Successful resuscitation teams share common, core
elements that are associated with better in-hospital cardiac arrest (IHCA)
outcomes, according to a study published online in Circulation.

Brahmajee K. Nallamothu, M, from University of Michigan in
Ann Arbor, and colleagues calculated risk-standardised IHCA survival to
discharge rates across American Heart Association Get With The
Guidelines-Resuscitation registry hospitals between 2012 and 2014. The authors
then conducted 158 interviews to assess how top-performing hospitals organise
their resuscitation teams to achieve high survival rates for IHCA.

The researchers conducted interviews across multiple
disciplines, including physicians (17.1%), nurses (45.6%), other clinical staff
(17.1%), and administration (20.3%). Four broad themes related to resuscitation
teams, including team design, composition and roles, communication and
leadership during IHCA, and training and education. Top-performing hospitals
had dedicated or designated resuscitation teams. Team participants represented
diverse disciplines, but each member had clear roles and responsibilities.
Additionally, teams at top-performing hospitals showed better communication and
leadership during IHCA and had in-depth mock codes.

“Resuscitation teams at hospitals with high IHCA survival
differ from non-top-performing hospitals,” the authors write. “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.”

Source: http://www.physiciansbriefing.com/Article.asp?AID=735658

Reference: Nallamothu
BK, et al. How Do Resuscitation Teams at Top-Performing Hospitals for
In-Hospital Cardiac Arrest Succeed? Circulation. 2018;138:154-163. Originally
published July 9, 2018. http://circ.ahajournals.org/content/138/2/154