Program Evaluation of a Targeted Temperature Management Program at an Academic Medical Center 559 views

Purpose: The purpose of the DNP project was to perform a systematic evaluation of a Targeted Temperature Management (TTM) program at an academic medical center; the focus was on timing components of TTM. Methods: A systematic review of the literature was performed to assess ideal timing to achieve target temperature following ROSC for optimal survival and neurologic function. A program evaluation was performed at one academic medical center utilizing the Centers for Disease Control 6-step framework. Following a stakeholder assessment, nine questions were answered through chart review of patients admitted to a Coronary Care Unit (CCU) who underwent TTM from 2018 to 2019. Results: A review of the literature showed mixed results for shorter versus longer duration to initiation of TTM and time to target temperature from ROSC. Twenty-seven patient charts were reviewed. The results indicated that the practice site is meeting its current standards for time from arrest to the initiation of intravascular TTM, as well as time from TTM catheter placement to target temperature. However, the results from the stakeholder assessment and chart review revealed a delay in timely admission to CCU, as well as opportunities to reduce the time from arrest to target temperature. A stakeholder assessment revealed CCU nurse and physician knowledge and familiarity of protocols was a facilitator of timely TTM initiation. Implications: Recommendations were made to improve timeliness and efficiency in initiating TTM and achieving target temperature.

DNP (Doctor of Nursing Practice)

cardiac arrest; temperature; timing; ROSC; evaluation

English

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2021-05-02