RESUSCI T

RESUSCITATION A

TIO

FACT SHEET N

R

R Get With The Guidelines®-Resuscitation is the American Heart Association’s collaborative quality improvement program demonstrated to improve adherence to evidence-based care of patients who experience an in-hospital resuscitation event or received post cardiac arrest care following an in-hospital or out-of-hospital event. The program facilitates the efficient capture, analysis and reporting of data that empowers and supports the implementation of current guidelines, creation and dissemination of new knowledge, and development of next generation, evidence-based practice in resuscitation science. Hospitals are able to track data for Cardiopulmonary Arrest (CPA), Medical Emergency Team (MET), Post-Cardiac Arrest Care (PCAC) and Acute Respiratory Compromise (ARC) in the Web-based Patient Management Tool™ (powered by Quintiles Real-World & Late Phase Research). The PMT provides decision support, robust registry, real-time benchmarking capabilities and other performance improvement methodologies toward the goal of enhancing patient outcomes and saving lives.

The primary goal of Get With The Guidelines-Resuscitation is to save more lives by preventing in-hospital cardiac arrest and optimizing outcomes through benchmarking, quality improvement, knowledge translation, and research.

CARDIOPULMONARY ARREST

ADULT PEDIATRIC NEONATE/INFANT NEWLY BORN

age >=18 years age <18 years and >=1 year age <1 year and >=24 hours event occurred at delivery (< 24 old hours old)

Confirmation of airway device Confirmation of airway device Confirmation of airway device Confirmation of airway device placement in trachea: Percent of placement in trachea: Percent of placement in trachea: Percent placement in trachea: Percent of events who had confirmation of events who had confirmation of of events who had confirmation of events who had confirmation of airway device placement in trachea. airway device placement in airway device placement in airway device placement in trachea. trachea trachea.

Time to first shock <= 2 min for Time to first chest Time to first chest Advanced airway placed prior to VF/pulseless VT first documented compressions ≤1 min in compressions ≤1 min in the initiation of chest rhythm: Percent of eventswith pediatric patients: Percent of pediatric patients: Percent of compressions: Percent of events VF/pulseless VT first documented events where time to first chest events where time to first chest who had an advanced airway (either rhythm in whom time to first shock compressions ≤ 1 minute compressions ≤ 1 minute laryngeal mask airway (LMA), <=2 minutes of event recognition. endotracheal tube (ET) or tracheostomy tube) placed prior to initiation of chest compressions.

Time to IV/IO epinephrine ≤ 5 Time to IV/IO epinephrine ≤ 5 Time to IV/IO epinephrine ≤ 5 Pulse oximetry in place prior to minutes for asystole or Pulseless minutes for asystole or minutes for asystole or the initiation of chest Pulseless Electrical Activity compressions: Percent of events Electrical Activity (PEA): Percent Pulseless Electrical Activity MAY 2017 (PEA): Percent of events where where pulse oximetry was in place of events where time to epinephrine (PEA): Percent of events where time to epinephrine ≤ 5 minute of prior to the initiation of chest ≤ 5 minute of asystole or pulseless time to epinephrine ≤ 5 minute of asystole or pulseless electrical compressions activity. electrical activity. asystole or pulseless electrical

activity. F

ACTSHEE Percent pulseless cardiac events Percent pulseless cardiac Percent pulseless cardiac Time to positive pressure monitored or witnessed: Percent events occurring in an ICU events occurring in an ICU ventilation <1 minute from CPA of pulseless cardiac patient events setting: Percent of pulseless setting: Percent of pulseless recognition: Percent of events were monitored or witnessed cardiac events occurring in an ICU cardiac events occurring in an where the positive pressure setting (Adult ICU, PICU Pediatric ICU setting (Adult ICU, PICU, ventilation was within 1 minute of Cardiac ICU, Neonatal ICU) Pediatric Cardiac ICU, Neonatal event recognition. ICU) versus a general inpatient versus a general inpatient area T

area (General inpatient area, (General inpatient area, Step down/telemetry, Newborn Nursery) Step down/telemetry, Newborn Nursery)

