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Resuscitation quality improvement program to improve the acquisition and retention of cardiopulmonary resuscitation skills for healthcare professionals in emergency department
Jiang Hui, Song Xiao, Zong Liang, Zhu Huadong, Liu Jihai, Shi Di
2024, 44 (12):
943-947.
DOI: 10.3760/cma.j.cn115259-20230822-00153
Objective This study aims to evaluate the effectiveness of the resuscitation quality improvement (RQI) program in cardiopulmonary resuscitation (CPR) training for emergency department personnel. Methods From April 2021 to April 2022, a cohort of 149 healthcare professionals from the Emergency Department of Peking Union Medical College Hospital were enrolled in CPR training using the RQI program. Test scores of pre-training, post-training and four quarterly refresher training periods (Q1, Q2, Q3, Q4) were collected, questionnaires were also used to assess the training effects. Non-parametric Wilcoxon rank-sum tests were used for data analysis. Results There were statistical improvements in CPR test scores from pre- to post-training for adult compressions [64.5 (59.0) vs. 96.0 (15.0)], adult ventilation [42.5 (86.0) vs. 97.5 (14.0)], infant compressions [24.0 (73.0) vs. 94.0 (19.0)], and infant ventilation [28.5 (57.0) vs. 74.5 (46.0)](all P < 0.05). The adult compression scores for Q1, Q2, Q3, and Q4 were 97.0 (3.0), 98.0 (4.0), 97.0 (5.0), and 98.0 (4.0), respectively, and the infant compression scores were 98.0 (6.0), 98.0 (5.0), 99.0 (8.0), and 98.0 (5.0), respectively. The adult ventilation scores were 99.0 (3.0), 99.0 (3.0), 99.0 (7.0), and 99.0 (3.0), and the infant ventilation scores were 98.0 (7.0), 98.0 (8.0), 99.0 (5.0), and 99.0 (5.0), all with no statistical differences across the four quarters (all P>0.05). The participation rate was 99.3%(148/149) for Q1, 96.6%(144/149) for Q2, 94.6%(141/149) for Q3, and 91.9%(137/149) for Q4. The overall satisfaction rate was 89.1%(122/137). Conclusions The RQI program for CPR training in the emergency department was effective in enabling participants to acquire and maintain core skills, with high levels of course compliance and satisfaction. RQI could be an alternative approach for CPR training among emergency clinicians and nurses.
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