[Using Team Resource Management and Situational Simulation to Improve the Resuscitation Performance Completion Rate]

Area of Science:

• Emergency Medicine
• Patient Safety
• Clinical Interventions

Context:

• Cardiopulmonary resuscitation (CPR) completion rates were suboptimal in the emergency department (ED).
• Identified barriers included poor equipment use, undefined roles, inefficient workflow, and communication deficits, exacerbated by the COVID-19 pandemic.

Purpose:

• To enhance the resuscitation performance completion rate within the ED.

Summary:

• A project was implemented involving equipment reminder cards, an airway car, defined team roles, standardized layouts, and simulation-based team resource management (TRM) training.
• Post-intervention, the CPR completion rate increased from 69.1% to 91.6%, subsequently rising to a stable 98.1%.

Impact:

• The intervention successfully improved CPR completion rates.
• The study demonstrated a positive impact on the rate of return of spontaneous circulation (ROSC).
• Enhanced teamwork and communication during resuscitation improved patient outcomes.