Abir Mahshid, Dowker Stephen R, Nham Wilson, Berri Nasma, Fouche Sydney, Nelson Christopher, Forman Jane, Fetters Michael D, Mendel Peter, Guetterman Timothy, Forbush Bill, Neumar Robert, Nallamothu Brahmajee
Rand Health Q. 2023 May 15;10(2):2. eCollection 2023 May.
Out-of-hospital cardiac arrest (OHCA) is a common, life-threatening event that is a leading cause of death in the United States. However, it is unclear how to design strategies that can be successfully implemented in emergency medical services (EMS) agencies and broader emergency response systems (such as fire, police, dispatch, and bystanders to OHCA events) in different communities to help improve daily care processes and outcomes in OHCA. The National Heart, Lung, and Blood Institute-funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study lays the foundation for future quality improvement efforts in OHCA by identifying, understanding, and validating the best practices adopted within emergency response systems to address these life-threatening events and by addressing potential barriers to implementation of these practices. RAND researchers developed recommendations covering all levels of the prehospital OHCA incident response and the principles of change management necessary to implement those recommendations.
院外心脏骤停（OHCA）是一种常见的、危及生命的事件，是美国主要的死亡原因之一。然而，目前尚不清楚如何设计策略，以便在不同社区的紧急医疗服务（EMS）机构和更广泛的应急响应系统（如消防、警察、调度以及OHCA事件的旁观者）中成功实施，从而帮助改善OHCA的日常护理流程和结果。由美国国立心肺血液研究所资助的“提高心脏骤停院外结局（EPOC）研究”，通过识别、理解和验证应急响应系统中为应对这些危及生命的事件而采用的最佳实践，并解决实施这些实践的潜在障碍，为未来OHCA质量改进工作奠定了基础。兰德公司的研究人员制定了涵盖院前OHCA事件响应各个层面的建议，以及实施这些建议所需的变革管理原则。
