title: Organizational approaches to improving resuscitation effectiveness.
abstract: Hemodynamic instability and shock are important causes of mortality worldwide. Improving outcomes for these patients through effective resuscitation is a key priority for the health system. This article discusses several organizational approaches to improving resuscitation effectiveness and outlines key areas for future research and development. The discussion is rooted in a conceptual model of effective resuscitation based on three domains: monitoring systems, response teams, and feedback mechanisms. Targeting each of these domains in a unified approach helps clinicians effectively treat deteriorating patients, ultimately improving outcomes for this high-risk patient group.
authors.affiliation: Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, 3459 Fifth Avenue, 628 Northwest, Pittsburgh, PA 15213, USA.
authors.forename: Ian J
authors.initials: IJ
authors.lastname: Barbash
authors.affiliation: Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, 3459 Fifth Avenue, 628 Northwest, Pittsburgh, PA 15213, USA; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA 15261, USA; Department of Health Policy & Management, University of Pittsburgh Graduate School of Public Health, 130 De Soto Street, Pittsburgh, PA 15261, USA. Electronic address: kahnjm@upmc.edu.
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Kahn
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000592:standards*; D006323:Heart Arrest / Q000628:therapy*; D006439:Hemodynamics / Q000502:physiology*; D006761:Hospitals / Q000592:standards*; D006801:Humans; D017146:Models, Organizational; D008991:Monitoring, Physiologic / Q000592:standards*; D009937:Organizational Objectives; D058996:Quality Improvement / Q000458:organization & administration*
keywords: Cardiac arrest; Hospital systems; Patient safety; Quality improvement; Resuscitation; Simulation