Baert Valentine, Escutnaire Joséphine, Nehme Ziad, Mols Pierre, Lagadec Steven, Vilhelm Christian, Jacob Line, Wiel Eric, Adnet Frédéric, Hubert Hervé
French National Out-of-Hospital Cardiac Arrest Registry (RéAC), Lille, France.
Public Health Department (EA 2694), Lille University, Lille, France.
J Eval Clin Pract. 2018 Apr;24(2):431-438. doi: 10.1111/jep.12880. Epub 2018 Jan 22.
RATIONALE, AIMS AND OBJECTIVES: Care quality is a primary concern in health field. In France, the care practice report card (CPRC) is compulsory for practitioners. It is the first step towards the culture of excellence. In this context, practitioners have to assess and improve their practices. Competent authorities define registries as reliable sources for CPRC. The first aim of this work is to describe how we designed and built a universally transposable CPRC model based on an Utstein-style cardiac arrest registry. The second aim is to measure the adherence of practitioners to this approach and to show how such a tool can be used in real situation.
Our report card is adapted from in-hospital CA care quality and safety indicators. We built a 2-section grid. The first part described the quality and completeness of the analysed data. The second part distinguished medical and traumatic CA and assesses care practices. We analysed the practitioners' adherence thanks to a satisfaction survey. Finally, we presented a CPRC case study.
This tool was tested in 92 centres gathering 8433 patients. The satisfaction survey showed that this CPRC was well accepted by emergency professionals. We presented an implementation example of this tool in a centre in real-life situation.
We designed and implemented a fully automated CPRC tool routinely usable for Utstein-style CA registries. This CPRC is easily transferable in all other Utstein CA registries. The debriefing report source codes are freely distributed upon request. This tool enables the care assessment and improvement.
原理、目的和目标：护理质量是卫生领域的首要关注点。在法国，护理实践报告卡（CPRC）对从业者来说是强制性的。这是迈向卓越文化的第一步。在这种背景下，从业者必须评估并改进他们的实践。主管部门将登记册定义为CPRC的可靠来源。这项工作的首要目标是描述我们如何基于乌斯坦式心脏骤停登记册设计并构建一个普遍可转换的CPRC模型。第二个目标是衡量从业者对这种方法的依从性，并展示这样一种工具在实际情况中如何使用。
我们的报告卡改编自院内心脏骤停护理质量和安全指标。我们构建了一个两部分的网格。第一部分描述了所分析数据的质量和完整性。第二部分区分了医疗性和创伤性心脏骤停，并评估护理实践。我们通过满意度调查分析了从业者的依从性。最后，我们展示了一个CPRC案例研究。
该工具在92个中心对8433名患者进行了测试。满意度调查表明，这种CPRC得到了急救专业人员的广泛认可。我们展示了该工具在一个中心实际应用的例子。
我们设计并实施了一个可常规用于乌斯坦式心脏骤停登记册的全自动CPRC工具。这种CPRC可以很容易地转移到所有其他乌斯坦式心脏骤停登记册中。汇报报告的源代码可根据要求免费分发。这个工具能够实现护理评估和改进。
