addition to the profound suffering intrinsic to pain. Since the early 70s, much has been learned about pain through research and collaboration of diverse healthcare professionals and scientists. Despite advances in understanding pain causes, processes, and potential treatments, progress in the preparation of healthcare professionals has been slow. This book represents a collaborative effort of a wide variety of experts in pain, including physicians, nurses, clinical psychologists, pharmacists, scientists, physical therapists and others. The content is organized around learning objectives and targets of the needs of early career health practitioners, including physicians, nurse practitioners, physician assistants, and others. While this book may serve as a refresher, many will be learning this material for the first time. We hope to inspire our readers to engage in meaningful therapeutic partnerships with their patients utilizing the broadest range of effective pain management approaches and therapies with an awareness of safety, pain relief, and the highly individualized nature of pain. Attaining competence in pain care essentials is immensely rewarding for patients, caregivers, and healthcare providers alike.

Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation

European Journal of Cardiovascular Nursing ◽

10.1177/1474515117701060 ◽

2017 ◽

Vol 16 (5) ◽

pp. 453-457 ◽

Cited By ~ 4

Author(s):

Birgitta Semark ◽

Kristofer Årestedt ◽

Johan Israelsson ◽

Burkard von Wangenheim ◽

Jörg Carlsson ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Real Time ◽

(A153) Analysis of Chest Compressions: Measured Using the Quality Compression Index and Performance Disparities among Demographic Characteristics

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11001518 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s43-s44

Author(s):

J.H. Schwab ◽

A.L. Williams ◽

M.L. Birnbaum ◽

Z.T. Emberts ◽

P.D. Padjen ◽

...

Keyword(s):

Basic Life Support ◽

Life Support ◽

Healthcare Providers ◽

Hand Position ◽

Compression Index ◽

Chest Compressions ◽

Male Sex ◽

And Performance ◽

Over Time

IntroductionCardiopulmonary resuscitation (CPR) guidelines throughout the world stress the importance of high quality chest compressions soon after cardiac arrest as the most significant factor in determining survival. Little evidence exists, internationally, documenting the quality of compressions provided by healthcare providers. In this study investigators sought to determine the quality of chest compressions delivered by rescuers. It was hypothesized that greater variably in compression quality exists between rescuers than variability in individual rescuers over time.MethodsIn this observational pilot study, basic life support (BLS) providers from prehospital and in-hospital settings were invited to participate in the investigation. Ten minutes of continuous chest compressions were recorded on the Resusci Anne and the Laerdal PC Skillreporting System. An adequate compression was defined as a compression with depth > 38mm, full chest recoil, and correct hand position. The Quality Compression Index (QCI) was developed to factor rate into the characteristics of an adequate compression. QCI is a scaled performance index calculated every 30 seconds.ResultsProviders came from a variety of clinical backgrounds, aged 35.5 ± 11.0 years. Of the 103 total participants, 94 (91.3%) completed 10 minutes of compressions. The most significant degradation in the quality of compressions occurred within the first two minutes. There was greater variability between different rescuers than the variability over time. Mean Square Error (MSE) due to subjects was comparatively greater than the MSE due to time (63.2 vs. 7.68). Performance of CPR, male sex, < 45 years of age, and prehospital background, correlated with higher quality. Time since last BLS certification and the number of times a rescuer completed a BLS class did not correlate with the quality.ConclusionsGreater variability in the quality of compressions exists between different rescuers than a rescuer over time. Some participants were not able to deliver ideal compressions from the start, when the effects of fatigue were minimal.