The Success of In-Hospital Cardiac Arrest Resuscitation at Top-Performing Hospitals

Researchers for this qualitative study published online in Circulation sought to understand how resuscitation teams in top-performing hospitals operate to achieve higher in-hospital cardiac arrest (IHCA) survival rates. The study was conducted across 9 hospitals and involved 158 participants (including physicians [17.1%], nurses [45.6%], other clinical staff [17.1%], and administration personnel [20.3%]).

According to the study results, four themes related to resuscitation emerged: team design, team composition and roles, communication and leadership during IHCA, and training/education. The authors reported that the top-performing teams at the top-performing centers featured “dedicated or designated resuscitation teams; participation of diverse disciplines as team members during IHCA; clear roles and responsibilities of team members; better communication and leadership during IHCA, and in-depth mock codes.” 

The added: “Our findings suggest core elements of successful resuscitation teams that are associated with better outcomes and form the basis for future work to improve IHCA.” They noted that additional work is required to validate the study findings.  

Source: Circulation