PAGE 1 RESUSCI QUALIT Y MEASURES

ACUTE RESPIRATORY COMPROMISE T

A

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT TIO N

age >=18 years age <18 years and >=1 year age <1 year R

Device confirmation of correct Device confirmation of correct Device confirmation of correct endotracheal tube placement: Percent endotracheal tube placement: Percent of endotracheal tube placement: Percent of of events with an endotracheal tube events with an endotracheal tube events with an endotracheal tube placement placement confirmed to be correct placement confirmed to be correct confirmed to be correct

Time to first assisted ventilation ≤ 1 Time to first assisted ventilation ≤ 1 min: Invasive airway inserted in newborn/ min: Percent of events with time to first Percent of events with time to first assisted neonate events: Percent of events with an assisted ventilation ≤ 1 minute ventilation ≤ 1 minute invasive airway inserted

Time to first assisted ventilation ≤ 1 min: Percent of events with time to first assisted ventilation ≤ 1 minute

Time to invasive airway ≤ 2 min in newborn/neonates: Percent of events with time to invasive airway ≤ 2 minutes

CARDIOPULMONARY ARREST

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT

age >=18 years age <18 years and >=1 year age <1 year

Chest compressions provided: Percent Chest compressions provided: Percent of Chest compressions provided: Percent of of events with chest compressions events with chest compressions provided events with chest compressions provided provided Defibrillation shock provided for VF/ Defibrillation shock provided for VF/ Defibrillation shock provided for VF/ pulseless VT rhythm: Percent of VF/ pulseless VT rhythm: Percent of VF/ pulseless VT rhythm: Percent of VF/ pulseless VT rhythm events provided with pulseless VT rhythm events provided with pulseless VT rhythm events provided with defibrillation shock defibrillation shock defibrillation shock Initial shock energy ≥ 2 joules/kg (<12 yrs Initial shock energy ≥ 2 joules/kg (<12 yrs IV/IO Epinephrine/Vasopressin bolus old AND <50 kg): Percent of events for old AND <50 kg): Percent of events for

administered to pulseless adults ≤ 5 patients less than 12 years old and 50 kg patients less than 12 years old and 50 kg with MAY 2017 min: Percent of events with first with initial shock energy ≥ 2 joules/kg initial shock energy ≥ 2 joules/kg documented pulseless rhythm of Asystole Invasive airway inserted in newborn/ or Pulseless Electrical Activity (PEA) for IV/IO Epinephrine/Vasopressin bolus

neonates: Percent of events with insertion of administered to pediatric patients or

whom IV/IO Epinephrine/Vasopressin F an invasive airway

bolus was administered within 5 minutes newborn/neonates ≤ 5 min: Percent of ACTSHEE

of identification of pulselessness events with first documented rhythm of Percent pulseless cardiac events Bradycardia or Asystole or Pulseless monitored or witnessed (newborn/ neonate Subsequent shock delivered ≥ 2 min Electrical Activity (PEA) for whom IV/IO patients): Percent of pulseless events after previous shock: Percent of events Epinephrine/Vasopressin bolus was monitored or witnessed where any subsequent shock was administered within 5 minutes of first T

delivered greater than or equal to 2 min recognition of the need for chest after the previous shock compressions

PAGE 2 RESUSCI

CARDIOPULMONARY ARREST (CONTINUED FROM PAGE 02)

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT T

A

TIO age >=18 years age <18 years and >=1 year age <1 year N

R

Shock energy ≤ 10 joules/kg (<12 yrs Time to first shock ≤ 2 min for VF/ old AND <50 kg): Percent of events for pulseless VT first documented rhythm: patients less than 12 years old and 50 Percent of initially pulseless events with VF/ pulseless VT first documented rhythm with kg with appropriate shock energies less time to first shock ≤ 2 minutes than or equal to 10 joules/kg IV/IO Epinephrine bolus administered to Subsequent shock delivered ≥ 2 min pediatric patients or newborn/ neonates ≤ 5 after previous shock: Percent of min: Percent of events with first documented events where any subsequent shock rhythm of Bradycardia or Asystole or was delivered greater than or equal to 2 Pulseless Electrical Activity (PEA) for whom min after the previous shock IV/IO Epinephrine/ Vasopressin bolus was administered within 5 minutes of first Subsequent shock energy ≥ 4 recognition of the need for chest joules/kg (<12 yrs old AND <50 kg): compressions Percent of events for patients less than Shock energy ≤ 10 joules/kg (<12 yrs old 12 years old and 50 kg with subsequent AND <50 kg): Percent of events for patients shock energy ≥ 4 joules/kg less than 12 years old and 50 kg with appropriate shock energies less than or equal

to 10 joules/kg

Subsequent shock delivered ≥ 2 min after previous shock: Percent of events where any subsequent shock was delivered greater than or equal to 2 min after the previous shock

