Volume 24, Issue 3 (10-2021)                   jha 2021, 24(3): 56-66 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Arian S, Shariati A, Sheini Jaberi P, Maraghi E. Evaluation of clinical effectiveness of cardiopulmonary resuscitation indices in the emergency department: Management intervention using FOCUS PDCA method. jha 2021; 24 (3) :56-66
URL: http://jha.iums.ac.ir/article-1-3740-en.html
1- .Sc. Student, Nursing & midwifery school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2- Instructor , Nursing & midwifery school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Instructor , Nursing & midwifery school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , psheinijaberi@yahoo.com
4- Assistant of professor, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract:   (1692 Views)
Introduction: Poor performance of the resuscitation team can have negative consequences for the hospital and the community. Identifying and correcting problems related to the emergency department is one of the priorities to improve the quality of service delivery and increase satisfaction. The aim of this study was to determine the effect of the FOCUS PDCA method on improving the cardiopulmonary resuscitation (CPR) index in the emergency department.
Methods: The present study was a quasi-experimental study performed in the emergency department of Imam Ali Hospital in Andimeshk. The control group included 75 CPR events before the intervention, and the experimental group included 76 CPR events after the FOCUS-PDCA. A team of nurses working in the emergency department and resuscitation group were selected based on the inclusion criteria. Basic and advanced CPR training and FOCUS PDCA method workshops were held for them. Then, the nine steps of the FOCUS-PDCA were performed. The data collection tool was a researcher-made checklist. Data were analyzed using the SPSS-22 software: Chi-square, Fisher, and Mann-Whitney U tests were performed.
Results: The result of successful resuscitation for patients after FOCUS PDCA increased by 3.64%.The  CPR results were successful in 6.7% before the intervention and 26.3% after the intervention. The rate of unsuccessful CPR in traumatic, internal, and non-traumatic patients decreased after the intervention. There was a statistically significant difference between the two groups in terms of the occurrence of cardiac arrest in presence of witnesses.
Conclusion: It is expected that the implementation of the FOCUS PDCA method can lead to the improvement of indices and successful resuscitation of patients in the emergency department.
Full-Text [PDF 928 kb]   (892 Downloads)    
Type of Study: Research | Subject: Health Services Management
Received: 2021/06/29 | Accepted: 2021/09/21 | Published: 2021/12/1

1. Saffari M, Amini N, Pakpour AH, Sanaeinasab H, Rahidi Jahan H. Assessment the medical sciences students' knowledge and skill about basic cardiopulmonary resuscitation (CPR) in accidents and disasters. Iranian Journal of Health Education and Health Promotion. 2013;1(1):41-50. [In Persian]
2. Okonta KE. Theoretical knowledge of cardiopulmonary resuscitation among clinical medical students in the university of port Harcourt, Nigeria. Afr J Med Health Sci. 2015;14(1):42-6. [DOI:10.4103/2384-5589.153391]
3. Stotts MJ, Hung KW, Benson A, Biggins SW. Rate and predictors of successful cardiopulmonary resuscitation in end-stage liver disease. Dig Dis Sci. 2014 Aug;59(8):1983-6. [DOI:10.1007/s10620-014-3084-8]
4. Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015 Apr;43(4):840-8. [DOI:10.1097/CCM.0000000000000824]
5. Adib-Hajbaghery M, Azizi-Fini E. Longitudinal study of cardioPulmonary resuscitation knowledge and skills among nurse interns of Kashan university of medical sciences. Iranian Journal of Medical Education. 2013;13(2):134-45. [In Persian]
6. Nazri Panjaki A, Salari N, Khoshfetrat M. successful cardiopulmonary resuscitation rate and related factors in emergency departments and wards of teaching hospitals in Zahedan city, 2016-2017. Iranian Journal of Emergency Care. 2017;1(2):38-45. [In Persian]
7. Strömsöe A, Andersson B, Ekström L, Herlitz J, Axelsson A, Göransson KE, et al. Education in cardiopulmonary resuscitation in Sweden and its clinical consequences. Resuscitation. 2010 Feb;81(2):211-6. [DOI:10.1016/j.resuscitation.2009.10.014]
8. Nasiripour AA, Masoudi Asl I, Fathi E. The relationship of CPR success and time of patients' referring to emergency department. Journal of Military Medicine. 2012;14(1):21-5. [In Persian]
9. kavosi A, Parvinian nasab AM, Hessam M, Shariati AR, Jouybari L, Sanagu A. Barriers to the success of cardiopulmonary resuscitation teams from the perspective of nurses. Jorjani Biomedicine Journal. 2013;1(1):16-22. [In Persian]
10. Emamgholipour S, Jaafaripooyan E, Mohammadshahi M, Mohammadi Yazani E. The effect of health sector evolution plan on the performance indices of emergency department in hospitals of Tehran & Iran universities of medical sciences: Interrupted time series analysis. Iranian Journal of Emergency medicine. 2018;5(1):1-8. [In Persian]
11. Heidaranlu E, Faizi F, Parandeh A. Registering and improving the quality of nursing school educational processes based on the FOCUS - PDCA model. Education Strategies in Medical Sciences. 2020;13(1):62-9. [In Persian]
12. Awad SI. An innovative methodology for improving continuous "TQM, patient safety, IPC and environmental safety" education and training in Aster-Sanad. Annals of Case Reports & Reviews. 2019;1(2):1-16.
