title: Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study.
abstract: This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 81%. Hospital BLS course duration was [median (interquartile range)] 2.3 (1.5-2.5) h, whereas ALS course duration was 4.0 (2.5-8.0) h. Implementation of ERC 2010 guidelines on BLS is limited in Danish hospitals 2 years after guideline publication, whereas the majority of hospitals adhere to the ALS algorithm. CPR training differs among hospitals.
authors.affiliation: aClinical Research Unit bDepartment of Internal Medicine, Regional Hospital of Randers, Randers NE cResearch Center for Emergency Medicine dDepartment of Clinical Epidemiology eDepartment of Cardiology, Aarhus University Hospital fInstitute for Clinical Medicine, Aarhus University, Aarhus, Denmark.
authors.forename: Anders S
authors.initials: AS
authors.lastname: Schmidt
authors.forename: Kasper G
authors.initials: KG
authors.lastname: Lauridsen
authors.forename: Kasper
authors.initials: K
authors.lastname: Adelborg
authors.forename: Bo
authors.initials: B
authors.lastname: Løfgren
mesh_terms: D022561:Advanced Cardiac Life Support / Q000379:methods; D000465:Algorithms; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000379:methods / Q000592:standards*; D003718:Denmark; D019983:Guideline Adherence / Q000458:organization & administration* / Q000706:statistics & numerical data; D006761:Hospitals / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D017410:Practice Guidelines as Topic