Subsequent shock energy ≥ 4 joules/kg (<12 yrs old AND <50 kg): Percent of events for patients less than 12 years old and 50 kg with subsequent shock energy ≥ 4 joules/kg

Time to Bag mask ventilation <1 minute from CPA recognition in newborn/neonates <10 minutes old: Percent of events in MAY 2017 patients <10 minutes old with bag mask ventilation within one minute of event recognition (date/time the need for chest

compressions and/or defibrillation for VF/PVT F

was first recognized). ACTSHEE T

PAGE 3 RESUSCI

REPORTING MEASURES T

ACUTE RESPIRATORY COMPROMISE A

TIO ADULT PEDIATRIC NEWBORN/NEONATE/INFANT N

R age >=18 years age <18 years and >=1 year age <1 year

Length of ARC Event: Time from the need Length of ARC Event: Time from the need for Length of ARC Event: Time from the need for emergency assisted ventilation first emergency assisted ventilation first recognized for emergency assisted ventilation first recognized to time of the BEGINNING of to time of the BEGINNING of sustained ROSV recognized to time of the BEGINNING of sustained ROSV or control of ventilation or or control of ventilation or need for chest sustained ROSV or control of ventilation or need for chest compression and/or compression and/or defibrillation (CPA) first need for chest compression and/or defibrillation (CPA) first identified identified defibrillation (CPA) first identified.

Reason ARC event ended: Histogram Reason ARC event ended: Histogram Reason ARC event ended: Histogram breakdown of reason event ended breakdown of reason event ended breakdown of reason event ended

CARDIOPULMONARY ARREST

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT

age >=18 years age <18 years and >=1 year age <1 year

Adult and pediatric patients with pulseless Adult and pediatric patients with pulseless Average ventilation rate: Percent of events cardiac events who died that had DNAR cardiac events who died that had DNAR with average ventilation rate of <12 breaths/min status declared and/ or life support status declared and/ or life support withdrawn: Histogram breakdown of withdrawn: Histogram breakdown of pulseless Chest compression fraction: Percent of pulseless events where patients died and had events where patients died and had DNAR events with chest compression fraction of >0.8 DNAR status declared and/or life support status declared and/or life support withdrawn (80%) withdrawn Average ventilation rate: Percent of events Chest compression rate: Percent of events Adult patients with pulseless cardiac event with average ventilation rate of <12 breaths/min with an average chest compression rate of who survived and CPC scores at hospital ≥100/min discharge: Histogram breakdown of patients Chest compression fraction: Percent of CPR performance debriefing: Percent of with pulseless events who survived and CPC events with chest compression fraction of >0.8 events in which a debriefing on the quality of scores at hospital discharge (80%) CPR provided was completed after the event

Average ventilation rate: Percent of events Chest compression rate: Percent of events CPR performance method: Histogram with average ventilation rate of <12 with an average chest compression rate of breakdown of how CPR performance was breaths/min ≥100/min monitored or guided Chest compression depth: Percent of CPR performance debriefing: Percent of events CPR performance, overall: Percent of events events with an average chest compression in which a debriefing on the quality of CPR MAY 2017 in which CPR performance was monitored or depth of ≥50mm provided was completed after the event guided

Chest compression fraction: Percent of CPR performance method: Histogram breakdown of how CPR performance was CPR performance, physiological metrics: events with chest compression fraction of >0.8 Percent of events in which CPR performance (80%) monitored or guided F

was monitored or guided using physiological ACTSHEE

Chest compression rate: Percent of events CPR performance, overall: Percent of events metrics with an average chest compression rate of in which CPR performance was monitored or Length of CPA Event: Time from the need ≥100/min guided for chest compressions (or defibrillation when

