Development of an online, universal, Utstein registry‐based, care practice report card to improve out‐of‐hospital resuscitation practices

RATIONALE, AIMS AND OBJECTIVES Care quality is a primary concern in health field. In France, the care practice report card (CPRC) is compulsory for practitioners. It is the first step towards the culture of excellence. In this context, practitioners have to assess and improve their practices. Competent authorities define registries as reliable sources for CPRC. The first aim of this work is to describe how we designed and built a universally transposable CPRC model based on an Utstein-style cardiac arrest registry. The second aim is to measure the adherence of practitioners to this approach and to show how such a tool can be used in real situation. METHODS Our report card is adapted from in-hospital CA care quality and safety indicators. We built a 2-section grid. The first part described the quality and completeness of the analysed data. The second part distinguished medical and traumatic CA and assesses care practices. We analysed the practitioners' adherence thanks to a satisfaction survey. Finally, we presented a CPRC case study. RESULTS This tool was tested in 92 centres gathering 8433 patients. The satisfaction survey showed that this CPRC was well accepted by emergency professionals. We presented an implementation example of this tool in a centre in real-life situation. CONCLUSIONS We designed and implemented a fully automated CPRC tool routinely usable for Utstein-style CA registries. This CPRC is easily transferable in all other Utstein CA registries. The debriefing report source codes are freely distributed upon request. This tool enables the care assessment and improvement.

[1]  C. E. Khoury,et al.  Outils d’évaluation : les registres dans l’évaluation , 2014 .

[2]  M. Muckaden,et al.  Creation of Minimum Standard Tool for Palliative Care in India and Self-evaluation of Palliative Care Programs Using It , 2014, Indian journal of palliative care.

[3]  J. Daley,et al.  Data feedback and clinical process improvement in acute myocardial infarction. , 2005, American heart journal.

[4]  E. Wiel,et al.  Rationale, Methodology, Implementation, and First Results of the French Out-of-hospital Cardiac Arrest Registry , 2014, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[5]  Frederick P Rivara,et al.  International comparison of prehospital trauma care systems. , 2007, Injury.

[6]  Chia-Chien Hsu,et al.  The Delphi Technique: Making Sense of Consensus , 2007 .

[7]  C. Callaway,et al.  Regional variation in out-of-hospital cardiac arrest incidence and outcome. , 2008, JAMA.

[8]  Harlan M Krumholz,et al.  Trends in survival after in-hospital cardiac arrest. , 2012, The New England journal of medicine.

[9]  Gavin D Perkins,et al.  Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, , 2015, Resuscitation.

[10]  Jenny Wong,et al.  Synthesis of the oxysterol, 24(S), 25-epoxycholesterol, parallels cholesterol production and may protect against cellular accumulation of newly-synthesized cholesterol , 2007, Lipids in Health and Disease.

[11]  Comilla Sasson,et al.  Out-of-hospital cardiac arrest surveillance --- Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005--December 31, 2010. , 2011, Morbidity and mortality weekly report. Surveillance summaries.

[12]  J. Soar,et al.  European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. , 2015, Resuscitation.

[13]  K. Angquist,et al.  Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. , 2005, American Heart Journal.

[14]  G. Fonarow,et al.  The Acute Decompensated Heart Failure National Registry (ADHERE): opportunities to improve care of patients hospitalized with acute decompensated heart failure. , 2003, Reviews in cardiovascular medicine.

[15]  P. Cameron,et al.  Using a Cardiac Arrest Registry to Measure the Quality of Emergency Medical Service Care: Decade of Findings From the Victorian Ambulance Cardiac Arrest Registry , 2015, Circulation. Cardiovascular quality and outcomes.

[16]  M. Bourguignon,et al.  A new Pareto-type distribution with applications in reliability and income data , 2016 .

[17]  Benjamin S. Abella,et al.  Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital A Consensus Statement From the American Heart Association , 2013, Circulation.

[18]  J. Soar,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. , 2010, Resuscitation.

[19]  L. Bossaert,et al.  EuReCa ONE - ONE month - ONE Europe - ONE goal. , 2014, Resuscitation.

[20]  F. Lapostolle,et al.  International EMS systems: France. , 2004, Resuscitation.

[21]  J. Soar,et al.  European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. , 2015, Resuscitation.

[22]  F. Semeraro,et al.  The "Italian Registry of Cardiac Arrest - RIAC", a National achievement to portrait the Italian reality and to contribute to the wider European vision by "EuReCa". , 2014, Resuscitation.

[23]  E. M. W. Ong.  Proposal for establishment of a National Sudden Cardiac Arrest registry. , 2011, Singapore medical journal.

[24]  C. Camargo,et al.  Regional variability in survival outcomes of out-of-hospital cardiac arrest: the All-Japan Utstein Registry. , 2013, Resuscitation.

[25]  H. Wellens,et al.  Out-of-hospital cardiac arrest--the relevance of heart failure. The Maastricht Circulatory Arrest Registry. , 2003, European heart journal.

[26]  J. Engdahl,et al.  Factors associated with survival to hospital discharge among patients hospitalised alive after out of hospital cardiac arrest: change in outcome over 20 years in the community of Göteborg, Sweden , 2003, Heart.

[27]  Samuel DiGangi,et al.  Assessing unidimensionality: A comparison of Rasch modeling, Parallel analysis, and TETRAD , 2007 .

[28]  C Hsu,et al.  THE DELPHI TECHNIQUE: MAKING SENSE OF CONSENSUS PRACTICAL ASSESSMENT , 2007 .

[29]  Sultan Al-Shaqsi,et al.  Models of International Emergency Medical Service (EMS) Systems. , 2010, Oman medical journal.

[30]  A. Murphy,et al.  Urban and rural differences in out-of-hospital cardiac arrest in Ireland. , 2015, Resuscitation.

[31]  Arthur L. Kellermann,et al.  Predictors of Survival From Out-of-Hospital Cardiac Arrest A Systematic Review and Meta-Analysis , 2013 .

[32]  A. Faulkner,et al.  Practitioner Evaluation at Work , 2006 .

[33]  W. Dick,et al.  Anglo-American vs. Franco-German Emergency Medical Services System , 2003, Prehospital and Disaster Medicine.

[34]  S. Reeves,et al.  Interprofessional education: effects on professional practice and health care outcomes. , 2008, The Cochrane database of systematic reviews.

[35]  V. Mosesso.  Resuscitate! How Your Community Can Improve Survival from Sudden Cardiac Arrest , 2011 .