Back to resultsMIHS Emergency Department CPR Quality Improvement Project
Primary Purpose
Cardiac Arrest
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
Sponsored by
About this trial
This is an interventional treatment trial for Cardiac Arrest focused on measuring Cardiac arrest, CPR, quality improvement
Eligibility Criteria
Inclusion Criteria:
- 18 years old or older
Exclusion Criteria:
- less than 18 years old
Sites / Locations
- Maricopa Integrated Health System
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Active Comparator
Arm Label
Before RTAVF and post-event debriefing
After RTAVF and post-event debriefing
Arm Description
Before scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
After scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
Outcomes
Primary Outcome Measures
CPR Quality-compression Depth
Measurement of chest compression depth
CPR Quality-percent of >51mm Compressions
Percent of Chest Compressions greater than 51mm
CPR Quality
Chest Compression Release Velocity
CPR Quality-compression Fraction
Chest Compression Fraction indicating the percentage of time in which chest compressions are done by rescuers during a cardiac arrest
CPR Quality-Chest Compression Rate
Mean Chest Compression Rate
CPR Quality- Pre-shock Pause
Pre-shock pause: time from cessation of CPR to shock delivery
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01245699
Brief Title
MIHS Emergency Department CPR Quality Improvement Project
Official Title
MIHS Emergency Department CPR Quality Improvement Project
Study Type
Interventional
2. Study Status
Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
June 9, 2010 (Actual)
Primary Completion Date
November 5, 2015 (Actual)
Study Completion Date
March 9, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valleywise Health
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The investigators will quantify the quality of chest compressions provided in the Emergency Department and determine whether the quality of chest compressions is related to patient outcome. The quality of chest compressions and patient outcomes will be assessed both before and after the introduction of audiovisual feedback in real time.
Detailed Description
The Emergency Department will be using E-series unit manufactured by ZOLL Medical Group (Chelmsford, MA). These units are equipped with an accelerometer-based system that allows for measurement of chest compression depth and rate. These units are also equipped with RealCPRHelp, and FDA-approved technology that provides real-time audiovisual feedback to providers on the quality of chest compressions.
In the first phase of the project, the ED providers will utilize the E-series units to treat all patients requiring chest compressions.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiac Arrest
Keywords
Cardiac arrest, CPR, quality improvement
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Chest Compression before and after RealCPRHelp
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
115 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Before RTAVF and post-event debriefing
Arm Type
No Intervention
Arm Description
Before scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
Arm Title
After RTAVF and post-event debriefing
Arm Type
Active Comparator
Arm Description
After scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
Intervention Type
Behavioral
Intervention Name(s)
scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing
Intervention Description
scenario-based training for CPR, real-time audiovisual CPR feedback using R Series monitor-defibrillator during treatment, and post-event debriefing
Primary Outcome Measure Information:
Title
CPR Quality-compression Depth
Description
Measurement of chest compression depth
Time Frame
during CPR
Title
CPR Quality-percent of >51mm Compressions
Description
Percent of Chest Compressions greater than 51mm
Time Frame
during CPR
Title
CPR Quality
Description
Chest Compression Release Velocity
Time Frame
during CPR
Title
CPR Quality-compression Fraction
Description
Chest Compression Fraction indicating the percentage of time in which chest compressions are done by rescuers during a cardiac arrest
Time Frame
During CPR
Title
CPR Quality-Chest Compression Rate
Description
Mean Chest Compression Rate
Time Frame
During CPR
Title
CPR Quality- Pre-shock Pause
Description
Pre-shock pause: time from cessation of CPR to shock delivery
Time Frame
During CPR
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 years old or older
Exclusion Criteria:
less than 18 years old
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bentley J Bobrow, MD
Organizational Affiliation
Valleywise Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Maricopa Integrated Health System
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85008
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
18334691
Citation
Bobrow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA, Richman PB, Kern KB. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA. 2008 Mar 12;299(10):1158-65. doi: 10.1001/jama.299.10.1158.
Results Reference
result
Learn more about this trial
MIHS Emergency Department CPR Quality Improvement Project
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