CPR performance debriefing: Percent of CPR performance, physiological metrics: initial rhythm was VF or Pulseless VT) was

Percent of events in which CPR performance FIRST recognized to time sustained ROC T

events in which a debriefing on the quality of

CPR provided was completed after the event was monitored or guided using physiological began lasting > 20 min OR resuscitation metrics efforts were terminated (End of event)

PAGE 4

RESUSCI

CARDIOPULMONARY ARREST (CONTINUED FROM PAGE 4)

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT T

A

age >=18 years age <18 years and >=1 year age <1 year TIO N

CPR performance method: Histogram Length of CPA Event: Time from the need for Induced hypothermia initiated: Percent of R

breakdown of how CPR performance was chest compressions (or defibrillation when initial events with induced hypothermia initiated monitored or guided rhythm was VF or Pulseless VT) was FIRST recognized to time sustained ROC began lasting Newborn/neonatal patients who died that CPR performance, overall: Percent of CPA > 20 min OR resuscitation efforts were terminated had DNAR status declared and/or life Histogram breakdown events in which CPR performance was (End of event) support withdrawn: monitored or guided of patients who died and had DNAR status Induced hypothermia initiated: Percent of declared and/or life support withdrawn CPR performance, physiological metrics: events with induced hypothermia initiated Percent of events in which CPR performance Newborn/neonatal patients who survived was monitored or guided using physiological Patients with cardiac events with pulse who and PCPC scores at hospital discharge: metrics survived and discharge disposition: Histogram Histogram breakdown of patients who breakdown of patients with pulsed events who survived and PCPC scores at hospital Induced hypothermia initiated: Percent of survived and discharge disposition discharge events with induced hypothermia initiated Patients with pulseless cardiac events who Patients with cardiac events with pulse Time from the need for Length of CPA Event: survived and discharge disposition: Histogram who survived and discharge disposition: chest compressions (or defibrillation when initial breakdown of patients with pulseless events who Histogram breakdown of patients with rhythm was VF or Pulseless VT) was FIRST survived and discharge disposition pulsed events who survived and discharge recognized to time sustained ROC began lasting disposition > 20 min OR resuscitation efforts were ICU Discharge within 24 hours prior to CPA terminated (End of event) event: Percent of events with ICU discharge to ICU Discharge within 24 hours prior to inpatient ward within 24 hours of CPA activation CPA event: Percent of events with ICU ICU Discharge within 24 hours prior to CPA discharge to inpatient ward within 24 hours event: Percent of events with ICU discharge to Pediatric patients with pulseless cardiac event of event. inpatient ward within 24 hours of event. who survived and PCPC scores at hospital discharge: Histogram breakdown of patients Patients with pulseless cardiac events Patients with cardiac events with pulse who with pulseless events who survived and PCPC who survived and discharge disposition: survived and discharge disposition: scores at hospital discharge Histogram breakdown of patients with Histogram breakdown of patients with pulsed pulseless events who survived and events who survived and discharge disposition Percent of patients with pulseless cardiac discharge disposition events who survived to hospital discharge: Patients with pulseless cardiac events who Percent of patients with pulseless events who Percent of newborn/neonatal patients

survived and discharge disposition: survived to hospital discharge who survived to hospital discharge: Histogram breakdown of patients with pulseless Percent of patients who survived to hospital MAY 2017 events who survived and discharge disposition Reason CPA resuscitation ended: Histogram discharge breakdown of reason resuscitation ended Percent of patients with pulseless cardiac Reason CPA resuscitation ended: events who survived to hospital discharge: Survival to discharge by first documented Histogram breakdown of reason Percent of patients with pulseless events who rhythm: Histogram breakdown of survival to

resuscitation ended F

survived to hospital discharge discharge by first documented rhythm of index ACTSHEE (first) event Survival to discharge by first documented Reason CPA resuscitation ended: Histogram rhythm: Histogram breakdown of survival to breakdown of reason resuscitation ended discharge by first documented rhythm of index (first) event

T

PAGE 5

CARDIOPULMONARY ARREST (CONTINUED FROM PAGE 5)

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT RESUSCI

age >=18 years age <18 years and >=1 year age <1 year

Survival to discharge by first documented Variance in discharge survival rates of Variance in discharge survival rates of T

