Couper, Keith, Kimani, Peter K., Davies, Robin P., Baker, Annalie, Davies, Michelle, Husselbee, Natalie, Melody, Teresa, Griffiths, Frances and Perkins, Gavin D. (2016) An evaluation of three methods of in-hospital cardiac arrest educational debriefing : the cardiopulmonary resuscitation debriefing study. Resuscitation, 105 . pp. 130-137. doi:10.1016/j.resuscitation.2016.05.005 ISSN 0300-9572.

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Abstract

Background

The use of cardiac arrest educational debriefing has been associated with improvements in cardiopulmonary resuscitation (CPR) quality and patient outcome. The practical challenges associated with delivering some debriefing approaches may not be generalisable to the UK health setting. The aim of this study was to evaluate the deliverability and effectiveness of three cardiac arrest debriefing approaches that were tailored to UK working practice.

Methods

We undertook a before/after study at three hospital sites. During the post-intervention period of the study, three cardiac arrest educational debriefing models were implemented at study hospitals (one model per hospital). To evaluate the effectiveness of the interventions, CPR quality and patient outcome data were collected from consecutive adult cardiac arrest events attended by the hospital cardiac arrest team. The primary outcome was chest compression depth.

Results

Between November 2011 and July 2014, 1198 cardiac arrest events were eligible for study inclusion (782 pre-intervention; 416 post-intervention). The quality of CPR was high at baseline. During the post-intervention period, cardiac arrest debriefing interventions were delivered to 191 clinicians on 344 occasions. Debriefing interventions were deliverable in practice, but were not associated with a clinically important improvement in CPR quality. The interventions had no effect on patient outcome.

Conclusion

The delivery of these cardiac arrest educational debriefing strategies was feasible, but did not have a large effect on CPR quality. This may be attributable to the high-quality of CPR being delivered in study hospitals at baseline.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	CPR (First aid) , Cardiac arrest, Heart -- Diseases -- Nursing, Patients
Journal or Publication Title:	Resuscitation
Publisher:	Elsevier Ireland Ltd
ISSN:	0300-9572
Official Date:	August 2016
Dates:	Date Event August 2016 Published 6 June 2016 Available 12 May 2016 Accepted 2 November 2015 Submitted
Volume:	105
Page Range:	pp. 130-137
DOI:	10.1016/j.resuscitation.2016.05.005
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	13 June 2016
Date of first compliant Open Access:	6 June 2017
Funder:	Resuscitation Council (UK), National Institute for Health Research (Great Britain) (NIHR), Intensive Care Society (Great Britain) (ICS)
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