{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:34:27Z","timestamp":1753886067001,"version":"3.41.2"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Critical Care Research and Practice"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Various quality improvement (QI) interventions have been individually assessed for the quality of cardiopulmonary resuscitation (CPR). We aimed to assess the QI bundle (hands\u2010on training and debriefing) for the quality of CPR in our children\u2019s hospital. We hypothesized that the QI bundle improves the quality of CPR in hospitalized children. <jats:italic>Methods<\/jats:italic>. We initiated a QI bundle (hands\u2010on training and debriefing) in August 2017. We conducted a before\u2010after analysis comparing the CPR quality during July 2013\u2013May 2017 (before) and January 2018\u2013December 2020 (after). We collected data from the critical events logbook on CPR duration, chest compressions (CC) rate, ventilation rate (VR), the timing of first dose of epinephrine, blood pressure (BP), end\u2010tidal CO<jats:sub>2<\/jats:sub> (EtCO<jats:sub>2<\/jats:sub>), and vital signs monitoring during CPR. We performed univariate analysis and presented data as the median interquartile range (IQR) and in percentage as appropriate. <jats:italic>Results<\/jats:italic>. We compared data from 58 CPR events versus 41 CPR events before and after QI bundle implementation, respectively. The median (IQR) CPR duration for the pre\u2010 and post\u2010QI bundle was 5 (1\u201313) minutes and 3\u2009minutes (1.25\u201310), and the timing of the first dose of epinephrine was 2 (1\u20102) minutes and 2\u2009minutes (1\u20135), respectively. We observed an improvement in compliance with the CC rate (100\u2013120 per minute) from 72% events before versus 100% events after QI bundle implementation (<jats:italic>p<\/jats:italic> = 0.0009). Similarly, there was a decrease in CC interruptions and hyperventilation rates from 100% to 50% (<jats:italic>p<\/jats:italic> = 0.016) and 100% vs. 63% (<jats:italic>p<\/jats:italic> = &lt;0.0001) events before vs. after QI bundle implementation, respectively. We also observed improvement in BP monitoring from 36% before versus 60% after QI bundle (<jats:italic>p<\/jats:italic> = 0.014). <jats:italic>Conclusion<\/jats:italic>. Our QI bundle (hands\u2010on training and debriefing) was associated with improved compliance with high\u2010quality CPR in children.<\/jats:p>","DOI":"10.1155\/2023\/6875754","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T19:50:08Z","timestamp":1678391408000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Quality Improvement Bundle on Compliance with Resuscitation Guidelines during In\u2010Hospital Cardiac Arrest in Children"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8054-0888","authenticated-orcid":false,"given":"Pranali","family":"Awadhare","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karma","family":"Barot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Frydson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1530-1549","authenticated-orcid":false,"given":"Niveditha","family":"Balakumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Doerr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1770-1914","authenticated-orcid":false,"given":"Utpal","family":"Bhalala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1161\/circoutcomes.119.005580"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1724"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.1.50"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.66524"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000266"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/circoutcomes.112.967968"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/pcc.0000000000001520"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2012.01.021"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000000327"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.110.971101"},{"key":"e_1_2_10_11_2","unstructured":"EppichW.andChengA. 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