A

rhythm: Histogram breakdown of survival to adult and pediatric patients with newborn/neonatal patients: Variance in TIO

discharge by first documented rhythm of pulseless events: Variance in discharge discharge survival rates between weekday N

index (first) event survival rates between weekday day/evening and weekday night/weekend R

day/evening and weekday night/weekend Variance in discharge survival rates of VF/Pulseless VT Shocks: Histogram adult and pediatric patients with VF/Pulseless VT Shocks: Histogram breakdown of VF/Pulseless VT shocks pulseless events: Variance in discharge breakdown of VF/Pulseless VT shocks survival rates between weekday day/evening and weekday night/weekend

VF/Pulseless VT Shocks: Histogram breakdown of VF/Pulseless VT shocks

CARDIOPULMONARY ARREST & ACCUTE RESPIRATORY COMPROMISE

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT

age >=18 years age <18 years and >=1 year age <1 year

Confirmation methods for correct airway Confirmation methods for correct airway Confirmation methods for correct airway placement: Histogram breakdown of placement: Histogram breakdown of placement: Histogram breakdown of confirmation methods confirmation methods confirmation methods

Resuscitation-related events and issues: Resuscitation-related events and issues: Resuscitation-related events and issues: Histogram breakdown of Histogram breakdown of resuscitation Histogram breakdown of resuscitation related resuscitation related events and issues related events and issues events and issues

Types of ventilation provided: Histogram Types of ventilation provided: Histogram Types of ventilation provided: Histogram breakdown of types of ventilation provided breakdown of types of ventilation provided breakdown of types of ventilation provided

Was any Endotracheal Tube (ET) or Was any Endotracheal Tube (ET) or Was any Endotracheal Tube (ET) or

Tracheostomy tube inserted/re-inserted Tracheostomy tube inserted/re-inserted Tracheostomy tube inserted/re-inserted MAY 2017 during event?: Histogram breakdown of during event?: Histogram breakdown of during event?: Histogram breakdown of whether or not an endotracheal tube or whether or not an endotracheal tube or whether or not an endotracheal tube or tracheostomy tube was inserted/re inserted tracheostomy tube was inserted/re inserted tracheostomy tube was inserted/re inserted during event during event during event F

ACTSHEE

T

PAGE 6 RESUSCI

MEDICAL EMERGENCY TEAM T

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT A

TIO

age >=18 years age <18 years and >=1 year age <1 year N

R

Activation triggers: Histogram breakdown Activation triggers: Histogram breakdown Activation triggers: Histogram breakdown of MET activation triggers of MET activation triggers of MET activation triggers

Conscious/procedural sedation within 24 Conscious/procedural sedation within 24 Conscious/procedural sedation within 24 hrs prior to MET activation: Percent of hrs prior to MET activation: Percent of hrs prior to MET activation: Percent of events with conscious/ procedural sedation events with conscious/ procedural sedation events with conscious/ procedural sedation within 24 hours prior to MET activation within 24 hours prior to MET activation within 24 hours prior to MET activation

Device confirmation of correct Device confirmation of correct Device confirmation of correct endotracheal tube confirmation: Percent endotracheal tube confirmation: Percent endotracheal tube confirmation: Percent of events with endotracheal tube placement of events with endotracheal tube placement of events with endotracheal tube placement which was confirmed to be correct which was confirmed to be correct which was confirmed to be correct

ED discharge within 24hrs prior to MET ED discharge within 24hrs prior to MET ED discharge within 24hrs prior to MET activation: Percent of events with ED activation: Percent of events with ED activation: Percent of events with ED discharge within 24 hours prior to MET discharge within 24 hours prior to MET discharge within 24 hours prior to MET activation activation activation

Endotracheal tube or tracheostomy tube Endotracheal tube or tracheostomy tube Endotracheal tube or tracheostomy tube placed during MET event: Percent of placed during MET event: Percent of placed during MET event: Percent of events with endotracheal tube or events with endotracheal tube or events with endotracheal tube or tracheostomy tube placed/re-placed during tracheostomy tube placed/re-placed during tracheostomy tube placed/re-placed during the MET event he MET event the MET event

