Evaluation of the clinical efficacy of cardiopulmonary resuscitation indices in the emergency department: Quasi-Experimental Study

Poor performance of the resuscitation team can have negative consequences for the hospital and the community. Identifying and correcting problems related to the emergency department is one of the priorities to improve the quality of service delivery and increase satisfaction. The aim of this study was to determine the effect of the FOCUS PDCA method on improving the cardiopulmonary resuscitation (CPR) index in the emergency department.

The present study was a quasi-experimental study performed in the emergency department of Imam Ali Hospital in Andimeshk. The control group included 75 CPR events before the intervention, and the experimental group included 76 CPR events after the FOCUS-PDCA. A team of nurses working in the emergency department and resuscitation group were selected based on the inclusion criteria. Basic and advanced CPR training and FOCUS PDCA method workshops were held for them. Then, the nine steps of the FOCUS-PDCA were performed. The data collection tool was a researcher-made checklist. Data were analyzed using the SPSS-22 software: Chi-square, Fisher, and Mann-Whitney U tests were performed.

The result of successful resuscitation for patients after FOCUS PDCA increased by 3.64%.The  CPR results were successful in 6.7% before the intervention and 26.3% after the intervention. The rate of unsuccessful CPR in traumatic, internal, and non-traumatic patients decreased after the intervention. There was a statistically significant difference between the two groups in terms of the occurrence of cardiac arrest in presence of witnesses.

It is expected that the implementation of the FOCUS PDCA method can lead to the improvement of indices and successful resuscitation of patients in the emergency department.