The Utstein Formula for Survival depicts the three components essential to improving survival from sudden cardiac arrest – medical science, educational efficiency, and local implementation. While equally weighted from a mathematical perspective, only recently has education stepped into the spotlight with its fellow factors to exact its importance in the formula for survival. This paradigm shift is important. In an area where education has traditionally been a second consideration, it is now being given the attention it deserves. This newfound reputation is heavily attributed to the 2018 publication of the American Heart Association’s scientific statement: Educational Strategies to Improve Outcomes from Cardiac Arrest.
Latest RQI 2020 Blog Posts
The American Heart Association’s Get With The Guidelines® (GWTG) program is focused on quality improvement for hospitals. One of the GWTG tools is focused on in-hospital resuscitation. How’s that going at your hospital?
We know you are committed to safe, effective resuscitations, but do you know your survival outcomes? How is your hospital compared to others? Let’s look at a Get With The Guidelines-Resuscitation (GWTG-R) data set from the Midwest. Read More >
Each year, approximately 350,000 people experience out of hospital cardiac arrest in the United States. That equals 960 instances daily. Most of these events occur at home. Unacceptably, only about one in 10 patients survive to hospital discharge.
The path to improving cardiac arrest outcomes is best described using the mantra, “Measure improve, measure improve.” However, cardiac arrest is a complex incident containing a great many potentially measurable metrics. Where should one start to measure? Read More >
Data, analysis and insights are crucial to improving healthcare outcomes. In resuscitation education, we are transitioning from traditional classroom-based education compliance models to highly evolved platforms that allow us to see and verify learner competence and organizational performance. Using data to measure and improve, we can verify learner competence, clinical performance and drive quality improvement to increase cardiac arrest survival. Read More >
Why do you take BLS, ACLS and PALS training? Is it because your employer requires you to do so? Is it because of The Joint Commission requirements for your hospital? Is it to make you more confident in your ability to save the life of a patient in cardiac arrest? All of the above?
Currently, the national average for in-hospital cardiac arrest survival to discharge is 26%. We know from Get with the Guidelines – Resuscitation data that there’s significant variability in resuscitation care across US hospitals: a patient’s odds for surviving a cardiac arrest varies by up to 42% depending on the hospital! While it is not clear what factors are creating this variability in care, high-quality CPR is the single biggest influence on cardiac arrest survival. Did you know a study published last year showed that AHA Guidelines-compliant CPR was only delivered 11% of the time during pediatric cardiac arrests? This reinforces the clinical knowledge versus performance gap that has been known since at least 2005, when two JAMA studies showed that both pre-hospital and in-hospital healthcare professionals were not routinely providing high-quality CPR during actual cardiac arrests.
Every day, you work to provide the best quality and safest patient care, and to help your organization to run more smoothly and efficiently. Everything you do should align with these critical priorities, including your choice of a CPR education program for your organization. Science-based resuscitation education that has been proven to build competence in high-quality CPR is essential to saving lives of victims of cardiac arrest.
Hands down, the American Heart Association (AHA) is the leader in resuscitation education science. As a founding member council of the International Liaison Committee on Resuscitation (ILCOR) and the only United States member council, the AHA helps analyze global resuscitation research and develop treatment recommendations in their Guidelines for CPR & Emergency Cardiovascular Care.
When translating that science into their BLS, ACLS and PALS programs, and to even further ensure the success of resuscitation education, the AHA published the first-ever Resuscitation Education Scientific Statement, providing educational strategies to achieve resuscitation competence through mastery learning. These strategies, applied to the instructional design of AHA programs, increase true mastery of resuscitation knowledge and skills, leading to the delivery of high-quality CPR in a cardiac arrest emergency.
Alternative CPR training programs do not follow resuscitation science or educational science, and include options that only confuse the organizations and educators who are working to improve quality and survival outcomes, with issues including:
- No established frequency in training
- Critically important content can be skipped
- Skills assessments with no objective measurement of components of high-quality CPR
Resuscitation education developed by the AHA and Laerdal Medical and delivered by RQI Partners, like HeartCode® and RQI ® , truly develops high-quality resuscitation competence within an organization like no other program can.
Please join my webinar on Tuesday, August 13 to learn more about structuring a program for competence: Resuscitation Competence: An Algorithm for Saving Lives.
Practice like you play is an oft-repeated phrase that coaches of many sports advise their athletes. Being prepared and practicing frequently for any event, from athletics to business to healthcare, will enable you to perform your best when the pressure is on.
For over 50 years, the American Heart Association has been the catalyst for improving heart health and reducing deaths from heart conditions and diseases, continuously innovating in pursuit of the advancement of medical science and transference of acquired knowledge to accelerate lifesaving. Learn more about innovations from the American Heart Association that lead to improved resuscitation care.
Because of this demonstrated leadership in evidence-based medical and educational science, healthcare providers rely on the American Heart Association Guidelines as the basis for clinical decision making for stroke, heart failure, resuscitation, atrial fibrillation, and coronary artery disease. No other organization is more knowledgeable or prepared to advise clinicians on cardiovascular conditions or the broad scope of resuscitation etiology or treatment.
