HEFT Repository

A simple solution for improving reliability of cardiac arrest equipment provision in hospital.

Davies, Michelle and Couper, Keith and Bradley, Julie and Baker, Annalie and Husselbee, Natalie and Woolley, Sarah and Davies, Robin P and Perkins, Gavin D (2014) A simple solution for improving reliability of cardiac arrest equipment provision in hospital. Resuscitation, 85 (11). pp. 1523-6. ISSN 1873-1570. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

Full text not available from this repository.
Official URL: http://www.resuscitationjournal.com/article/S0300-...

Abstract

INTRODUCTION

Effective and safe cardiac arrest care in the hospital setting is reliant on the immediate availability of emergency equipment. The patient safety literature highlights deficiencies in current approaches to resuscitation equipment provision, highlighting the need for innovative solutions to this problem.

METHODS

We conducted a before-after study at a large NHS trust to evaluate the effect of a sealed tray system and database on resuscitation equipment provision. The system was evaluated by a series of unannounced inspections to assess resuscitation trolley compliance with local policy prior to and following system implementation. The time taken to check trolleys was assessed by timing clinicians checking both types of trolley in a simulation setting.

RESULTS

The sealed tray system was implemented in 2010, and led to a significant increase in the number of resuscitation trolleys without missing, surplus, or expired items (2009: n=1 (4.76%) vs 2011: n=37 (100%), p<0.001). It also significantly reduced the time required to check each resuscitation trolley in the simulation setting (12.86 (95% CI: 10.02-15.71) vs 3.15 (95% CI: 1.19-4.51)min, p<0.001), but had no effect on the number of resuscitation trolleys checked every day over the previous month (2009: n=8 (38.10%) vs 2011: n=11 (29.73%), p=0.514).

CONCLUSION

The implementation of a sealed tray system led to a significant and sustained improvement in resuscitation equipment provision, but had no effect on resuscitation trolley checking frequency.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WB Practice of medicine > WB400 Intensive care
WO Surgery > WO500 Anaesthesia
Divisions: Clinical Support > Anaesthetics
Clinical Support > Critical Care
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 06 Jul 2015 13:50
Last Modified: 06 Jul 2015 13:50
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1013

Actions (login required)

View Item View Item