Ward Characteristics Associated with Delayed Defibrillator and Doctor Presence on Cardiopulmonary Resuscitation Simulated Survey
Authors: Khemchat Wangtawesap, M.D., Arunotai Siriussawakul, M.D. Onuma Chaiwat, M.D., Tipa Chakorn, M.D.,Rapeepan Nuntabut, M.D., Daranee Kusakunniran, M.D., Sudta Parakkamodom, RN, Panisara Saengsung, RN,Thanawin Chawaruechai, RN, Wasinee Methapraphamorn, RN, Chulaluk Komoltri, DrPH (Biostatistics)
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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.