But guidelines alone aren’t enough to keep healthcare providers competent in complex procedures like resuscitation. The science is clear: resuscitation skills degrade over three to six months, making it critically important to regularly refresh resuscitation psychomotor skills – practice is required to achieve the competence and confidence needed for the best possible patient care.
Healthcare institutions already rely on the American Heart Association as their main resource for heart guidelines-directed care – why look anywhere else for resuscitation training and quality improvement? Your staff should practice their skills using proven American Heart Association quality improvement solutions to ensure your healthcare providers are ready to provide the best possible patient care every day. The American Heart Association and Laerdal Medical formed a strategic alliance to leverage their unique strengths to co-create innovative solutions to help save more lives from cardiac arrest. Over the ensuing years, the American Heart Association and Laerdal have used their recognized leadership in resuscitation science, education and technology to develop multiple solutions that have helped train more than 15 million people to act during a cardiac arrest.
Programs delivered from RQI Partners, including RQI® 2020 and HeartCode®, prepare healthcare providers to master competence in high-quality CPR. There is no equal substitution for the proven quality of these American Heart Association programs or their efficacy in preparing the responder to save a life in an emergency.
If you want to hit a home run in the big game, you have to practice. If you want to save the life of a patient in cardiac arrest, you must provide and perform high-quality CPR. It is essential to practice how you perform, with the definitive leaders in resuscitation science and technology – you owe it to your staff and your patients.
Please join my webinar on Tuesday, August 13: Resuscitation Competence: An Algorithm for Saving Lives.
As CPR Week comes to a close, we’re sharing the stories of both cardiac arrest survivors and responders, and the profound impact that rapidly-administered CPR has had on their lives.
Sudden Cardiac Arrests occur every day. More often than you imagine. In the U.S., there are 559,000 cardiac arrests reported each year. This CPR and AED Awareness Week, lets recognize this incidence for what it is…a Public Health Crisis. Every day, thousands of people utilize their CPR skills to save lives; from bystanders to 911 operators to trained healthcare providers. Someone is alive today because of your knowledge and competence in CPR, and we are so grateful for your actions.
Our mission to eliminate preventable death from sudden cardiac arrest revolves around live-saving CPR, administered by people just like you. However, 70 percent of Americans may feel helpless to act during a cardiac emergency because they either do not know how to administer CPR, or their competence has significantly lapsed. Approximately 88 percent of cardiac arrests occur at home. Consequently, the life you save with CPR is mostly likely to be someone you love.
This CPR Week, and in light of this growing public health crisis, we are empowering healthcare providers, telecommunicators and bystanders to understand the impact they can have by utilizing CPR. For bystanders, that means performing immediate hands-only CPR, which you can learn about by watching this instructional video. Telecommunicators can guide others through saving a loved one’s life with High-Quality Telephone CPR, and healthcare provides can ensure that their CPR skills are verifiably competent, instead of merely compliant.
We all have the power to save lives; let’s equip ourselves with the right tools to do so.
Visit these links to learn how you can save a life with CPR:
- CPR Statistics – https://cprblog.heart.org/cpr-statistics/
- CPR Awareness Resources – https://www.laerdal.com/us/information/top-10-cpr-awareness-resources/
- Verified Competence – The New Standard of Care – https://rqipartners.com/a-new-standard-of-care/
As Nurses Week continues, we salute and shine a spotlight on Nicole Morby, RN with Intermountain Healthcare in Salt Lake City for the lifesaving care she provides every day … in the hospital and her local community. Read further to learn more about her story.
My path to becoming a nurse took a couple twists and turns, but I eventually landed exactly where I was meant to be and am doing what gives me such a fulfilling purpose in life.
I wanted to work in the healthcare field my entire life. I started college as a chemistry major and pre-med student. Along the way, in my sophomore year, I discovered a love for public relations and event planning. So, I graduated with a degree in those disciplines and then followed my first passion, receiving a nursing degree a few years later.
For a little over five years now, I’ve been caring for patients, their families and the community at-large to ensure they attain, maintain or recover optimum health and quality of life. In order to deliver in this manner, I have to be certain that I’m providing the highest quality of patient care, which means staying abreast and remaining current on guidelines, patient and/or hospital protocol and training.
CPR is a core skill that nurses must possess and be able to confidently and competently perform when a patient suffers a cardiac arrest. Intermountain Healthcare, my employer since 2015, took a significant step in 2017 to ensure its nursing staff received the best CPR training through implementation of the Resuscitation Quality Improvement® (RQI®) program. And actually, RQI, which was co-developed by the American Heart Association and Laerdal Medical, is so much more than training; it is a quality improvement program that verifies CPR competency in 10-minute, simulated skills sessions every 90 days.
In my role as an operating room nurse, I’ve participated in the RQI program for about a year and a half. Although it is a requirement of my employment and prepares me to respond to in-hospital cardiac arrest, I recently was able to make a profound difference in a family’s life one Wednesday afternoon.
