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Synthesis and Characterization of Functionalized Metal-organic Frameworks
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A Conceptual Framework to Reduce Inpatient Preventable Deaths.

Daniel P Davis, Steve A Aguilar, Brenna Lawrence

    Joint Commission Journal on Quality and Patient Safety
    |July 17, 2018
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    Implementing a new system of care (SOC) with the Advanced Resuscitation Training (ART) program effectively reduced cardiopulmonary arrest (CPA) incidence and improved outcomes in hospitalized patients.

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    Area of Science:

    • Medical Education
    • Patient Safety
    • Critical Care Medicine

    Background:

    • Reducing preventable in-hospital deaths requires addressing both cardiopulmonary arrest (CPA) prevention and resuscitation.
    • A comprehensive system of care (SOC) integrating data and education for death reduction was undefined.

    Purpose of the Study:

    • To define and evaluate a novel, integrated system of care (SOC) for reducing inpatient cardiopulmonary arrest (CPA) incidence and improving outcomes.
    • To assess the impact of the Advanced Resuscitation Training (ART) program and its associated classification taxonomy on CPA events.

    Main Methods:

    • The Advanced Resuscitation Training (ART) program was implemented in two urban university hospitals (2005-2009).
    • Training incorporated hands-on skills and institutional data via the ART Matrix, classifying CPA by etiology.
    • Validation included descriptive statistics, before-and-after analysis, and logistic regression for survival prediction.

    Main Results:

    • A total of 336 inpatient cardiopulmonary arrests (CPA) occurred: 187 pre-ART and 149 post-ART.
    • The ART Matrix effectively categorized CPA events with high reliability.
    • ART implementation showed varied impacts on CPA incidence and survival across different etiologies, with significant associations between taxonomy and outcome.

    Conclusions:

    • A novel system of care (SOC) utilizing a unique arrest classification taxonomy effectively reduced inpatient cardiopulmonary arrest (CPA) incidence.
    • The integrated approach demonstrated a positive impact on patient outcomes in the hospital setting.