A cross-stakeholder approach to improving out-of-hospital cardiac arrest survival
Copyright © 2023 Elsevier Inc. All rights reserved..
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) affects over 300,000 individuals per year in the United States with poor survival rates overall. A remarkable 5-fold difference in survival-to-hospital discharge rates exist across United States communities.
METHODS: We conducted a study using qualitative research methods comparing the system of care across sites in Michigan communities with varying OHCA survival outcomes, as measured by return to spontaneous circulation with pulse upon emergency department arrival.
RESULTS: Major themes distinguishing higher performing sites were (1) working as a team, (2) devoting resources to coordination across agencies, and (3) developing a continuous quality improvement culture. These themes spanned the chain of survival framework for OHCA. By examining the unique processes, procedures, and characteristics of higher- relative to lower-performing sites, we gleaned lessons learned that appear to distinguish higher performers. The higher performing sites reported being the most collaborative, due in part to facilitation of system integration by progressive leadership that is willing to build bridges among stakeholders.
CONCLUSIONS: Based on the distinguishing features of higher performing sites, we provide recommendations for toolkit development to improve survival in prehospital systems of care for OHCA.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:266 |
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| Enthalten in: |
American heart journal - 266(2023) vom: 30. Dez., Seite 106-119 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Guetterman, Timothy C [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 20.11.2023 Date Revised 20.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ahj.2023.09.004 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM362063419 |
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| 245 | 1 | 2 | |a A cross-stakeholder approach to improving out-of-hospital cardiac arrest survival |
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| 500 | |a Date Completed 20.11.2023 | ||
| 500 | |a Date Revised 20.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Out-of-hospital cardiac arrest (OHCA) affects over 300,000 individuals per year in the United States with poor survival rates overall. A remarkable 5-fold difference in survival-to-hospital discharge rates exist across United States communities | ||
| 520 | |a METHODS: We conducted a study using qualitative research methods comparing the system of care across sites in Michigan communities with varying OHCA survival outcomes, as measured by return to spontaneous circulation with pulse upon emergency department arrival | ||
| 520 | |a RESULTS: Major themes distinguishing higher performing sites were (1) working as a team, (2) devoting resources to coordination across agencies, and (3) developing a continuous quality improvement culture. These themes spanned the chain of survival framework for OHCA. By examining the unique processes, procedures, and characteristics of higher- relative to lower-performing sites, we gleaned lessons learned that appear to distinguish higher performers. The higher performing sites reported being the most collaborative, due in part to facilitation of system integration by progressive leadership that is willing to build bridges among stakeholders | ||
| 520 | |a CONCLUSIONS: Based on the distinguishing features of higher performing sites, we provide recommendations for toolkit development to improve survival in prehospital systems of care for OHCA | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 700 | 1 | |a Forman, Jane |e verfasserin |4 aut | |
| 700 | 1 | |a Fouche, Sydney |e verfasserin |4 aut | |
| 700 | 1 | |a Simpson, Kaitlyn |e verfasserin |4 aut | |
| 700 | 1 | |a Fetters, Michael D |e verfasserin |4 aut | |
| 700 | 1 | |a Nelson, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Mendel, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Hsu, Antony |e verfasserin |4 aut | |
| 700 | 1 | |a Flohr, Jessica A |e verfasserin |4 aut | |
| 700 | 1 | |a Domeier, Robert |e verfasserin |4 aut | |
| 700 | 1 | |a Rahim, Rebal |e verfasserin |4 aut | |
| 700 | 1 | |a Nallamothu, Brahmajee K |e verfasserin |4 aut | |
| 700 | 1 | |a Abir, Mahshid |e verfasserin |4 aut | |
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