Organizational approaches to improving resuscitation effectiveness

Crit Care Clin. 2015 Jan;31(1):165-76. doi: 10.1016/j.ccc.2014.08.008. Epub 2014 Oct 5.

Abstract

Hemodynamic instability and shock are important causes of mortality worldwide. Improving outcomes for these patients through effective resuscitation is a key priority for the health system. This article discusses several organizational approaches to improving resuscitation effectiveness and outlines key areas for future research and development. The discussion is rooted in a conceptual model of effective resuscitation based on three domains: monitoring systems, response teams, and feedback mechanisms. Targeting each of these domains in a unified approach helps clinicians effectively treat deteriorating patients, ultimately improving outcomes for this high-risk patient group.

Keywords: Cardiac arrest; Hospital systems; Patient safety; Quality improvement; Resuscitation; Simulation.

Publication types

  • Review

MeSH terms

  • Cardiopulmonary Resuscitation / standards*
  • Heart Arrest / therapy*
  • Hemodynamics / physiology*
  • Hospitals / standards*
  • Humans
  • Models, Organizational
  • Monitoring, Physiologic / standards*
  • Organizational Objectives
  • Quality Improvement / organization & administration*