The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses

Cardiopulmonary Arrest Clinical Trial

Official title:

The Impact of Resuscitation Quality of CPR Team by Implantation of Electronic Checklist and Alarming System Through Video-recording Analyses

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT02209870
• Other study ID #: 201106044RC
• Status: Active, not recruiting
• Phase: N/A
• First received: May 31, 2013
• Last updated: April 1, 2015
• Start date: January 2011
• Est. completion date: June 2016

Study information

• Verified date: April 2015
• Source: National Taiwan University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Taiwan: Department of Health
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 50
• Est. completion date: June 2016
• Est. primary completion date: June 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Cardiopulmonary Arrest
• Heart Arrest

Intervention

Behavioral:
• E-checklist Group
The patient group after E-checklist system deployed

Locations

Country	Name	City	State
Taiwan	National Taiwan University Hospital	Taipei

Sponsors (1)

Lead Sponsor	Collaborator
National Taiwan University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	return of spontaneous circulation	return of spontaneous circulation	60 minutes	No
Secondary	Technical skill of CPR team	including time to first shockable rhythm, no-flow time, frequency of chest compression, successful rate of rhythm conversion, Time to first shock	30 minutes	No
Secondary	Non-technical skill of CPR team	Team structure and leadership, situation monitoring, workload management, communication	30 minutes	No
Secondary	survival for 2 hours	maintained spontaneous circulation for up to 2 hours	2 hours	No
Secondary	survival to admission	Survival to admission	1 day	No
Secondary	Survival to discharge	Survival to discharge from hospital	60 days	No