Whitcomb J, Brierton D, Kuhagen K, Groth K, Goldmann R, Potts D, Lind J, Battiola R, Norton A
Emergency Department, St Luke's Medical Center, Milwaukee, Wisconsin.
QRB Qual Rev Bull. 1990 Apr;16(4):156-62. doi: 10.1016/s0097-5990(16)30358-x.
A new system for responding to Codes, or resuscitations of patients with cardiopulmonary arrest, was implemented at St Luke's Medical Center, Milwaukee. A teaching program was begun to establish the Advanced Cardiac Life Support (ACLS) guidelines as the standard of care. A task force defined the composition of the Code team and was then designated the Code Review Committee, meeting monthly to review all Codes. Indicators for review were established. Code review is followed by a letter to the physician Code team leader and/or registered nurse. Data for 18 months, still preliminary, show improved compliance with indicators for documentation and for adherence to ACLS guidelines.
密尔沃基的圣卢克医疗中心实施了一种新的应对心脏骤停患者急救或复苏情况的系统。启动了一个教学项目,将高级心脏生命支持(ACLS)指南确立为护理标准。一个特别工作组确定了急救小组的组成,随后该小组被指定为急救审查委员会,每月开会审查所有急救情况。确立了审查指标。急救审查之后会给负责急救的医生团队负责人和/或注册护士发一封信。18个月的数据仍属初步数据,显示在记录指标和遵守ACLS指南方面的合规情况有所改善。