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Gram KH, Præst M, Laulund O, et al. Assessment of a quality improvement programme to improve telephone dispatchers' accuracy in identifying out-of-hospital cardiac arrest. Resusc Plus. 2021;6:100096doi: 10.1016/j.resplu.2021.100096.
Gram, K. H., Præst, M., Laulund, O., & Mikkelsen, S. (2021). Assessment of a quality improvement programme to improve telephone dispatchers' accuracy in identifying out-of-hospital cardiac arrest. Resuscitation plus, 6100096. https://doi.org/10.1016/j.resplu.2021.100096
Gram, Kristel Hadberg, et al. "Assessment of a quality improvement programme to improve telephone dispatchers' accuracy in identifying out-of-hospital cardiac arrest." Resuscitation plus vol. 6 (2021): 100096. doi: https://doi.org/10.1016/j.resplu.2021.100096
Gram KH, Præst M, Laulund O, Mikkelsen S. Assessment of a quality improvement programme to improve telephone dispatchers' accuracy in identifying out-of-hospital cardiac arrest. Resusc Plus. 2021 Feb 25;6:100096. doi: 10.1016/j.resplu.2021.100096. eCollection 2021 Jun. PMID: 34223361; PMCID: PMC8244530.
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Resusc Plus. 2021 Feb 25;6:100096. doi: 10.1016/j.resplu.2021.100096. eCollection 2021 Jun.

Assessment of a quality improvement programme to improve telephone dispatchers' accuracy in identifying out-of-hospital cardiac arrest.

Resuscitation plus

Kristel Hadberg Gram, Mikkel Præst, Ole Laulund, Søren Mikkelsen

Affiliations

  1. Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
  2. The Mobile Emergency Care Unit, Department of Anaesthesiology and Intensive Care, Odense University Hospital, Denmark.
  3. Emergency Medical Dispatch Centre, Region of Southern Denmark, Denmark.
  4. The Prehospital Research Unit, Region of Southern Denmark, University of Southern Denmark, Odense, Denmark.

PMID: 34223361 PMCID: PMC8244530 DOI: 10.1016/j.resplu.2021.100096

Abstract

INTRODUCTION: Early recognition of out-of-hospital cardiac arrest (OHCA) by the medical dispatcher is a prerequisite for an effective chain of survival, leading to rapid dispatch of emergency medical services.

AIM: To analyse and compare the accuracy of the Emergency Medical Dispatch Centre in identifying OHCA before and after an educational intervention.

METHODS: A quality-assessment study collecting data from prehospital medical voice logs in Southern Denmark during two periods. Baseline data and post-interventional data were obtained during December, January, and February 2017/2018 and 2019/2020, respectively. We imposed an intervention consisting of a specifically targeted education in quick assessment of OHCA and instructions regarding telephone-assisted-CPR.The primary outcome measure was the dispatcher's ability to recognise OHCA. Secondary outcome measures were time from contact with the caller to the dispatcher formulated essential questions related to the NO-NO-GO algorithm. These questions included an assessment of the patients' consciousness and respiratory efforts and if both negative, would ideally lead to the dispatcher initiating telephone-assisted-CPR. All data was analysed in accordance with the recommendations and performance goals made by Resuscitation Academy.

RESULTS: Baseline data included 209 calls. Post-interventional data was based on 208 calls.The sensitivity for recognition of OHCA was 82.3% (95% CI: 76.4-87.2%) before and 92.7% (95% CI: 88.2-95.8%) after the intervention (

CONCLUSION: After the period of intervention, the accuracy of OHCA recognition by dispatchers improved. The median time to identify OHCA or recognise the first compression did not differ significantly. This indicates that continuing education and quality assessment may be beneficial and necessary.

© 2021 The Author(s).

Keywords: Dispatch centre; Education; Out-of-hospital cardiac arrest

References

  1. Am J Public Health. 1985 Jan;75(1):47-50 - PubMed
  2. Resuscitation. 2017 May;114:21-26 - PubMed
  3. Scand J Trauma Resusc Emerg Med. 2013 Jul 09;21:53 - PubMed
  4. Resuscitation. 2019 May;138:322-329 - PubMed
  5. Resuscitation. 2017 Oct;119:21-26 - PubMed
  6. Resuscitation. 2019 May;138:304-305 - PubMed
  7. Open Access Emerg Med. 2020 Sep 07;12:193-200 - PubMed
  8. JAMA Cardiol. 2016 Jun 1;1(3):294-302 - PubMed
  9. Resuscitation. 2012 Oct;83(10):1235-41 - PubMed
  10. JAMA. 2013 Oct 2;310(13):1377-84 - PubMed
  11. JAMA. 2015 Jul 21;314(3):255-64 - PubMed
  12. Scand J Trauma Resusc Emerg Med. 2019 Nov 4;27(1):100 - PubMed
  13. Emerg Med J. 2015 Apr;32(4):314-7 - PubMed
  14. Circulation. 2012 Jan 31;125(4):648-55 - PubMed
  15. Circulation. 2013 Oct 1;128(14):1522-30 - PubMed
  16. N Engl J Med. 2015 Jun 11;372(24):2307-15 - PubMed
  17. Scand J Trauma Resusc Emerg Med. 2015 Sep 17;23:64 - PubMed
  18. Circulation. 2009 Apr 21;119(15):2096-102 - PubMed
  19. Resuscitation. 2016 Dec;109:56-63 - PubMed
  20. Hum Resour Health. 2013 Oct 01;11:51 - PubMed
  21. Resuscitation. 2018 Jan;122:92-98 - PubMed

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