Get With The Guidelines-Resuscitation General Information
What is Get With The Guidelines-Resuscitation? • It is a Joint Commission-compliant quality improvement program to measure response and treatment of code and medical emergency team (MET – same as Rapid Response System RRS) events in the hospital.
• It is a quality improvement tool to measure the strengths and areas for improvement for a hospital’s resuscitation training programs.
• It serves as an international repository for code event data for resuscitation research.
What is Get With The Guidelines-Resuscitation’s Mission? The Mission of the American Heart Association's Get With The Guidelines-Resuscitation Hospital Safety Program is to reduce disability and death from cardiac and respiratory emergencies by providing an evidence-based, quality improvement program of patient safety, medical emergency team response, effective resuscitation, and post-emergency care.
Why is Get With The Guidelines-Resuscitation needed in hospitals? • Cardiovascular disease is the leading cause of mortality in the United States. • In-hospital cardiopulmonary arrest (CPA) outcomes are very poor (less than 20% of patients survive to discharge). • Cardiac arrest is frequently heralded by signs of deteriorating patient condition that can be identified early, thus allowing prevention of arrest and dramatically improved patient outcome. • It is estimated that every minute of delay in defibrillation for ventricular fibrillation (VF) significantly decreases survival. • The Joint Commission requires hospitals to collect data related to processes and outcomes of resuscitation and identify performance measures (quality improvement). • Data reports serve to improve patient outcomes and safety through the review of practices and events. • Many hospitals have implemented Medical Emergency Teams in their hospital and are not aware of Get With The Guidelines-Resuscitation. Get With The Guidelines-Resuscitation can facilitate the review of implementation processes and evaluate the success of the program by supporting standards that address recognition of, and response to unexpected deterioration in a patient’s condition.
What are Get With The Guidelines-Resuscitation’s benefits? Tracks all qualifying code and medical emergency team (MET) events throughout the hospital for neonatal, pediatric and adult populations • Over 190,000 CPA events and 110,000 MET events are on record
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• Reports are available to the hospital any time using the web-based patient management tool. • Resuscitation measures allow hospitals to benchmark their performance with evidence- based guidelines. • Comparative data allows hospitals to compare their performance with other subscribers • Monthly and annual Users Group meetings for training enhance knowledge of current resuscitation practices and encourage networking • Member hospitals are eligible for Get With The Guidelines-Resuscitation hospital recognition program
What is included with a subscription? • Web-based PMT • Tool updates and clinical support, at no extra charge • Standardized universal code sheets (event records) • Comparative reports available 24/7 • Monthly user's group forum meetings and activities • Exclusive participant web site
Does the Joint Commission endorse Get With The Guidelines-Resuscitation? No, The Joint Commission does not endorse Get With The Guidelines-Resuscitation. Many reviewers are familiar with Get With The Guidelines-Resuscitation and may recommend it as part of a remediation plan, but this is not meant to be an endorsement. Get With The Guidelines-Resuscitation makes the measurement of resuscitation performance and patient outcome easier, thus improving the monitoring and evaluation of this high risk process.
Has data from Get With The Guidelines-Resuscitation been published? Yes, there are many scientific articles on Get With The Guidelines-Resuscitation findings.
List of Get With The Guidelines-Resuscitation Terms, Abbreviations, and Definitions Term Definition
AED Automatic External Defibrillator.
AHA American Heart Association - Sponsors and provides financial support for Get With The Guidelines-Resuscitation.
ARC Acute Respiratory Compromise.
BVM Bag-Valve-Mask: Device - used to provide assisted ventilation during an emergency.
Certification An approval process required of all persons doing abstraction or data entry to 2
ensure that data abstractors understand Get With The Guidelines- Resuscitation coding instructions and hospitals are collecting reliable and valid data.
Coding Definitions that describe data abstraction elements allowing standardized Instructions comparison of these elements across the nation and internationally.
CPA CardioPulmonary Arrest.
CPC Cerebral Performance Category – a measure of neurologic function for individuals 18 years or older.
CRF Case Review Form – A paper form that outlines all the data points that are required to be entered into the Get With The Guidelines-Resuscitation Patient Management Tool for a given event (eg: ARC CRF; CPA CRF; MET CRF).
Outcome Get With The Guidelines-Resuscitation’s data analysis partner, managing Sciences, Inc applications, tools, and data analysis for Get With The Guidelines- Resuscitation.
DNAR Do Not Attempt Resuscitation.
ET Endotracheal Tube – An invasive airway placed into the trachea to provide assisted ventilation.
ICD (also Implanted Cardiac Defibrillator. AICD) Automatic Implantable Cardiac Defibrillator
MET Medical Emergency Team - sometimes referred to as a Rapid Response Team.
NPSG National Patient Safety Goal: A standard identified by The Joint Commission that is of highest priority to patient safety and quality care. The NPSG’s are reviewed and revised annually in order to clarify language and ensure relevancy to the settings in which they apply.
Get With The Get With The Guidelines-Resuscitation – A quality improvement program Guidelines- that assists its member hospitals to review and monitor in-hospital Resuscitation resuscitation events. It is also the largest database for research on in-hospital resuscitation events. This program was previously known as The National Registry of Cardiopulmonary Resuscitation (NRCPR) prior to July 1, 2010.
Get With The A resuscitation process and/or outcome benchmarking goal recommended by Guidelines- the Utstein Guidelines. Many of these measures relate to resuscitation Resuscitation interventions and are assigned a time frame by the Get With The Guidelines- Measure Resuscitation Scientific Advisory Board.
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Get With The The Get With The Guidelines-Resuscitation Scientific Advisory Board - Guidelines- Experts in the field of resuscitation who provide consultative advice related Resuscitation to Get With The Guidelines-Resuscitation Coding Instructions and SAB Measures.
PCPC Pediatric Cerebral Performance Category – a measure of neurologic function for patients less than 18 years old. (Note: Special definitions are available for neonatal patients as part of PCPC scoring).
PEC Pre-Existing Condition – A comorbidity that existed prior to and up to the time of the event.
POCE Process of Care Exception – A variance from a Get With The Guidelines- Resuscitation Measure.
Pulseless VT Pulseless Ventricular Tachycardia.
Recertification A re-approval process required of all persons doing abstraction or data entry for greater than 2 years from their original certification or recertification to ensure that data abstractors understand Get With The Guidelines- Resuscitation coding instructions and hospitals are collecting reliable and valid data.
ROC Return of Circulation – Return of mechanical heart function (e.g. - pulse, auscultated heart sounds, arterial pressure waveform) following cardiopulmonary arrest.
ROSC Return of Sustained Circulation – Return of mechanical heart function (e.g. - pulse, auscultated heart sounds, arterial pressure waveform) following cardiopulmonary arrest that lasts for a sustained period of greater than 20 minutes. Signifies the end of a CPA event.
ROSV Return of Spontaneous Ventilation – Signifies the end of an ARC event if it lasts longer than 20 minutes.
VF Ventricular Fibrillation
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