Clinical trial NCT02209870: The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses
Official title: The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Cardiopulmonary Arrest
Keywords: Cardiopulmonary resuscitation
Teamwork
electronic checklist
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2014-08-06
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Emergency Department patient Out-of-Hospital cardiac arrest patient receive CPR in NTUH Emergency Department Age \> 18 years old

Brief summary: The quality of cardiopulmonary resuscitation (CPR) has been identified as an important determinants for patient survival, yet many studies revealed poor CPR guidelines compliance in real-life practice for both health care providers and lay persons. Common shortcomings identified include an insufficient number of chest compression, too rapid lung inflations, and too much hands-off time. The poor quality of CPR is associated with lower survival rate. Besides, some other problems could be found during resuscitation, such as prolonged intubation time, delayed first shock delivery or unsteady drug delivery interval. These problems can't be blamed on the only person but the teamwork. Certain measurements could improve the performance of the resuscitation team, such as audio prompt or checklist.

Methods proposed and improvised to improve the quality of CPR have included CPR assisted devices, automatic driven devices or audio prompt system. However, some of these methods are hardly incorporate with the original resuscitation process since it could be an extra workload. Therefore, the investigators try to provide an digitized checklist combined with visual and audio alarming system, which could not only minimize the workload of chart recording but also remind the team to perform essential procedures in time.

Information gained from a video-recording evaluation system had been employed to improve the resuscitation skills. The improvement of resuscitation quality also could be found through video-recording after certain intervention. It can also avoid the interference of the resuscitation and find out other harmful factors to CPR quality.


Eligibility criteria: Inclusion Criteria:

* Out-of-Hospital cardiac arrest patient present to NTUH ED
* Age \> 18 years old
* E-checklist system applied

Exclusion Criteria:

* E-Checklist system not applied
* Video not been recorded

Primary outcomes:
measure: return of spontaneous circulation
timeFrame: 60 minutes
Secondary outcomes:
measure: Technical skill of CPR team
timeFrame: 30 minutes
measure: Non-technical skill of CPR team
timeFrame: 30 minutes
measure: survival for 2 hours
timeFrame: 2 hours
measure: survival to admission
timeFrame: 1 day
measure: Survival to discharge
timeFrame: 60 days
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
Study officials:
affiliation: National Taiwan University Hospital
name: Hui-Chih Wang, MD
role: PRINCIPAL_INVESTIGATOR
References: