How Northwell improved resuscitation outcomes in the ED

Videotaping staff members performing CPR in the emergency department may help improve resuscitation rates, according to a study published in the Journal of the American Heart Association.

The Feinstein Institutes for Medical Research — the research arm of New Hyde Park, N.Y.-based Northwell Health — and Manhasset, N.Y.-based North Shore University Hospital developed the intervention to monitor and improve team members' CPR performance.

North Shore implemented the technique — called Mechanical, Team-Focused, Video-Reviewed Cardiopulmonary Resuscitation — in its emergency department in 2018. The approach entails clinicians using a mechanical chest compression device on cardiac arrest patients, which is captured by video technology in resuscitation rooms. A multidisciplinary team then meets biweekly to review the footage and offer personalized feedback.

The study examined the outcomes of 97 cardiac arrest patients treated before the intervention and 151 treated after.

Rates of survival to hospital admission and discharge did not improve. However, the number of cardiac arrest patients successfully resuscitated increased from 26 percent to 41 percent after the intervention.

To view the full study, click here.

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