13. Alzoubi MM, Hayati KS, Rosliza AM, Ahmad AA, Al-Hamdan ZM. Total quality management in the health-care context: Integrating the literature and directing future research. Risk Manag Healthc Policy. 2019 Sep;12:167-77. [DOI:10.2147/RMHP.S197038]
14. Maraiki F, Farooq F, Ahmed M. Eliminating the use of intravenous glass bottles using a FOCUS-PDCA model and providing a practical stability reference guide. Int J Pharm Pract. 2016 Aug;24(4):271-82. [DOI:10.1111/ijpp.12245]
15. Papassavas A, Chatzistamatiou TK, Michalopoulos E, Serafetinidi M, Gkioka V, Markogianni E, et al. Quality management systems including accreditation standards. In: Stavropoulos-Giokas C, Charron D, Navarrete C, editors. Cord blood stem cells medicine. Boston: Elsevier Science; 2014. p. 229-48. [DOI:10.1016/B978-0-12-407785-0.00017-7]
16. Farahbakhsh M, Tabrizi JS, Nikniaz AR. The use of FOCUS-PDCA in primary health care performance improvement: Case study of east Azerbaijan health centers. Hakim Research Journal. 2010;13(1):40-8. [In Persian]
17. Heydaranlu E, Khaghanizadeh M, Ebadi A, Sirati Nir M, Aghdasi Mehrabad N, Ferdousi AA, et al. Effect of FOCUS-PDCA performance in the activity of emergency department of Shahid Mahalati hospital of Tabriz. Military Medicine. 2009;10(4):277-83. [In Persian]
18. Skrifvars MB, Castrén M, Aune S, Thoren AB, Nurmi J, Herlitz J. Variability in survival after in-hospital cardiac arrest depending on the hospital level of care. Resuscitation. 2007 Apr;73(1):73-81. [DOI:10.1016/j.resuscitation.2006.08.022]
19. Salari A, Mohammadnejad E, Vanaki Z, Ahmadi F. Effect of in-hospital cardiopulmonary cerebral resuscitation management on resuscitation outcomes. Journal of Critical Care Nursing. 2011;4(1):13-22. [In Persian]
20. Jalali M. Evaluation of functional index in the emergency department before and after the implementation of the program of attendance of resident physicians in selected hospitals of Tabriz University of Medical Sciences [Master's thesis]. Tabriz: Tabriz University of Medical Sciences; 2018.
21. Jafari Sirizi M, Seyedin SH, Aghlmand S, Seyed Mahmodi M. Performance indicators of emergency departments following the implementation of specialist residency program under the health sector evolution plan in public hospitals of West Azerbaijan province. Journal of Health Administration. 2017;20(67):50-63. [In Persian]
22. Alshahrani M, Alsulaibaikh A. Effects of implementation of FOCUS-PDCA model to decrease patients' length of stay in emergency department. Al-Azhar Assiut Medical Journal. 2015 Oct;13(4):189-93.
23. Jabbari Beirami H, Mousazadeh Y, Pourranjbari S, Asghari Jafarabadi M. The effects of FOCUS-PDCA methodology on emergency department patient disposition index. Iranian Journal of Emergency Medicine. 2015;2(2):82-7. [In Persian]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Journal of Health Administration

Designed & Developed by : Yektaweb