HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
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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 ProductsBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
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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 ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
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 ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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 leverages medical professional development in healthcare by providing staff training programs
View All ProductsCreate engaging and impactful learning experiences that meet the unique needs of your acute care staff.
View All ProductsUnlocking the full potential of clinicians goes beyond aspiration – it’s a commitment we embody. Our competency development solutions help personalize learning for every clinician so you can confidently bridge the gap between theory and practice for your nurse residents while meeting the unique development needs of your seasoned clinician.
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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 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 & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementStreamline the revenue cycle management process and protect your bottom line with expert-backed education.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn 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 ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
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 ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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 leverages medical professional development in healthcare by providing staff training programs
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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