Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative*

Abstract

Across an international pediatric resuscitation collaborative, we characterized the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics and found that they often do not meet 2015 American Heart Association guidelines. Guideline compliance for rate and depth in children less than 18 years is poor, with the greatest difficulty in achieving chest compression depth targets in younger children.

Cold Debriefings after In-hospital Cardiac Arrest in an International Pediatric Resuscitation Quality Improvement Collaborative

“…We analyzed prospectively collected observational data on CDs performed as part of an international, multicenter Pediatric Resuscitation Quality Collaborative (pediRES-Q). 17 At the time of data collection, 18 sites across the United States, England, Spain, the Netherlands, and Japan participated in the pediRES-Q collaborative. Site characteristics and bed volumes are available in Table 1, Supplemental Digital Content 1 , http://links.lww.com/PQ9/A193 .…”

Making care better in the pediatric intensive care unit

“…Errors during cardiac arrest management are common, with pediatric patients particularly susceptible due to the relative infrequency of pediatric cardiac arrests and wide-ranging patient weights and sizes necessitating more complex life support algorithms (defibrillation doses, medication doses, range of CPR quality goals) (43)(44)(45)(46)(47)(48). Clear evidence exists that the delivery of high quality chest compressions and rapid medication administration improves short-and longterm outcomes after cardiac arrest (49,50), however repeated studies show that the CPR delivered at the bedside does not meet guideline recommendations (51,52). Implementation of a bundle of practices has been implemented to attempt to improve the quality of care delivered to children that experience cardiac arrest, and is the focus of the Pedi-ResQ Quality Collaborative.…”

More Than 500 Kids Could Be Saved Each Year! Ten Consensus Actions to Improve Quality of Pediatric Resuscitation in DACH-Countries (Austria, Germany, and Switzerland)

“…Recent studies show that the quality of pediatric resuscitation often does not achieve recommended standards (4)(5)(6). Based on substantial international study data, the authors of this DACH position statement suggest the implementation of 10 evidence-based actions (for out-of-hospital and in-house cardiac arrests, OHCA and IHCA) that should improve survival rates and decrease morbidity of resuscitated children with better neurological outcome and quality of life.…”