Nurse Leaders as Disruptive Innovators in Cardiopulmonary Resuscitation Competency

Abstract

Improving the rate of survival among the 209,000 patients with an in-hospital cardiac arrest (IHCA) each year in the United States 1 Merchant RM Yang L Becker LB for the American Heart Association Get with the Guidelines-Resuscitation Investigators et al. Incidence of treated cardiac arrest in hospitalized patients in the United States. Crit Care Med. 2011; 39: 2401-2406 Crossref PubMed Scopus (326) Google Scholar depends on the provision of high quality cardiopulmonary resuscitation (CPR). Leading health care advisories, such as those of the Institute of Medicine 2 Institute of Medicine; Graham R McCoy MA Schultz AM Strategies to Improve Cardiac Arrest Survival: A Time to Act. The National Academies Press, Washington, DC2015http://www.nap.edu/catalog/21723/strategies-to-improve-cardiac-arrest-survival-a-time-to-act Google Scholar and the American Heart Association (AHA), 3 Bhanji F Donoghue AJ Wolff MS et al. Part 14: education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132 (Accessed December 31, 2015): S561-S573http://circ.ahajournals.org/content/132/18_suppl_2/S561.full.pdf1html Crossref PubMed Scopus (200) Google Scholar suggest that the current survival rate of 22.3% from IHCA 4 Girotra S Nallamothu B Spertus JA Li Y Krumholz HM Chan PS for American Heart Association Get With the Guidelines-Resuscitation Investigators Trends in survival after in-hospital cardiac arrest. N Engl J Med. 2012; 367: 1912-1920 Crossref PubMed Scopus (591) Google Scholar can be improved through organization- and systems-level continuous quality improvement initiatives. As a result of the high number of arrests with low survival rates and new initiatives focusing on continuous improvement, likely cardiac arrest and the provision of high quality CPR will be a Centers for Medicare & Medicaid core measure. Improving the rate of survival among the 209,000 patients with an in-hospital cardiac arrest (IHCA) each year in the United States 1 Merchant RM Yang L Becker LB for the American Heart Association Get with the Guidelines-Resuscitation Investigators et al. Incidence of treated cardiac arrest in hospitalized patients in the United States. Crit Care Med. 2011; 39: 2401-2406 Crossref PubMed Scopus (326) Google Scholar depends on the provision of high quality cardiopulmonary resuscitation (CPR). Leading health care advisories, such as those of the Institute of Medicine 2 Institute of Medicine; Graham R McCoy MA Schultz AM Strategies to Improve Cardiac Arrest Survival: A Time to Act. The National Academies Press, Washington, DC2015http://www.nap.edu/catalog/21723/strategies-to-improve-cardiac-arrest-survival-a-time-to-act Google Scholar and the American Heart Association (AHA), 3 Bhanji F Donoghue AJ Wolff MS et al. Part 14: education: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132 (Accessed December 31, 2015): S561-S573http://circ.ahajournals.org/content/132/18_suppl_2/S561.full.pdf1html Crossref PubMed Scopus (200) Google Scholar suggest that the current survival rate of 22.3% from IHCA 4 Girotra S Nallamothu B Spertus JA Li Y Krumholz HM Chan PS for American Heart Association Get With the Guidelines-Resuscitation Investigators Trends in survival after in-hospital cardiac arrest. N Engl J Med. 2012; 367: 1912-1920 Crossref PubMed Scopus (591) Google Scholar can be improved through organization- and systems-level continuous quality improvement initiatives. As a result of the high number of arrests with low survival rates and new initiatives focusing on continuous improvement, likely cardiac arrest and the provision of high quality CPR will be a Centers for Medicare & Medicaid core measure.