HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreThis blog post is based on a webinar featuring Nicole Kupchik, MN, RN, CCNS, CCRN, PCCN-CMC, a Critical Care Clinical Nurse Specialist who is also a well-respected, nationally and internationally-recognized speaker on a variety of emergency and critical care topics.
The Importance of Surveillance and Early Intervention
There is now an increased focus on the importance of surveillance and prevention in the inpatient setting. Kupchik stresses the importance of identifying at-risk patients before they have cardiac arrests and points to the value of early interventions such as rapid response teams and other programs in preventing in-hospital cardiac arrest. Citing research that shows that 80% of all cardiac arrest patients have abnormal vital signs before the event, she says that “really, any cardiac arrest outside of the ICU should be seen as an extraordinary event—it should not be seen as normal.” She goes on to say that patients tell us with their vital sign changes eight hours before cardiac arrest that they are deteriorating.
Measurement-Based Feedback Improves Performance
Kupchik is a passionate advocate for post-event feedback and evaluation. Voice-Activated Manikins (VAMs) provide this kind of feedback as part of quarterly exercises, but that doesn’t mean that the feedback can only happen during training. She encourages brief feedback sessions to look at the data from the defibrillator to provide objective information that can lead to changes in practice and ultimately to high quality CPR. “Regardless of what defibrillator you have in your hospital, you have the capability to do this,” says Kupchik. She also encourages the use of CPR report cards to put this data directly into the hands of providers.
While VAMs and even the defibrillators that we are using may help improve performance by providing feedback, Kupchik is also an advocate for even the simplest of ways to improve CPR performance. “One crazy, easy thing to do is to download a metronome app or use the one that is on your defibrillator in order to get an auditory cue. Getting that auditory cue is fascinating in codes because many people think that we should be compressing way faster than the recommended rate.”
There are also other devices that provide immediate feedback on compression depth, rate, and recoil. Sensors are built into the pads of many defibrillators and the feedback can be used to modify performance during the actual event. The defibrillator then wirelessly sends a report to a database that can be downloaded and provided to the team at any point following the event.
Chest compression fraction is another significant determinant in survival rates. The current goal is that providers be performing compressions 60% of the time during CPR, and Kupchik cites high-performing organizations and EMS systems that are actually trying to be at 90%. Kupchik urges providers to remember “if you are not compressing, they are not getting perfused.”
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsImprove the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
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