Hospital collaboration reduces cardiac arrests among critically ill pediatric heart patients umich JAMAPeds
Can a collaborative learning network of pediatric cardiac intensive care teams implement a low-technology cardiac arrest prevention practice bundle and decrease cardiac arrest rates?In this quality improvement study including 31 hospitals, 15 cardiac intensive care units implementing the cardiac arrest prevention bundle realized a significant 30% relative reduction in aggregate cardiac arrest rate after implementation compared with control hospitals.
Risk-adjusted IHCA incidence rates were analyzed across 2 time periods, 12 months and 18 months after CAP implementation using difference-in-differences regression to compare 15 CAP and 16 control PC4 hospitals that chose not to participate in CAP but had IHCA rates tracked in the PC4 registry. Patients deemed at high risk for IHCA, based on a priori evidence-based criteria and empirical hospital-specific criteria, were selected to receive the CAP bundle.
Belgique Dernières Nouvelles, Belgique Actualités
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