Strategies for improvement and prevention of in-hospital cardiac arrest : CPR training for all staff in the hospital

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  • 院内急変対応への取り組み―院内全職員への心肺蘇生法トレーニングの有効性について
  • インナイ キュウヘン タイオウ エ ノ トリクミ : インナイ ゼン ショクイン エ ノ シンハイ ソセイホウ トレーニング ノ ユウコウセイ ニ ツイテ

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To improve the survival rate of in-hospital cardiac arrest, the quality of CPR in the first responder and rescue team is important. In our hospital, a variety of training courses is heled so that a possible appropriate training for multidisciplinary from three years ago. AHA-BLS / ACLS course and ICLS course for medical doctors and nurses and JMECC course for medical doctors of internal medicine are held. For all staff other than medical doctors and nurses, the chest compression-only CPR and AED training are carried out. At the same time, we aim to build on the registration system for in-hospital cardiac arrest and DNAR (do not attempt resuscitation), and began preparations for RRS(Rapid Response System). To analyze the effectiveness of CPR course to all staff in the hospital, we conducted a questionnaire survey before and after training to 564 people participated. After the training using a 5-level-response answer-back questionnaire, the proportion of high 4-5 points of willingness to do CPR improved from 30% to 75 percent. Also for the use of AED, the willingness was increased similarly from 42% to 77%. As a result of in-hospital cardiac arrest survey, the emergency call in the night was delayed to start CPR, so the entire broadcast “Hurry calls” is carried out 24 hours. DNAR was performed in 80% of all death in hospital, however, of which the advance directive documents were obtained only half. Therefore, the ethical establishment of DNAR should be established in performing in-hospital cardiac arrest efforts. It is planned to continue to consider the various efforts by RRS establishment in the hospital for the patient's safety.

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