A qualitative study to understand barriers to implementation of national guidelines for prehospital termination of unsuccessful resuscitation efforts

Prehospital Emergency Care

Volumn 14, Issue 2, 2010, Pages 250-258

  Sasson, Comilla ^a,e   Forman, Jane ^b   Krass, David ^a   MacY, Michelle ^a   Hegg, A J ^c   McNally, Bryan F ^d   Kellermann, Arthur L ^d  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c HENRY FORD HEALTH SYSTEM   (United States)

^d EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e Robert Wood Johnson Clinical Scholars Program   (United States)

Author keywords

Sudden death

Indexed keywords

ARTICLE; EMERGENCY HEALTH SERVICE; HUMAN; INFORMATION PROCESSING; PRACTICE GUIDELINE; RESUSCITATION;

ADVANCED CARDIAC LIFE SUPPORT; EMERGENCY MEDICAL SERVICES; FOCUS GROUPS; GUIDELINE ADHERENCE; GUIDELINES AS TOPIC; HUMANS; RESUSCITATION ORDERS;

EID: 77749297938     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903120903572327     Document Type: Article

References (33)

1. Rosamond W, Flegal K, Furie K, et al. Heart disease and stroke statistics-2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117(4):e25-146.
2. Dunne RB, Compton S, Zalenski RJ, Swor R, Welch R, Bock BF. Outcomes from out-of-hospital cardiac arrest in Detroit. Resuscitation. 2007;72:59-65.
3. Nichol G, Thomas E, Callaway CW, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA. 2008;300:1423-1431
4. Spaite DW. The future of emergency care in the United States: the Institute of Medicine Subcommittee on Prehospital Emergency Medical Services. Ann Emerg Med. 2006;48:126-130
5. -2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2005;112(24 suppl):IV1-IV203.
6. Baskett PJ, Nolan JP, Handley A, Soar J, Biarent D, Richmond S. European Resuscitation Council Guidelines for Resuscitation 2005: Section 9. Principles of training in resuscitation. Resuscitation. 2005;67(suppl 1):S181-S189. (Pubitemid 41729027)
7. -2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 2: Adult basic life support. Resuscitation. 2005;67:187-201.
8. O'Brien E, Hendricks D, Cone DC. Field termination of resuscitation: analysis of a newly implemented protocol. Prehosp Emerg Care. 2008;12:57-61.
9. Morrison LJ, Visentin LM, Kiss A, et al. Validation of a rule for termination of resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2006;355:478-487
10. Morrison LJ, Verbeek PR, Vermeulen MJ, et al. Derivation and evaluation of a termination of resuscitation clinical prediction rule for advanced life support providers. Resuscitation. 2007;74:266-75..
11. Richman PB, Vadeboncoeur TF, Chikani V, Clark L, Bobrow BJ. Independent evaluation of an out-of-hospital termination of resuscitation (TOR) clinical decision rule. Acad Emerg Med. 2008;15:517-521
12. Sasson C, Hegg AJ, Macy M, Park A, Kellermann A, Mc- Nally B. Prehospital termination of resuscitation in cases of refractory out-of-hospital cardiac arrest. JAMA. 2008;300: 1432-1438
13. Morrison LJ, Visentin LM, Vermeulen M, et al. Inter-rater reliability and comfort in the application of a basic life support termination of resuscitation clinical prediction rule for out of hospital cardiac arrest. Resuscitation. 2007;74: 150-157
14. Sasson C, Forman J, Krass D, MacyM, KellermannAL, McNally BF. A qualitative study to identify barriers to local implementation of prehospital termination of resuscitation protocols. Circ Cardiovasc Qual Outcomes. 2009;2(4):361-368
15. Barbour RS. Making sense of focus groups. Med Educ. 2005;39:742-750
16. Bender DE, Ewbank D. The focus group as a tool for health research: issues in design and analysis. Health Transit Rev. 1994;4(1):63-80.
17. Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(suppl 2):S67-S72.
18. Pope C, Ziebland S, MaysN. Qualitative research in health care. Analysing qualitative data. BMJ. 2000;320:114-116
19. EisenbergMS, Mengert TJ. Cardiac resuscitation. N Engl JMed. 2001;344:1304-1313
20. Cannon GM Jr, Menegazzi JJ, Margolis GS. A comparison of paramedic didactic training hours and NREMT-P examination performance. Prehosp Emerg Care. 1998;2:141-144
21. National Highway Traffic Safety Administration. EMS Workforce for the 21st Century: A National Assessment. Washington, DC: National Highway Traffic Safety Administration, May 2008.
22. Tortella BJ, Lavery RF, Cody RP, Doran J. Physician medical direction and advanced life support in the United States. Acad Emerg Med. 1995;2:274-279
23. Stone RM, Seaman KG, Bissell RA. A statewide study of EMS oversight: medical director characteristics and involvement compared with national guidelines. Prehosp Emerg Care. 2000;4:345-351
24. Cone DC, Krohmer JR. EMS physician certification: just one piece of the puzzle. Prehosp Emerg Care. 2005;9:371-374
25. Wydro GC, Cone DC, Davidson SJ. Legislative and regulatory description of EMS medical direction: a survey of states. Prehosp Emerg Care. 1997;1:233-237
26. Benitez FL, Pepe PE. Role of the physician in prehospital management of trauma: North American perspective. Curr Opin Crit Care. 2002;8:551-558
27. Kallsen G, Merritt-Lindgren M. An emergencymedical services curriculum for emergency medicine residencies. Ann Emerg Med. 1984;13:912-915
28. Valenzuela TD, Criss EA, Spaite DW, Meislin HW. Evaluation of EMS management training offered during emergency medicine residency training. Ann Emerg Med. 1989;18:812-814
29. Verdile VP, Krohmer JR, Swor RA, Spaite DW. Model curriculum in emergency medical services for emergency medicine residency programs. SAEM Emergency Medical Services Committee. Acad Emerg Med. 1996;3:716-722
30. Custalow CB, Armacost M, Honigman B. Unique curriculum for emergency medicine residents as medical directors for rural out-of-hospital agencies. Acad Emerg Med. 2000;7:674-678
31. Feder S, Matheny RL, Loveless RS Jr, Rea TD. Withholding resuscitation: a new approach to prehospital end-of-life decisions. Ann Intern Med. 2006;144:634-640
32. Schmidt TA, Harrahill MA. Family response to out-of-hospital death. Acad Emerg Med. 1995;2:513-518
33. Jaslow D, Barbera JA, Johnson E, MooreW. Termination of nontraumatic cardiac arrest resuscitative efforts in the field: a national survey. Acad Emerg Med. 1997;4:904-907