Resuscitation
Volume 81, Issue 4 , Pages 463-471 , April 2010

Comparison of sudden cardiac arrest resuscitation performance data obtained from in-hospital incident chart review and in situ high-fidelity medical simulation

  • Leo Kobayashi

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
    • Corresponding Author InformationCorresponding author at: Rhode Island Hospital Medical Simulation Center, Suite 106, CORO-West Building, 1 Hoppin St., Providence, RI 02903, USA. Tel.: +1 401 444 6237; fax: +1 401 444 5456.
  • ,
  • David G. Lindquist

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Ilse M. Jenouri

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Kevin M. Dushay

      Affiliations

    • Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903, USA
  • ,
  • Donna Haze

      Affiliations

    • Department of Nursing, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903, USA
  • ,
  • Elizabeth M. Sutton

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Jessica L. Smith

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Robert J. Tubbs

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Frank L. Overly

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • John Foggle

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Jennifer Dunbar-Viveiros

      Affiliations

    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
    • Department of Nursing, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903, USA
  • ,
  • Mark S. Jones

      Affiliations

    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • Scott T. Marcotte

      Affiliations

    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
  • ,
  • David L. Werner

      Affiliations

    • School of Nursing, University of Nevada Las Vegas, Bigelow Health Sciences 419, 4505 Maryland Parkway, Box 453018, Las Vegas, NV 89154, USA
  • ,
  • Mary R. Cooper

      Affiliations

    • Lifespan, Suite 2B, Coro Building, 167 Point St., Providence, RI 02903, USA
  • ,
  • Peggy B. Martin

      Affiliations

    • Lifespan, Suite 2B, Coro Building, 167 Point St., Providence, RI 02903, USA
  • ,
  • Dominick Tammaro

      Affiliations

    • Division of Internal Medicine, Department of Medicine, Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903, USA
  • ,
  • Gregory D. Jay

      Affiliations

    • Department of Emergency Medicine, Alpert Medical School of Brown University, 55 Claverick St., Providence, RI 02903, USA
    • Rhode Island Hospital Medical Simulation Center, Suite 106, Coro-West Building, 1 Hoppin St., Providence, RI 02903, USA
    • Department of Bioengineering, Alpert Medical School of Brown University, Box D, 182 Hope St., Providence, RI 02912, USA

Received 25 June 2009 ,Revised 20 November 2009 ,Accepted 6 January 2010.

