The Resuscitation Quality Improvement Program (RQI) is an acronym for the Resuscitation Quality Improvement Program (r)equirements (q)uite (i)ntuitively (i)nterpreted by humans (0). The goal of this program is to provide a framework for high-quality cardiopulmonary resuscitation (CPR) and defibrillation training. The American Heart Association developed the program in 1994.
See also: AHA's new guidelines on CPR quality - www.heart.org/HEARTORG/CPRQuality/index.html
The need for improved CPR quality became evident when researchers conducted a meta-analysis of all previous randomized controlled trials of CPR. They found that overall, the rate of successful resuscitations was only 5% with no difference between those receiving basic life support only and those receiving more advanced life support techniques such as defibrillation. This means that 95% of patients who were declared dead by emergency medical services personnel were actually dead. Further evidence supporting the need for improved CPR quality comes from studies showing that the use of chest compressions alone is enough to significantly increase survival to hospital discharge after out-of-hospital cardiac arrests.
The American Heart Association's Resuscitation Quality Improvement (RQI) Program is a performance improvement program that provides quarterly training to encourage mastery of high-quality CPR techniques. RQI gives healthcare practitioners the confidence and expertise to offer life-saving patient care. The goal is 100% quality CPR, including chest compressions and breaths, every time someone needs it.
The quality of each compression during CPR is important for saving lives. When performing CPR, use the two-thumb rule: place both thumbs on the chest at the center of the breastbone. Make sure that they are positioned so that you can press down firmly but not hard. The sternum, or breastbone, which lies between your ribs, has four sharp projections called corners that can be felt with your fingers. If your fingers brush against any clothing that does not feel like skin, such as leather shoes or heavy sweaters, you have gone too far and need to start over. You also should not touch the victim's head during rescue efforts.
CPR trains the body to respond to sudden cardiac arrest by forcing oxygenated blood into its cells. CPR also increases the chance of surviving an actual heart attack by keeping more oxygenated blood in the body. Finally, CPR prevents further damage to the brain after a stroke; this benefit depends on how much of the brain was deprived of oxygen at the time of the stroke.
The RQI Neonatal Resuscitation Program, developed in collaboration with leading experts in neonatal resuscitation science and education, efficiently and safely delivers effective and individual education and skills refreshers in brief quarterly sessions that achieve and verify competence and confidence for NRP Essential providers in a wide range of settings. The program was developed using the best available evidence on how people learn and apply knowledge and skill and incorporates multimedia and simulation methods to deliver its content.
How does the RQI work? After completing a self-assessment questionnaire online at www.rqinepneonatal.com, participants are provided with information on their learning needs assessment and corresponding resources. These may include videos, articles, or interactive modules. Participants have up to six months after completing their training session to complete another self-assessment questionnaire to determine whether their learning needs have been met. If not, they will be provided with new or updated materials. Participants are also encouraged to review the website periodically to stay informed of changes to the program.
Who can join the RQI? Anyone who provides emergency newborn care activities including parents/guardians, nurses, nurse practitioners, physician assistants, midwives, and other health care professionals.
What will I learn from the RQI? Participants will learn how to provide efficient and effective high quality newborn care by practicing techniques on manikins and receiving feedback from instructors.
The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a method used to evaluate delirium in intensive care unit patients. It is a modification of the CAM, which was created to allow non-psychiatrists to assess delirium at the bedside. The CAM-ICU is a 10-item questionnaire that can be administered by any trained person within 24 hours of admission to the intensive care unit.
Cambridge Intelligence Unit developed the CAM-ICU as a tool for use in the intensive care unit. The goal was to create an easy-to-use test that could be performed by nurses or other health professionals who were not psychiatrists. The CAM-ICU has been found to have good interrater reliability when compared with diagnostic assessments by psychiatrists. It also has good sensitivity and specificity for detecting delirium. The CAM-ICU can help reduce the risk of missing cases of delirium.