ICU discharge prior to MET activation: ICU discharge prior to MET activation: ICU discharge prior to MET activation: Percent of events with ICU discharge prior to Percent of events with ICU discharge prior to Percent of events with ICU discharge prior to MET activation MET activation MET activation

Length of MET Event: Time First MET Length of MET Event: Time First MET Length of MET Event: Time First MET Team Member Arrived to Time Last Team Team Member Arrived to Time Last Team Team Member Arrived to Time Last Team Member Departed Member Departed Member Departed

MET Team Response Time: Time MET was MET Team Response Time: Time MET was MET Team Response Time: Time MET was activated to time First MET Team Member activated to time First MET Team Member activated to time First MET Team Member

Arrived Arrived Arrived MAY 2017

MET Outcome: Histogram breakdown of MET Outcome: Histogram breakdown of MET Outcome: Histogram breakdown of MET outcome MET outcome MET outcome

PACU discharge within 24 hrs to MET PACU discharge within 24 hrs to MET PACU discharge within 24 hrs to MET F

ACTSHEE activation: Percent of events with PACU activation: Percent of events with PACU activation: Percent of events with PACU discharge within 24 hours to MET activation discharge within 24 hours to MET activation discharge within 24 hours to MET activation

Patient transfer destination: Histogram Patient transfer destination: Histogram Patient transfer destination: Histogram breakdown of MET patient transfer breakdown of MET patient transfer breakdown of MET patient transfer destination destination destination T

PAGE 7 RESUSCI

MEDICAL EMERGENCY TEAM (CONTINUED FROM PAGE 7) T

A

TIO Pre-Event: Percent of events discharged Pre-Event: Percent of events discharged Pre-Event: Percent of events discharged N

from an ICU within 24 hours prior to this MET from an ICU within 24 hours prior to this MET from an ICU within 24 hours prior to this MET R

call OR discharged from a PACU within 24 call OR discharged from a PACU within 24 call OR discharged from a PACU within 24 hours prior to this MET call OR in the ED hours prior to this MET call OR in the ED hours prior to this MET call OR in the ED within 24 hours prior to this MET call OR within 24 hours prior to this MET call OR within 24 hours prior to this MET call OR received conscious/procedural sedation or received conscious/procedural sedation or received conscious/procedural sedation or general anesthesia within 24 hours prior to general anesthesia within 24 hours prior to general anesthesia within 24 hours prior to this MET call or were discharged from an this MET call or were discharged from an this MET call or were discharged from an ICU at any point during this admission and ICU at any point during this admission and ICU at any point during this admission and prior to this MET call prior to this MET call prior to this MET call

Prior MET event within 24 hrs: Percent of Prior MET event within 24 hrs: Percent of Prior MET event within 24 hrs: Percent of events with MET Team activation within 24 events with MET Team activation within 24 events with MET Team activation within 24 hrs prior to this MET call hrs prior to this MET call hrs prior to this MET call

Review of MET response: Histogram Review of MET response: Histogram Review of MET response: Histogram breakdown of review of MET response breakdown of review of MET response breakdown of review of MET response

OTHER REPORTING

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT

age >=18 years age <18 years and >=1 year age <1 year

Fetal monitoring: Histogram breakdown of Targeted Temperature Management: Targeted Temperature Management: Percent fetal monitoring Percent of events with a cardiac arrest event of events with a cardiac arrest event and return

and return of spontaneous circulation (ROSC), of spontaneous circulation (ROSC), who are who are not following commands at the time not following commands at the time of the initial of the initial assessment, in whom Targeted assessment, in whom Targeted Temperature Temperature Management was utilized. Management was utilized.

Maternal conditions: Histogram Targeted Temperature Distribution: Targeted Temperature Distribution: Patients breakdown of maternal conditions Patients grouped by targeted temperatures grouped by targeted temperatures

Special circumstances recognized at Door to Cath Lab Times (STEMI): Time from Door to Cath Lab Times (STEMI): Time from

birth: Histogram breakdown of special MAY 2017 arrival to cath lab for patients with STEMI (out arrival to cath lab for patients with STEMI (out circumstances recognized at birth of hospital events) of hospital events)

Oxygen Titration: Percent of patients with an Oxygen Titration: Percent of patients with an Oxygen Titration: Percent of patients with

arterial blood gas documented with PaO2 arterial blood gas documented with PaO2 an arterial blood gas documented with F

maintained at less than 300mmHg within the maintained at less than 300mmHg within the PaO2 maintained at less than 300mmHg ACTSHEE first 24 hours after ROSC. first 24 hours after ROSC. within the first 24 hours after ROSC.

