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Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes

作者:Paul S. Chan, Robert Greif, Theresa Dirndorfer Anderson, Huba Atiq, Thomaz Bittencourt Couto, Julie Considine, Allan R. de Caen, Therese Djärv, Ann Doll, Matthew J. Douma, Dana P. Edelson, Feng Xu, Judith Finn, Grace Firestone, Saket Girotra, Kasper Glerup Lauridsen, Carrie Kah‐Lai Leong, Swee Han Lim, Peter T. Morley, Laurie J. Morrison, Ari Moskowitz, Mullasari Ajit Sankardas, Mahmoud Tageldin Mustafa Mohamed, Michelle Myburgh, Vinay Nadkarni, Robert W. Neumar, Jerry P. Nolan, Justine Athieno Odakha, Theresa M. Olasveengen, Judit Orosz, Gavin D. Perkins, Jeanette K. Previdi, Christian Vaillancourt, William Montgomery, Comilla Sasson, Brahmajee K. Nallamothu · 发表于:Resuscitation · 年份:2023 · DOI:10.1016/j.resuscitation.2023.109996 · 被引用次数:59 · 研究领域:Cardiac Arrest and Resuscitation、Family and Patient Care in Intensive Care Units、Emergency and Acute Care Studies

Committee on Resuscitation, Resuscitation Councils of Asia, Indian Resuscitation Council Federation, and the collaborating organization, International Federation of Red Cross.The Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes in this document (Fig. 1; Table 1) is the result of this effort and builds upon prior work in the space of out-of-hospital cardiac arrest care by the Global Resuscitation Alliance.11 These steps represent the consensus of a Writing Group of >30 interprofessional experts drawn from various branches of medicine, nursing, and allied health care professions.For clarity and mutual understanding, we define IHCA as any infant, pediatric, or adult patient who sustains a cardiac arrest within a hospital setting recognizing that, for some hospitals, this may include surrounding geographic areas on a campus (eg, lobby, parking structures) and nonpatient visitors (we do not address neonatal resuscitation in this document given its distinctive aspects).We appreciate that this decision means there may be heterogeneity in how IHCA is defined by each hospital, as nonpatient visitors are unique from hospitalized patients, and they are likely to sustain a cardiac arrest for different reasons.However, for this document, the Writing Group felt that what is common across IHCA is established systems are needed to care for these critical events.IHCA necessitates immediate and appropriate recognition and intervention, often including immediat...