The Effect of Group Random Quality Control on the First Aid Ability of Ward Doctors and Nurses with Respect to the Resuscitation of Patients with In-Hospital Cardiac Arrest
| Autor: | Sanlian Zhou, Jianhong Ji, Yaqiong Jiang, Li Wang, Lihua Wang, Guan Haiyang, Junhua Sheng |
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| Rok vydání: | 2021 |
| Předmět: |
Resuscitation
ability media_common.quotation_subject medicine.medical_treatment Control (management) patient outcomes cardiopulmonary resuscitation survival Medicine Quality (business) Cardiopulmonary resuscitation quality control Survival rate Original Research media_common Risk Management and Healthcare Policy business.industry Health Policy Public Health Environmental and Occupational Health Baseline data medicine.disease in-hospital cardiac arrest Medical emergency business Control methods First aid |
| Zdroj: | Risk Management and Healthcare Policy |
| ISSN: | 1179-1594 |
| Popis: | Jianhong Ji,1,* Li Wang,2,* Haiyang Guan,2 Yaqiong Jiang,1 Sanlian Zhou,2 Junhua Sheng,3 Lihua Wang4 1Intensive Care Unit, The Second Affiliated Hospital of Nantong University, Nantong, Peopleâs Republic of China; 2Department of Emergency, The Second Affiliated Hospital of Nantong University, Nantong, Peopleâs Republic of China; 3Department of Medical, The Second Affiliated Hospital of Nantong University, Nantong, Peopleâs Republic of China; 4Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Lihua WangDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, 226001, Peopleâs Republic of ChinaTel +86 13815219995Email lihua_wangdr@outlook.comObjective: This study was designed to verify the effect of group random quality control on the first aid ability of ward doctors and nurses with regard to the resuscitation of patients with in-hospital cardiac arrest (IHCA).Methods: The first aid quality control team of our hospital was established in December 2018, when the number, qualifications, organizational structure, quality control methods, and responsibilities of the team and team members were determined. The baseline data and assessment results of examinees, the rates of return of spontaneous circulation (ROSC), and the discharge survival rate of IHCA patients in 2019 and 2020 were compared.Results: There were no significant differences in the baseline data of examinees at each stage (p > 0.05). As time went on, the results of the four practical examinations were significantly improved (pairwise comparison, p < 0.05). The number of problems in examinations was significantly higher for physicians than for nurses. After guidance in department relearning, the incidence of related problems was significantly reduced, but the mastery of the frequency and depth of extracorporeal cardiac compression were not always up to standard. The proportion of critically ill patients and the incidence of IHCA in the hospital in 2020 was higher than in 2019 (p < 0.05), and the ROSC rate was also significantly higher than it was in 2019 (p < 0.05), but the difference in the survival rate at discharge was not statistically significant (p > 0.05).Conclusion: Group random quality control meets the needs of IHCA emergencies, and it can improve the first aid skills and organizational coordination of doctors and nurses on the ward through continuous discovery and problem solving so that the ultimate goal of improving the success rate of resuscitation can be achieved.Keywords: in-hospital cardiac arrest, cardiopulmonary resuscitation, quality control, patient outcomes, survival, ability |
| Databáze: | OpenAIRE |
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