Page 711 - Best Practice Poster 2024 (อัพเดต)

Q23

The Effectiveness of a Medicine Rapid Response Team in Improving

Cardiopulmonary Resuscitation Quality in a General Hospital: A Data-Driven

Approach

Jinjuta Ngeyvijit, Chawakorn Payackpunth,
Wuttipat Keeratitadapong, Pattawee Saengmongkonpipat, Subencha Pinsai

โรงพยาบาลเจ้าพระยาอภัยภูเบศร เขตสุขภาพที่ 6
ประเภทวิชาการ
ความสำคัญของปัญหาวิจัย
Rapid response teams (RRTs) consisting of critical care nurses and physicians with

advanced life support training have been shown to improve the quality of cardiopulmonary
resuscitation (CPR) and reduce the incidence of cardiac arrest, leading to improved outcomes
in hospital settings. These teams can provide timely and expert assistance during emergencies,

identifying and resolving issues early to prevent cardiac arrest or increase the chances of
successful resuscitation.

วัตถุประสงค์การศึกษา
This study aimed to evaluate the effectiveness of an RRT team in improving the quality
of cardiopulmonary resuscitation (CPR) in a hospital setting.

วิธีการศึกษา
We analyzed data from October 1st, 2021, to September 30th, 2022, as a baseline. We

implemented a guideline and quality improvement program that involved training healthcare
providers, standardizing procedures, and using feedback to improve early detection and high
CPR quality in the general medicine ward. Additionally, we set up an RRT team buddy from

October 1st, 2022, to December 31st, 2022, followed by a full Rapid response teams (RRTs)
that included a critical care nurse on January 1st, 2023.

ผลการศึกษา
During the study period, 90 cases of cardiac arrest were detected in the general
medicine ward and received CPR, with only 29 cases (32.22%) resulting in the return of

spontaneous circulation (ROSC). Our data-driven analysis found that the primary issues were
related to the number and experience of healthcare workers, particularly nurses. To address
these issues, we implemented a search-out severity score guideline and quality improvement
program to improve overall CPR quality in the general medicine ward. We observed significant

improvements in the quality of CPR, with the success rate increasing to 60.71% from October
to December 2022 and 69.21% from January to March 2023.