Feeling abnormally tired, Rex, age 60, crawled into bed early. When his wife, Marcia, noticed he wasn’t breathing, she immediately began CPR. Fortunately, Rex’s community participated in Take Heart America’s coordinated response to cardiac arrest. Rex made a full neurological recovery and went back to work as a vice president of faculty relations at St. Cloud State University.

Take Heart America

Hospitals

Many cardiac arrests happen on the way to hospitals or in hospitals.
The Institute of Medicine identified failure to rescue within the healthcare environment as a key opportunity for improving patient safety, decreasing preventable deaths and reducing healthcare expenditures.

The recognition that many hospital deaths are preventable has resulted in a myriad of patient safety efforts targeting clinical scenarios and disease states. Hospitals are often overwhelmed by the selection, implementation and coordination of these efforts. Healthcare professionals are facing an increasing number of required training modules, but with a concerning lack of engagement in each. The siloing of these efforts limits their clinical effectiveness, devolving them into a regulatory requirement of “compliance innovation” rather than truly coordinated ways to improve clinical outcomes. The ultimate consequence of failure to rescue is unexpected cardiac arrest.

Decrease cardiac arrest incidence by 50% and triple survival rates.
Advanced Resuscitation Training represents the archetype for hospital programs. In existence since 2007, this comprehensive model links scientific evidence, continuous quality improvement data, technology, institutional treatment algorithms and training for dramatic results. It has been successfully implemented at the University of California at San Diego medical center and at the VA Medical Center in San Diego, halving cardiac arrests and tripling survival rates. The Advanced Resuscitation Training is integral to Take Heart America’s Bundle of Care.

As a Take Heart America partner, your hospital has access to leading resources to reduce cardiac arrest and improve outcomes by following these steps:
• Institute a resuscitation outcome program
• Gather a multi-disciplinary group responsible for the program
• Identify a formal mechanism for inputting external and internal data
• Target etiologies of cardiopulmonary arrest to reduce incidence and increase survival
• Provide training specific to provider type and clinical unit
• Emphasize optimal chest compressions and controlled ventilations
• Focus on post-resuscitative care that optimizes supportive critical care, targeted
temperature management and early coronary revascularization
• Engage individual caregivers to build accountability
• Set realistic expectations when discussing end-of-life care with families and patients
• Stress early recognition of deteriorating health through early-warning technologies
• Present outcome data to the hospital medical executive board monthly
• Look for avenues of continuous quality improvement

Additional resources:
Optimal resuscitation programs in hospitals
Role of hospital staff
Bundle of Care diagram

Hospitals

© 2017 Take Heart America