Characterization and Identification of Mistakes and Errors Made by Clinic Staffs During Cardio Pulmonary Resuscitation

Abstract

Background: Performing cardio pulmonary resuscitation at hospitals by clinic staffs requires skills, knowledge, precision, and speed for obtaining proper results. The main purpose of the present study was to identify mistakes and errors that occur during cardio pulmonary resuscitation by clinic staffs. Methods: The present study was observational and was performed between years 2014 and 2016, in a way that the researchers, as presenting the resuscitation code, observed patients, who had cardiac arrest, and recorded all actions performed by the clinical staff. The sampling method of the study was convenient sampling and was performed for 48 cases of CPR. Collected data were analyzed without mentioning the patients’ and hospitals’ name. Results: Most common and important errors or mistakes made during CPR included treating monitors instead of patients, problems in identifying proper equipment, ignoring clinical symptoms of the disease, such as agonal gasp, deciding to terminate the CPR, improper placement of the staffs’ palm for circulation, and increasing the speed and number of times for circulating. Over hyperventilation, inability in patients ventilation with bag valve mask, wasting time in difficult vein puncture, delay in circulation, inability in realizing actions priority during CPR, broken and out of service equipment, forgetting to check the pulse, rhythm and shock discharge without shock indication, lack of attention to device sync bottom status, device discharge without informing others, and over use and excessive fluid therapy. Conclusions: The obtained results from the present study indicate that level and quality of presenting clinical care in the emergency section in studied hospitals was not at a desirable and acceptable level and indicates lack of proper education and training for clinical staffs and physicians. Educational needs assessment and optimizing human resource, and proper investment are key factors in developing clinical care and can increase efficiency and reduce casualties.