Quality Assurance & Improvement Flashcards
7 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Improvement flashcards as text
Which metric is most directly used to evaluate the effectiveness of a resuscitation team's performance in a cardiac arrest event?
Answer: Time to first defibrillation
Time to first defibrillation is a key performance indicator directly linked to survival outcomes in cardiac arrest.
A hospital notices its CPR compression depth is consistently below 2 inches on quality recordings. What is the BEST immediate QI action?
Answer: Retrain staff on compression technique using CPR feedback devices
Targeted retraining with real-time CPR feedback devices directly addresses the identified compression depth deficiency.
What does the term 'chest compression fraction' (CCF) represent in cardiac arrest QI programs?
Answer: Proportion of arrest time with active chest compressions
Chest compression fraction measures the proportion of total cardiac arrest time during which chest compressions are being performed.
During a post-arrest debriefing, the team discovers the first rhythm check was delayed by 3 minutes. Which QI framework step does this debriefing represent?
Answer: Identify and analyze the problem
Debriefing to uncover performance gaps is part of identifying and analyzing problems within a QI cycle.
A cardiac arrest quality dashboard shows a drop in ROSC rates over the past quarter. Which next step aligns with evidence-based QI practice?
Answer: Conduct a root cause analysis to identify contributing factors
Root cause analysis systematically identifies underlying factors contributing to decreased ROSC rates before corrective action is taken.
Which CPR quality metric has the strongest evidence for correlation with improved survival to hospital discharge?
Answer: Minimizing peri-shock pauses to less than 10 seconds
Minimizing peri-shock pauses (pre/post-shock) to under 10 seconds preserves coronary perfusion and is strongly linked to improved survival.
An ECC quality program implements a 'pit crew' resuscitation model. What is the PRIMARY QI benefit of this approach?
Answer: Pre-assigned roles reduce task confusion and compression interruptions
Pre-assigned roles in a pit crew model minimize confusion, task overlap, and compression interruptions during resuscitation.