References 

  1. Anderson RN, Smith BL. Deaths: leading causes for 2002. Natl Vital Stat Rep. 2005;53:1–89
  2. Zheng ZJ, Croft JB, Giles WH, Mensah GA. Out-of-hospital cardiac deaths in adolescents and young adults in the United States, 1989 to 1998. Am J Prev Med. 2005;29(5 Suppl 1):36–41
  3. Bunch TJ, White RD, Bruce GK, et al. Prediction of short- and long-term outcomes by electrocardiography in survivors of out-of-hospital cardiac arrest. Resuscitation. 2004;63:137–143
  4. Bunch TJ, Hammill SC, White RD. Outcomes after ventricular fibrillation out-of-hospital cardiac arrest: expanding the chain of survival. Mayo Clin Proc. 2005;80:774–782
  5. Bunch TJ, White RD, Gersh BJ, et al. Long-term outcomes of out-of-hospital cardiac arrest after successful early defibrillation. N Engl J Med. 2003;348:2626–2633
  6. Stiell IG, Wells GA, Field B, et al. Advanced cardiac life support in out-of-hospital cardiac arrest. N Engl J Med. 2004;351:647–656
  7. Herlitz J, Aune S, Bang A, et al. Very high survival among patients defibrillated at an early stage after in-hospital ventricular fibrillation on wards with and without monitoring facilities. Resuscitation. 2005;66:159–166
  8. Chan PS, Krumholz HM, Nichol G, Nallamothu BK. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358:9–17
  9. Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch Intern Med. 2008;168:1063–1069
  10. Peberdy MA, Ornato JP, Larkin GL, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299:785–792
  11. Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke statistics—2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007;115:e69–171
  12. Kaye W, Mancini ME, Truitt TL. When minutes count—the fallacy of accurate time documentation during in-hospital resuscitation. Resuscitation. 2005;65:285–290
  13. Jones PG, Miles JL. Overcoming barriers to in-hospital cardiac arrest documentation. Resuscitation. 2008;76:369–375
  14. Cummins RO, Chamberlain DA, Abramson NS, et al. Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. 1991;84:960–975
  15. Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58:297–308
  16. Kaldjian LC, Jones EW, Rosenthal GE. Facilitating and impeding factors for physicians’ error disclosure: a structured literature review. Jt Comm J Qual Patient Saf. 2006;32:188–198
  17. Wachter RM. Is the measurement mandate diverting the patient safety revolution? Expert commentary, National Quality Measures Clearinghouse; March 24, 2008. www.qualitymeasures.ahrq.gov/resources/commentary.aspx?file=Patient_Safety.inc [accessed 08.02.09].
  18. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27:10–28
  19. Kobayashi L, Overly FL, Fairbanks RJ, et al. Advanced medical simulation applications for emergency medicine microsystems evaluation and training. Acad Emerg Med. 2008;15:1058–1070
  20. Hunt EA, Hohenhaus SM, Luo X, Frush KS. Simulation of pediatric trauma stabilization in 35 North Carolina emergency departments: identification of targets for performance improvement. Pediatrics. 2006;117:641–648
  21. Birch L, Jones N, Doyle PM, et al. Obstetric skills drills: evaluation of teaching methods. Nurse Educ Today. 2007;27:915–922
  22. Miller KK, Riley W, Davis S, Hansen HE. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22:105–113
  23. Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(Suppl 1):i2–10
  24. Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?. Qual Saf Health Care. 2004;13:417–421
  25. Wayne DB, Siddall VJ, Butter J, et al. A longitudinal study of internal medicine residents’ retention of advanced cardiac life support skills. Acad Med. 2006;81(10 Suppl):S9–S12
  26. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case–control study. Chest. 2008;133:56–61
  27. Aucar JA, Groch NR, Troxel SA, Eubanks SW. A review of surgical simulation with attention to validation methodology. Surg Laparosc Endosc Percut Tech. 2005;15:82–89
  28. Korndorffer JR, Dunne JB, Sierra R, Stefanidis D, Touchard CL, Scott DJ. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg. 2005;201:23–29
  29. Stefanidis D, Korndorffer JR, Markley S, Sierra R, Heniford BT, Scott DJ. Closing the gap in operative performance between novices and experts: does harder mean better for laparoscopic simulator training?. J Am Coll Surg. 2007;205:307–313
  30. Deering S, Poggi S, Macedonia C, Gherman R, Satin AJ. Improving resident competency in the management of shoulder dystocia with simulation training. Obstet Gynecol. 2004;103:1224–1228
  31. Draycott TJ, Crofts JF, Ash JP, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol. 2008;112:14–20
  32. Goffman D, Heo H, Pardanani S, Merkatz IR, Bernstein PS. Improving shoulder dystocia management among resident and attending physicians using simulations. Am J Obstet Gynecol 2008;199:294e1–5.
  33. Blike GT, Christoffersen K, Cravero JP, Andeweg SK, Jensen J. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2005;101:48–58
  34. Villamaria FJ, Pliego JF, Wehbe-Janek H, et al. Using simulation to orient code blue teams to a new hospital facility. Simul Healthc. 2008;3:209–216
  35. Rodriguez-Paz JM, Mark LJ, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Anesth Analg. 2009;108:202–210
  36. Hunt EA, Walker AR, Shaffner DH, Miller MR, Pronovost PJ. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. Pediatrics. 2008;121:e34–43
  37. Catchpole KR, Giddings AE, de Leval MR, et al. Identification of systems failures in successful paediatric cardiac surgery. Ergonomics. 2006;49:567–588
  38. Catchpole KR, Giddings AE, Wilkinson M, Hirst G, Dale T, de Leval MR. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142:102–110
  39. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  40. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital arrest. JAMA. 2005;293:299–304
  41. Abella BS, Sandbo N, Vassilatos P, et al. Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation. 2005;111:428–434
  42. Kaye W, Mancini ME, Giuliano KK, et al. Strengthening the in-hospital chain of survival with rapid defibrillation by first responders using automated external defibrillators: training and retention issues. Ann Emerg Med. 1995;25:163–168
  43. Kaye W, Mancini ME, Richards N. Organizing and implementing a hospital-wide first-responder automated external defibrillation program: strengthening the in-hospital chain of survival. Resuscitation. 1995;30:151–156

 A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2010.01.003.

☆☆ Aspects of portable and mobile simulation sessions discussed within the article were presented as abstracts at the April 2008 BMJ International Forum on Patient Safety in Healthcare, Paris, France, the October 2008 Research Forum of the American College of Emergency Physicians Scientific Assembly in Chicago, IL, the November 2008 Lifespan Research Celebration, Providence, RI, and the January 2009 International Meeting on Simulation in Healthcare in Orlando, FL.

PII: S0300-9572(10)00021-3

doi: 10.1016/j.resuscitation.2010.01.003

Resuscitation
Volume 81, Issue 4 , Pages 463-471 , April 2010