1
Establish a cardiac arrest registry
心脏骤停注册表是测量的本质。连续测量将确定实施变更是否导致改进并帮助您确定进一步的改进步骤。注册管理机构的措施不仅仅是患者的生活或死亡，还要涉及与护理相关的各个方面。
10 Steps to improve survival from cardiac arrest
Learn how to implement best practices for EMS programs
2
Begin Telephone-CPR training with Quality Improvement
Dispatchers are the critical first link in the Chain of Survival. Many emergency dispatch centers have protocols in place, but fail to offer Telephone CPR (T-CPR). Identifying cardiac arrest and providing T-CPR to support bystanders has been shown to improve outcomes.
3
实施高性能CPR
高性能CPR是高质量的团队性能。不仅是崩溃的时间间隔，即CPR的生存预测性预测;CPR的质量同样重要。正在进行的培训和质量改进计划是确保高性能CPR的关键建议。
4
开始快速调度
With survival falling 10 percent for every minute of delay in CPR and defibrillation, rapid dispatch of emergency services can add 5-10 percent to a community's survival rate without additional staffing or resources. It is essential to have a clear list of incidents/symptoms that are used to initiate rapid dispatch and to measure dispatch time. The first mention of a critical symptom mandates immediate dispatch.
5
Measure professional resuscitations
The defibrillator recording device creates a digital record that provides useful information to reconstruct events. Second-by-second data about cardiac rhythm and CPR synchronized with digital voice recording allows the full picture of the cardiac event to be reviewed and learned from.
6
Establish an AED program for first responders
Public safety or other first responders such as police and other security personnel have the potential to increase survival rates from cardiac arrest. Some communities embracing the use of defibrilltion by police have seen dramatic improvements in survival. In order for this to be successful, there must be total police and EMS support and every police officer should be taught in person, rather than video or web-based training.
7
Use smart technologies to extend CPR and identify AED locations
心脏骤停反应是团队努力。智能技术可用于警告附近的心脏骤停的志愿响应者并确定最近AED的位置。在EMS之前到达现场的志愿者救援人员的潜力会增加成功的可能性。
8
Make CPR and AED training mandatory in schools and communities
A population universally trained in CPR has the potential to double survival rates. In many countries, mandatory training in CPR has been part of school curricula for many years. In the United States, 34 states have made CPR training a requirement for high school graduation. That means more than 2 million students are trained in CPR every year.
9
努力促使问责制
An annual EMS performance report is the best way to determine accountability to the community. A system that is transparent in its performance shares vital information. The information can be used to promote the organisation if the results are positive. If the results are not positive, the information can be used to motivate community leaders and politicians to invest in efforts to improve.
10
Work toward a Culture of Excellence
Creating and nurturing a culture of excellence is the most difficult step. A Cuture of Excellence is an implicit awareness perceived by members of the organization that high expectations and high performance define the standard of care. It requires leadership with a determined vision and a long-term plan. Maintaining a Culture of Excellence demands ongoing quality improvement.