文摘
Improving the rate of survival among the 209,000 patients with an in-hospital cardiac arrest (IHCA) each year in the United States1 depends on the provision of high quality cardiopulmonary resuscitation (CPR). Leading health care advisories, such as those of the Institute of Medicine2 and the American Heart Association (AHA),3 suggest that the current survival rate of 22.3% from IHCA4 can be improved through organization- and systems-level continuous quality improvement initiatives. As a result of the high number of arrests with low survival rates and new initiatives focusing on continuous improvement, likely cardiac arrest and the provision of high quality CPR will be a Centers for Medicare & Medicaid core measure.