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Penn study: Hospital CPR quality is worse at night
Date:11/14/2010

gen deprivation. In addition, the researchers observed that staff members appeared to move slower when alternating between chest compressions and defibrillation during night resuscitations they stopped compressions for a mean of 15.8 seconds before shocking patients at night, vs. 11.9 seconds during the day, and for 4.6 vs. 2.8 seconds after shocking patients.

Among factors that the authors say may influence the variability in CPR quality between night and day: fatigue, lower staffing levels, and lack of supervision from supervising physicians, who are less likely to be present during overnight resuscitations. But Abella says these disparities could be addressed with a variety of interventions, including more widespread use of cardiac arrest simulated event drills, devices that monitor CPR quality and provide real-time feedback, staff debriefings following resuscitations, and more supervising physician involvement in cardiac arrest care.

Although these results show a disparity in the care cardiac arrest patients may receive overnight, we now have one answer about where to concentrate our efforts to better ensure the safety of patients around the clock, he says.

Other study authors include Sarah Perman, MD, Douglas Smith, Marion Leary, RN, and Lance Becker, MD, at the University of Pennsylvania, and Noah Swann and Dana Edelson, MD at the University of Chicago.


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Contact: Jessica Mikulski
jessica.mikulski@uphs.upenn.edu
215-796-4829
University of Pennsylvania School of Medicine
Source:Eurekalert

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