Hypotension Management: Percent of Hypotension Management: Percent of Hypotension Management: Percent of patients with a cardiac arrest event and return patients with a cardiac arrest event and return patients with a cardiac arrest event and of spontaneous circulation (ROSC) with of spontaneous circulation (ROSC) with return of spontaneous circulation (ROSC) T

appropriate management of sustained appropriate management of sustained with appropriate management of sustained hypotension hypotension hypotension

PAGE 8

DESCRIPTIVE MEASURES RESUSCI

CARDIOPULMONARY ARREST AND ACUTE RESPIRATORY COMPROMISE AND MEDICAL EMERGENCY TEAM

ADULT PEDIATRIC NEWBORN/NEONATE/INFANT T

A

age >=18 years age <18 years and >=1 year age <1 year TIO N

Age: Patients grouped by age Age: Patients grouped by age Age: Patients grouped by age R

Discharge status: Histogram breakdown Discharge status: Histogram breakdown of Discharge status: Histogram of admissions by discharge status (alive or admissions by discharge status (alive or dead) breakdown of admissions by discharge dead) status (alive or dead)

Gender: Percent of female, male, and Gender: Percent of female, male, and Gender: Percent of female, male, and unknown patients unknown patients unknown patients

Event location: Histogram breakdown of Event location: Histogram breakdown of Event location: Histogram breakdown of event location event location event location

Pre-event data: Histogram breakdown of Pre-event data: Histogram breakdown of pre- Pre-event data: Histogram breakdown pre-event data event data of pre-event data

Race: Patients grouped by race and Race: Patients grouped by race and Hispanic Race: Patients grouped by race and Hispanic ethnicity ethnicity Hispanic ethnicity

MAY 2017

F

ACTSHEE T

PAGE 9

RESUSCI HOW RECOGNITION AND QUALIT Y ME ASURES ARE DETERMINED Recognition and quality measures provide the basis for evaluating and improving treatment of In-hospital Cardiac Arrest T

patients. Formulating those measures begins with a detailed review of American Heart Association’s Guidelines for CPR A

TIO and ECC. N

R

When evidence for a process or aspect of care is so strong that failure to act on it reduces the likelihood of an optimal patient outcome, a recognition measure may be developed regarding that process or aspect of care. Recognition measure data are continually collected and results are monitored over time to determine when new initiatives or revised processes should be incorporated. As such, recognition measures help speed the translation of strong clinical evidence into practice.

Quality measures apply to processes and aspects of care that are strongly supported by science. Application of quality measures may not, however, be as universally indicated as recognition measures.

The Get With The Guidelines® team follows a strict set of criteria in creating recognition and quality measures. We make every effort to ensure compatibility with existing performance measures from other organizations.

RESUSCITATION AWARDS - RECOGNITION FOR YOUR PERFORMANCE Hospitals teams that participate actively and consistently in Get With The Guidelines-Resuscitation are rewarded with public recognition that helps hospitals hone a competitive edge in the marketplace by providing patients and stakeholders with tangible evidence of their commitment to improving Resuscitation care.

Bronze, Silver and Gold award-winning Get With The Guidelines-Resuscitation hospitals are honored at national recognition events during Scientific Sessions and listed by name in advertisements that appear annually in Circulation and in the “Best Hospitals” issue of U.S. News & World Report. Moreover, all award-winning hospitals are provided with customizable marketing materials they can use to announce their achievements locally.

GWTG RESUSCITATION GWTG Resuscitation draws from the American Heart Association’s vast collection of content-rich resources for patients and healthcare professionals, including educational tools, prevention programs, treatment guidelines, quality initiatives and outcome-based programs.

To learn more about GWTG-Resuscitation go to heart.org/Resuscitation MAY 2017 Visit heart.org/quality for more information.

F

ACTSHEE

Web-based Patient Management Tool’” provided by Quintiles Real-World & Late Phase Research T

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