{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T15:30:03Z","timestamp":1769873403915,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32\u2010HL007853"],"award-info":[{"award-number":["T32\u2010HL007853"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["19SFRN34760762"],"award-info":[{"award-number":["19SFRN34760762"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["19SFRN34850083"],"award-info":[{"award-number":["19SFRN34850083"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Learning Health Systems"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In the United States, only 8.2% of people treated for out\u2010of\u2010hospital cardiac arrest (OHCA) in 2023 survived with good neurological function. The interval from the onset of cardiac arrest to the start of CPR and defibrillation is strongly associated with survival and neurologic recovery. We present our process of conducting stakeholder engagement sessions to engage an OHCA Learning Community to develop an intervention to decrease time to first treatment (CPR and AED) and improve survival from OHCA in Michigan's Washtenaw and Livingston Counties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a CPR survey, a Community Engagement Studio, and three stakeholder engagement sessions with the OHCA Learning Community in Washtenaw and Livingston Counties in Michigan to achieve three goals: (1) increasing public awareness of OHCA, (2) engaging diverse and underserved communities, and (3) developing an intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As a result of these sessions, we identified improving in\u2010home OHCA response, addressing disparities in underserved and minority communities, and increasing capacity among families and friends as the key targets for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on these sessions, we developed a HeartSafe Home intervention that aims to prepare household members to respond to a cardiac arrest at home.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lrh2.70010","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T08:13:10Z","timestamp":1744359190000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The experience of a learning community to develop a\n                    <scp>HeartSafe Home<\/scp>\n                    intervention to improve survival from out\u2010of\u2010hospital cardiac arrest"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9879-0519","authenticated-orcid":false,"given":"Amanda L.","family":"Missel","sequence":"first","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noor","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilee I.","family":"Coulter\u2010Thompson","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Center for Bioethics and Social Sciences in Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameer","family":"Hameed","sequence":"additional","affiliation":[{"name":"Department of Industrial and Operations Engineering University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2977-6991","authenticated-orcid":false,"given":"James M.","family":"Pribble","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Shields","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwen","family":"Fosse","sequence":"additional","affiliation":[{"name":"Congenital Heart Center University of Michigan Health C.S. Mott Children's Hospital  Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Dowker","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Neumar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Max Harry Weil Institute for Critical Care Research and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Swor","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Corewell East William Beaumont University Hospital  Royal Oak Michigan USA"},{"name":"Department of Emergency Medicine Oakland University William Beaumont School of Medicine  Rochester Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodyn","family":"Platt","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Cardiac Arrest Registry to Enhance Survival.CARES Survival Report.2023https:\/\/mycares.net\/sitepages\/uploads\/2024\/2023%20National%20Non-Traumatic%20CARES%20Survival%20Report.pdf"},{"key":"e_1_2_10_3_1","unstructured":"Cardiac Arrest Registry to Enhance Survival.2023 Annual Report.2023https:\/\/mycares.net\/sitepages\/uploads\/2024\/2023_flipbook\/index.html?page=1"},{"key":"e_1_2_10_4_1","first-page":"1","article-title":"Barriers to the initiation of Telecommunicator\u2010CPR during 9\u20101\u20101 out\u2010of\u2010hospital cardiac arrest calls: a qualitative study","volume":"28","author":"Missel AL","year":"2023","journal-title":"Prehosp Emerg Care"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.027756"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.12.1423"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.018175"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-153-1-201007060-00255"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)81302-2"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.001864"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110700"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.006124"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/17579139211055497"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","unstructured":"DobbieF UnyI EadieD et al.Barriers to bystander CPR in deprived communities.2020;15:e0233675.","DOI":"10.1371\/journal.pone.0233675"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2017.07.031"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09072-y"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.08.019"},{"key":"e_1_2_10_18_1","unstructured":"FergusonL.Operationalizing a Learing Community for a Learning Health System: a practical guide.2020https:\/\/deepblue.lib.umich.edu\/bitstream\/handle\/2027.42\/163515\/LearningCommunityPracticalGuide_FINAL.pdf"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10203"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10205"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2022.04.015"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2004.08.041"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2012.09.033"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.3471"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.10.015"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03416-w"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10304"},{"key":"e_1_2_10_29_1","unstructured":"HautER MannNC KotwalRS.Military trauma care's learning health system: the importance of data driven decision making. 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