Exploring Strategies to Improve Cardiac Arrest Survival Proceedings of a Workshop (2017) / Chapter Skim
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1 Introduction
1 Introduction
Pages 1-18
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. Cardiac arrest survival rates vary widely among communities and 1 The planning committee's role was limited to planning the workshop, and the workshop proceedings was prepared by the workshop rapporteurs as a factual summary of what occurred at the workshop.
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3 released its consensus report Strategies to Improve Cardiac Arrest Survival: A Time to Act, which evaluated the factors affecting resuscitation research and outcomes in the United States. Focusing on the public health dimensions of cardiac arrest treatment, the report included eight recommendations (see Appendix A)
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Sponsors Sponsors are the American Heart Association; American Red Cross; Asmund S Laerdal Foundation; Centers for Disease Control and Prevention; Medtronic Foundation; Physio-Control, Inc.; Sudden Cardiac Arrest Foundation; and ZOLL Medical Corporation.
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Finally, Chapter 7 examines the discussion regarding partnerships and the development of a cardiac arrest collaborative. IMPROVING THE CHAIN OF SURVIVAL Tom Aufderheide, Planning Committee Chair Tom Aufderheide, planning committee chair, opened the meeting by thanking sponsors, participants, HMD staff, and the planning committee and providing a brief overview of highlights from the IOM report.
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SOURCE: Presented by Tom Aufderheide, July 11, 2016, A Dissemination Workshop on the Report Strategies to Improve Cardiac Arrest Survival: A Time to Act (citing Resuscitation Academy, n.d., p.
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He urged participants to use the workshop to form new alliances and collaborations and to establish an action plan from which to advance the IOM report recommendations and improve cardiac arrest survival throughout the United States. SURVIVING CARDIAC ARREST: THE REASON FOR ACTION During the workshop, three speakers shared their personal cardiac arrest survival stories.
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Aufderheide said these stories of survival and the lives of the people touched by cardiac arrest are catalyzing action. The Driving Force Behind Needed Change James Niskanen, Sudden Cardiac Arrest Survivor "It's a great day to be alive!
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These factors and the available resources ensured not only her survival but also her quality of life. Sawyer emphasized the need for hospitals and medical systems to have effective response plans for cardiac arrests that occur on campus and beyond the reach of in-house response teams.
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Examples of success from other fields, such as the National Breast Cancer Coalition, can give us a vision and concrete guidance on how to advance our work together, concluded Ornato. WORKSHOP THEMES Throughout the workshop, panelists, planning committee members, and participants exchanged ideas, shared diverse perspectives, and considered the path forward for improving cardiac arrest response and outcomes.
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Although the diverse range of orga nizations and stakeholders across the resuscitation field has provided a wealth of experience and knowledge, stronger partnerships and collaborative leadership can further advance the field and improve cardiac arrest outcomes in the United States. SOURCE: The workshop themes were identified by the workshop rapporteurs.
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Aufderheide, Laura Langmade, Merritt, and others suggested fostering public–private partnerships to build sustainable funding mechanisms and expand cardiac arrest surveillance and research infrastructure. Demetris Yannopoulos and some members of a breakout session suggested exploring a bundled funding mechanism or a national funding initiative (which could pool resources from large corporate foundations and national entities, such as the American Heart Association, the Department of Defense [DoD]
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Septimus commented on the importance of developing tools and resources that are scalable and manageable for all health care systems, regardless of size or budget. Harmonizing Data and Research to Improve Performance Improving cardiac arrest outcomes will require enhanced data and harmonization to better characterize the epidemiology of cardiac arrest and measure the impact of strategies on system performance and patient outcomes, suggested participants such as Christine Albert and Aufderheide.
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Mimi Peberdy suggested mandating hospital reporting and developing specific interim performance and outcome measures along the entire sequence of resuscitation events rather than solely focusing on the final outcome -- neurologically intact survival to hospital discharge. A few individuals during breakout sessions warned against onerous data collection and reporting systems in the absence of demonstrable impacts on outcomes.
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Gibbons described the National Heart, Lung, and Blood Institute's new Precision Medicine Initiative Cohort Program, which aims to improve knowledge about myriad diseases by enhancing data collection and sharing on genetic, social environment, economic status, geography, among other factors, from a cohort of more than 1 million participants. Unifying Messaging and Broadening Engagement Unified messaging and communication strategies can elevate the visibility of cardiac arrest as a serious public health concern, educate the public, strengthen advocacy efforts, and build momentum for future progress and policies.
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Although the diverse range of organizations and stakeholders across the resuscitation field has provided a wealth of experience and knowledge, a national cardiac arrest collaborative with broad, inclusive membership could promote efficiencies and a common platform from which to advance resuscitation science and outcomes beyond the capacities of any single organization or entity, as described by Alberts, Vicky Whittemore, and several other workshop participants. Different speakers suggested that such partnerships and collaboration could help articulate shared vision, establish common goals and complementary agendas, generate consistent messaging, and promote joint initiatives.
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Presenta tion at the Dissemination Workshop on the Report Strategies to Improve Cardiac Arrest Survival: A Time to Act, Washington, DC. http://www.nationalacademies.org/hmd/~/ media/Files/Activity%20Files/PublicHealth/TreatmentofCardiacArrest/JULY%20 2016%20Workshop/Aufderheide%20Day%201.pdf (accessed October 30, 2106)
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2015. Strategies to improve cardiac arrest survival: A time to act.
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