It was the start of the fourth quarter of 2018 and my RQI assignment was infant CPR. I tackled it early since the holidays were approaching, which is the busiest time in the operating room. One week later, I was having lunch with a friend at a fast food restaurant when a 3-month-old needed CPR. I responded calmly and took action. After the event was over, I continued eating my lunch as if nothing happened. My friend couldn’t believe the way I responded and was shocked that I returned to normal behavior. Throughout the day, I reflected on my friend’s reaction. It hit me! It was confidence that allowed me to respond and act so calmly and quickly. I was so grateful I completed my RQI skills session the week before, leaving infant CPR fresh on my mind.
A real-life event in the community is very different than in the operating room or on the hospital floor. I expect these situations at work; I am wearing my nurse hat and handling difficult circumstances every day. On that Wednesday afternoon, however, I was wearing my mom hat since my three children were with me. I was able to switch roles very quickly and smoothly, and with full confidence in my actions. I thank my hospital for giving me the confidence and ability to act by implementing the latest technology in CPR quality improvement.
While I still dabble in event planning periodically, nursing and caring for others ultimately became my career path. Saving that infant’s life confirmed that I made the right choice.
As a nursing professional, I have been caring for patients for more than 30 years. There have been countless times when I have shared words of support, encouragement and comfort, held a hand or just sat quietly next to a patient’s bed.
And I have been in situations where I had to deliver lifesaving care to a patient. My actions and interactions over this 30+-year span may have been small or significant, but they made a difference in the lives of my patients.
In April 2017, I became a patient. And yes, nurses did what they do every day — provided the best and highest quality of care to bring me through a frightening event. It is because of them I am here today to share my story.
In recognition of Nurses Week 2019, I celebrate this great profession, my life’s calling, and salute the many men and women across this country who join me each and every day in making a difference in patients’ lives.
At the start of 2019, the American Heart Association and Laerdal Medical agreement with HealthStream became effective. This agreement provides HealthStream customers with access to the AHA and Laerdal co-developed Resuscitation Quality Improvement® program and range of HeartCode® BLS, ACLS and PALS eLearning programs on HealthStream’s Learning Center™ (HLC).
Today, we announce that the RQI® and HeartCode® resuscitation solutions are HLC-validated, meaning they meet the standards for high-quality delivery and integration with the HealthStream Learning Center. As a result of this HLC Validation, authorized users of both HealthStream and the RQI portfolio of programs may gain access to RQI programs, namely RQI and HeartCode, through the HLC.
Because we are committed to providing equitable and reliable access to our resuscitation program portfolio, RQI Partners have entered into agreements with several learning management platform organizations. With these new partnerships, we will further the reach of our competence-based resuscitation programs to equip providers with the competence to perform high-quality, lifesaving CPR on every patient and to improve operational performance in hospitals across the U.S.
In honor of American Heart Month, we’d like to express our gratitude to hospitals who trust American Heart Association programs to achieve the lifesaving mission we share.
“AHA is the standard everyone recognizes when it comes to evidence-based practice and research, and that’s something we wanted to be a part of.” – AHA Training Center Read More >
When you have a responsibility for resuscitation quality and patient care, it’s important to understand the full impact that a resuscitation program has on the safety and outcomes of your patients. American Heart Association programs are the Gold Standard for quality and efficacy you can rely on to protect your staff and your patients, and ensure your mission to provide the highest quality of care.
Widely recognized as the leader in resuscitation science and education, the AHA sets the standard for resuscitation quality and cardiac care in the United States. You may not realize this, but the AHA is also the only U.S. organization that is a part of ILCOR (International Liaison Committee on Resuscitation) and the source for CPR and Emergency Cardiovascular Care Guidelines in North America.
As 2018 rapidly draws to a close, RQI Partners has taken the opportunity to look back at what an eventful and transformative year this has been.
This year, the American Heart Association and Laerdal Medical joined together to host the inaugural RQI 2020 Keynote and Healthcare Networking Conference in Dallas, Texas. Two mission-driven organizations united to revolutionize the standard of care in resuscitation practice and accelerate our mission to save 50,000 additional lives each year. Additionally, the organizations announced the formation of RQI Partners …
This year also saw RQI Partners develop new and impactful partnerships with other trailblazing companies – Relias and HealthStream – that are equally dedicated to this lifesaving mission .
With so much to be thankful for as we approach the Christmas holiday, we are also earnestly looking forward. RQI Partners is eager to continue its mission, extend its reach and save more lives in 2019.
Happy Holidays and a Happy New Year from all of us at RQI Partners to you, your friends and loved ones!
The American Heart Association and Laerdal have changed the paradigm for resuscitation practices – and it’s working successfully at leading health care organizations. Learn how these organizations have pioneered the Resuscitation Quality Improvement program as trailblazers for a new standard of care.
This new standard emphasizes mastery learning with low-dose, high frequency quality improvement sessions that measure and verify competence in high-quality CPR. By practicing CPR more often in shorter sessions, knowledge and skills stay sharp, decay is prevented and more lives are saved. Hospital staff are verified as competent to deliver high-quality CPR on any given day, to every patient. The paradigm has shifted from course completion to every day competence for your providers. RQI offers a scalable, high reliability system for the new standard that builds efficiencies, lowers costs and improves patient outcomes and lowers costs.