Ward Characteristics Associated with Delayed Defibrillator and Doctor Presence in Cardiopulmonary Resuscitation Simulated Survey

Authors

  • Khemchat Wangtawesap Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Arunotai Siriussawakul Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Onuma Chaiwat Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Tipa Chakorn CPR Training Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Rapeepan Nuntabut Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Daranee Kusakunniran Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Sudta Parakkamodom Department of Anaesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Panisara Saengsung Department of Internal Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Thanawin Chawaruechai Department of Internal Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Wasinee Methapraphamorn Department of Internal Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Chulaluk Komoltri Department of Research Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

Cardiopulmonary resuscitation; simulation; audit; quality improvement

Abstract

Objective: To survey the times to critical actions (defibrillator and doctor presence, initiation of chest compression) of inhospital
simulated cardiopulmonary resuscitation (CPR).
Methods: A 1-year retrospective simulated audit 2009 in a 2,400-bed university hospital in Thailand.
Results: A total of 57 adult wards (around a third of all wards in the hospital), including intensive care units, critical wards,
procedural units, general wards and out-patient units were audited. Overall, the median time of initiation of chest compression
and defibrillator presence among CPR teams were 1.27 (0.35-7.19) and 1.16 (0.00-26.00) minutes, respectively. The median
time of the first doctor presence was 3.45 (0.00-15.15) minutes. However, there were significant differences in time to defibrillator
and doctor presence among wards. The longer time of these critical managements were recorded in non-monitored areas
(general wards and out-patient units) (p = 0.004 and 0.007, respectively).
Conclusion: In our CPR simulated survey, delayed initiation of critical managements commonly occurred in non-monitored
areas. Better management should be concerned for favorable outcomes.

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Published

03-04-2020

How to Cite

Wangtawesap, K. ., Siriussawakul, A. ., Chaiwat, O. ., Chakorn, T. ., Nuntabut, R. ., Kusakunniran, D. ., Parakkamodom, S. ., Saengsung, P. ., Chawaruechai, T. ., Methapraphamorn, W. ., & Komoltri, C. . (2020). Ward Characteristics Associated with Delayed Defibrillator and Doctor Presence in Cardiopulmonary Resuscitation Simulated Survey. Siriraj Medical Journal, 63(6), 196–199. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/241011

Issue

Vol. 63 No. 6 (2011): November-December

Section

Original Article

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