A cross-stakeholder approach to improving out-of-hospital cardiac arrest survival
(2023) In American Heart Journal 266. p.106-119- Abstract
Background: Out-of-hospital cardiac arrest (OHCA) affects over 300,000 individuals per year in the United States with poor survival rates overall. A remarkable 5-fold difference in survival-to-hospital discharge rates exist across United States communities. Methods: We conducted a study using qualitative research methods comparing the system of care across sites in Michigan communities with varying OHCA survival outcomes, as measured by return to spontaneous circulation with pulse upon emergency department arrival. Results: Major themes distinguishing higher performing sites were (1) working as a team, (2) devoting resources to coordination across agencies, and (3) developing a continuous quality improvement culture. These themes... (More)
Background: Out-of-hospital cardiac arrest (OHCA) affects over 300,000 individuals per year in the United States with poor survival rates overall. A remarkable 5-fold difference in survival-to-hospital discharge rates exist across United States communities. Methods: We conducted a study using qualitative research methods comparing the system of care across sites in Michigan communities with varying OHCA survival outcomes, as measured by return to spontaneous circulation with pulse upon emergency department arrival. Results: Major themes distinguishing higher performing sites were (1) working as a team, (2) devoting resources to coordination across agencies, and (3) developing a continuous quality improvement culture. These themes spanned the chain of survival framework for OHCA. By examining the unique processes, procedures, and characteristics of higher- relative to lower-performing sites, we gleaned lessons learned that appear to distinguish higher performers. The higher performing sites reported being the most collaborative, due in part to facilitation of system integration by progressive leadership that is willing to build bridges among stakeholders. Conclusions: Based on the distinguishing features of higher performing sites, we provide recommendations for toolkit development to improve survival in prehospital systems of care for OHCA.
(Less)
- author
- publishing date
- 2023-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- American Heart Journal
- volume
- 266
- pages
- 14 pages
- publisher
- Mosby-Elsevier
- external identifiers
-
- pmid:37709108
- scopus:85172933829
- ISSN
- 0002-8703
- DOI
- 10.1016/j.ahj.2023.09.004
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © 2023 Elsevier Inc.
- id
- 7eaa4ccd-a85c-465e-b19b-3be90e1a9f24
- date added to LUP
- 2023-12-04 13:40:18
- date last changed
- 2024-09-04 23:01:14
@article{7eaa4ccd-a85c-465e-b19b-3be90e1a9f24,
abstract = {{<p>Background: Out-of-hospital cardiac arrest (OHCA) affects over 300,000 individuals per year in the United States with poor survival rates overall. A remarkable 5-fold difference in survival-to-hospital discharge rates exist across United States communities. Methods: We conducted a study using qualitative research methods comparing the system of care across sites in Michigan communities with varying OHCA survival outcomes, as measured by return to spontaneous circulation with pulse upon emergency department arrival. Results: Major themes distinguishing higher performing sites were (1) working as a team, (2) devoting resources to coordination across agencies, and (3) developing a continuous quality improvement culture. These themes spanned the chain of survival framework for OHCA. By examining the unique processes, procedures, and characteristics of higher- relative to lower-performing sites, we gleaned lessons learned that appear to distinguish higher performers. The higher performing sites reported being the most collaborative, due in part to facilitation of system integration by progressive leadership that is willing to build bridges among stakeholders. Conclusions: Based on the distinguishing features of higher performing sites, we provide recommendations for toolkit development to improve survival in prehospital systems of care for OHCA.</p>}},
author = {{Guetterman, Timothy C. and Forman, Jane and Fouche, Sydney and Simpson, Kaitlyn and Fetters, Michael D. and Nelson, Christopher and Mendel, Peter and Hsu, Antony and Flohr, Jessica A. and Domeier, Robert and Rahim, Rebal and Nallamothu, Brahmajee K. and Abir, Mahshid}},
issn = {{0002-8703}},
language = {{eng}},
pages = {{106--119}},
publisher = {{Mosby-Elsevier}},
series = {{American Heart Journal}},
title = {{A cross-stakeholder approach to improving out-of-hospital cardiac arrest survival}},
url = {{http://dx.doi.org/10.1016/j.ahj.2023.09.004}},
doi = {{10.1016/j.ahj.2023.09.004}},
volume = {{266}},
year = {{2023}},
}