The system-wide effect of real-time audio-visual feedback and post-event debriefing for in-hospital cardiac arrest: the Cardiopulmonary Resuscitation Quality Improvement Initiative

December 23, 2015

Source: Critical Care Medicine 43/11 pp. 2321-2331

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Date of publication:  November 2015

Publication type:  Journal article

In a nutshell:  The objective of this multicentre prospective cohort study was to evaluate the effect of implementing real-time audio-visual feedback with and without post event debriefing on survival and quality of cardiopulmonary resuscitation quality at in-hospital cardiac arrest.

The conclusion was that implementation of real-time audio-visual feedback with or without post-event debriefing did not lead to a measured improvement in patient or process-focused outcomes at individual hospital sites. However, there was an unexplained system-wide improvement in return of spontaneous circulation and process-focused outcomes during the second phase of the study.

Length of Publication:  11 pages


Further dissemination

December 23, 2015

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Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety

May 28, 2012

Source:  Surgery. 2012 Apr 11. [Epub ahead of print]

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Date of publication: April 2012

Publication type:  Journal article

In a nutshell:  Researchers explored the effects of a half day training programme on surgical residents’ knowledge, attitudes and awareness of patient safety. Six months later, participants identified and reported on observed safety events in their own workplace using an observational form for data collection. The course was associated with a significant improvement in knowledge about safety issues.

Length of publication:  1 web page

Some important notes: If an item requires an Athens username and password.  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text fllow this link to find your local NHS Library


Patient Safety Horizon Scanning Volume 2 Issue 5

June 28, 2011

Learning from mistakes

June 28, 2011

Source: Nursing Standard  Volume 25, Issue 34 p18

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Date of publication: April 2011

Publication type: Journal article

In a nutshell: The article describes what a never event is, and why the Department of Health expanded the list from 8 to 25 in February 2011.  The main focus of the list is on acute.

Length of publication: 1 page

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library

Acknowledgement: HMIC


Further dissemination

May 28, 2011

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Perioperative care in practice: A case study

April 4, 2011

Source: The Health Foundation

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Date of publication: March 2011

Publication type: Case Study

In a nutshell: This case study publishes the results of two hospitals, Causeway Hospital and Wrexham Maelor Hospital, who have implemented the ‘Safer Patient Initiative‘ in an attempt to improve monitoring of perioperiative procedures. 

Length of publication: 6 pages

Acknowledgement: NHS Evidence