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- W4387107959 abstract "Introduction: Establishing Extracorporeal Membrane Oxygenation (ECMO) during Cardiopulmonary Resuscitation (CPR) requires rapid response and timely initiation for the best chance at intact survival. We proposed that changing the existing language surrounding the rapid deployment of ECMO would lead to improved activation times. Methods: A multidisciplinary team completed a comprehensive review of the existing system, identified gaps, areas for improvement, and developed a robust education program. Identified gaps included misinterpretation of “e” during eCPR, and “ECMO” when stating ECMO Stat. The team recommended utilizing CODE ECMO for designation and implemented in July 2021. Results: Implementation of the change in nomenclature to CODE ECMO would lead to decreased time from CPR start to activation of ECMO to improve by 25%. Baseline data showed an average ECMO activation post CPR initiation of 13 minutes. Data through the current year has shown an improvement of 49% (13 min to 6.7 min). Conclusion: In conclusion, changing the existing nomenclature for the rapid deployment of ECMO has led to improved activation times. The increased knowledge of the capabilities of ECMO hospital-wide has led to an increased number of calls for CODE ECMO and the continued goal of increasing survivability. Lastly, the upgraded system has facilitated the multi-disciplinary team to review all CODE ECMO calls, increase data analysis, enabled monitoring of performance, and continues to identify further areas of improvement." @default.
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- W4387107959 date "2023-09-01" @default.
- W4387107959 modified "2023-09-28" @default.
- W4387107959 title "148: Process Improvement: Nomenclature Change Improves Response Times" @default.
- W4387107959 doi "https://doi.org/10.1097/01.mat.0000990940.01244.bd" @default.
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