Abstract 447: Longitudinal Improvement in CPR Quality Following RQI Implementation in a Pediatric Emergency Department

Abstract

Introduction and Objective: The optimal retraining interval in CPR for healthcare providers is unknown. The Resuscitation Quality Improvement Program (RQI ® ) is a competency based, low-dose high-frequency quality improvement solution CPR psychomotor skills. We sought to describe the longitudinal change in skill performance during simulated CPR over a one year period following the implementation of RQI in a tertiary pediatric ED. Methods: Observational study in a single pediatric ED. All healthcare providers involved in resuscitative care in the ED were enrolled in RQI in October 2017. Once per 3-month period, each provider completed a feedback-guided skills session for 4 basic BLS skills (Infant compressions, infant ventilation, adult compressions, adult ventilation). A weighted scoring algorithm (range 0-100%) was used to score each subject’s performance. In the event of a score of less than 75%, repeated attempt(s) were required until a passing score was achieved. Q4 2017 median overall scores and first daily scores were compared to Q3 2018 median overall scores and first daily scores using a Wilcoxon Signed-Rank Test. Results: 159 providers completed all four quarterly training sessions in the 12-month study period. Median scores stratified by quarter and difference scores between the first and last quarter for each task are shown in Table 1. Overall scores and first daily scores for all four psychomotor CPR skills improved significantly for all tasks between Q4 2017 and Q3 2018. Conclusions: Pediatric ED providers enrolled in RQI showed improved CPR skill performance over a one year period. Future research should link RQI training and skill performance with CPR performance during actual patient care.