Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative.

ABSTRACT: Many quality improvement interventions do not lead to sustained improvement, and the sustainability of healthcare interventions remains understudied. We conducted a time-series analysis to determine whether improvements in the safety of rapid sequence intubation (RSI) in our academic pediatric emergency department were sustained 5 years after a quality improvement initiative.

Methods

There were 3 study periods: baseline (April 2009-March 2010), improvement (July 2012-December 2013), and operational (January 2014-December 2018). All patients undergoing RSI were eligible. We collected data using a structured video review. We compared key processes and outcomes with statistical process control charts.

Results

We collected data for 615 of 643 (96%) patient encounters with RSI per

SUBMITTER: Kerrey BT 

PROVIDER: S-EPMC8702256 | biostudies-literature | 2021 Mar-Apr

REPOSITORIES: biostudies-literature