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


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.