Table 3

Debriefing and quality improvement

Respondents (n=73)ILCOR recommendation 2015
Debriefing
Trust runs formal programme for staff feedback/debriefing on their performance following IHCA, n (%)
Yes – for every arrest 4 (5.5)We recommend data-driven, performance-focused debriefing of rescuers after IHCA in both adults and children’ (strong recommendation)
Yes – for some arrests36 (49.3)
Unsure 2 (2.7)
No31 (42.5)
Types of feedback/debriefing offered to staff, n (%)
Hot debrief (without CPR quality data)33 (82.5)
Hot debrief (with CPR quality data) 3 (7.5)
Cold debrief (without CPR quality data)26 (65.0)
Cold debrief (with CPR quality data) 7 (17.5)
Written feedback (without CPR quality data) 5 (12.5)
Written feedback (with CPR quality data) 2 (5.0)
Focus of debrief (1, not important to 5, key focus)
Education/quality of care issues, median (IQR) 4 (4—5)
Psychological/emotional issues, median (IQR) 4 (4—5)
Quality Improvement
Quality improvement strategies in use at hospitals, n (%)
Participation in National Cardiac Arrest Audit (NCAA)66 (90.4)‘We suggest the use of performance measurement and quality improvement initiatives in organisations that treat cardiac arrest’ (weak recommendation)
Patient outcome review49 (67.1)
CPR quality review21 (28.8)
Rolling CPR refreshers49 (67.1)
In situ cardiac arrest simulation52 (71.2)
Real-time CPR feedback21 (28.8)
Debriefing41 (56.2)
DNAR documentation audit/review66 (90.4)
Incident reporting review57 (78.1)
Resuscitation equipment provision/audit67 (91.8)
  • DNAR, Do Not Attempt Resuscitation; ILCOR, International Liaison Committee on Resuscitation.