Low Dose, High Frequency Archives - LEARNING RQI

Part 12: Resuscitation Education Science: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

learningrqi — Tue, 28 Oct 2025 18:12:52 +0000

The provision of an effective education component is highly dependent on the instructional design of the educational endeavor because design strongly determines how content is delivered to and ultimately taken up by the learner. Placing greater emphasis on our understanding of how to increase the effectiveness of education programs will improve performance and lay rescuer confidence and enhance local implementation, all of which lead to the ultimate goal of increasing survival from sudden cardiac arrest.

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Implementation of the RQI system: baseline skills and self-report competence and confidence data from 12 NLN inaugural change agent nursing programs

learningrqi — Tue, 01 Apr 2025 13:33:37 +0000

The American Heart Association recognizes the importance of utilizing a biofeedback device for CPR training to improve performance, as assessing high-quality CPR by sight-alone is difficult. Additionally, CPR training every two years does not prepare or empower health care providers to perform high-quality CPR when needed due to skills decay. Therefore, more frequent CPR training is necessary to mitigate rapid skills deterioration. This study demonstrates the lack of high-quality CPR performance among nursing students, a majority who were BLS certified, when entering RQI’s CPR training program. These findings highlight the need for more frequent training with consistent and reliable feedback that is supported by technology to increase competence and confidence.

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Effects of Low-Dose, High-Frequency Cardiopulmonary Resuscitation Education on Nurses’ Competency and Confidence

learningrqi — Mon, 06 Jan 2025 16:13:55 +0000

Despite advances in resuscitation science, cardiac arrest remains a leading cause of death in the U.S. with traditional CPR training leading to skills decay within 3 months. Healthcare providers must be prepared to deliver high-quality CPR at any given moment, emphasizing the need for competent and confident staff with the mastery of CPR skills. This study aimed to examine the impact of the low-dose, high-frequency model of RQI for CPR education on nurses' confidence and proficiency in performing CPR skills over time.

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Maintenance of CPR skills among nursing students trained using Resuscitation Quality Improvement program

learningrqi — Fri, 11 Oct 2024 18:14:41 +0000

CPR, the cornerstone of cardiac arrest management, is a competency for nurses and nursing students to master and retain. However, providers experience skills decay rapidly within weeks to months after training, if not used or practiced. The Resuscitation Quality Improvement (RQI) program is an evidence-based program that provides low-dose, high-frequency CPR skills training and verifies skills competence. The objective of this multisite longitudinal study was to examine the maintenance of adult and infant compressions and ventilation skills by nursing students at 3 and 6 months following practice with real-time feedback using the RQI program.

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Developing competency of nursing students in cardiopulmonary resuscitation using Resuscitation Quality Improvement technology

learningrqi — Thu, 02 May 2024 21:34:03 +0000

In the United States, nearly 290,000 hospitalized patients suffer in-hospital cardiac arrest each year. The knowledge retention and ability to perform high-quality CPR is critical. Traditionally, the focus of CPR training has been on direct care providers such as nurses and physicians, with the role of nursing students in the delivery of CPR being largely underappreciated. Due to rapid skills decay, and limited practice, nursing students are at a particular risk of not performing high-quality CPR. Ensuring nursing students begin their practice with the ability to perform high-quality CPR can advance life-saving efforts. This study examined the outcomes of training nursing students in CPR skills using the RQI program.

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Resuscitation Quality Improvement: Improving Clinicians’ Performance

learningrqi — Wed, 15 Nov 2023 20:09:40 +0000

Each year in the U.S., more than 600,000 people experience cardiac arrest, with approximately 290,000 occurring in the hospital. Although CPR renewal occurs every 2 years, the quality of CPR at the study site was below AHA standards indicating that clinicians met recommended chest compression rate 37% of the time and depth 63.9% of the time. This study was conducted to identify whether performance of chest compressions during training reassessments improves with RQI.

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RCT comparing the clinical effectiveness of conventional instructor-facilitated cardiac compression training to technology enhanced training using high-fidelity mannequins – A pilot study

learningrqi — Tue, 28 Jun 2022 21:26:52 +0000

While effective chest compressions are the foundation of resuscitation efforts and significantly positively influence outcomes, the quality of compressions provided by healthcare providers is poor. International consensus is to provide high frequency, low dose compression training via high-fidelity mannequins that provide directive feedback to prevent skills decay and enhance skills acquisition. This pilot evaluates the difference in healthcare provider skill levels that train via the RQI training system (with continuous practice) and a control group that trained via traditional instructor-led training.

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Best Practices for Education and Training of Resuscitation Teams for In-Hospital Cardiac Arrest

learningrqi — Wed, 17 Nov 2021 19:02:39 +0000

Each year in the United States, approximately 292,000 adult patients suffer an in-hospital cardiac arrest (IHCA) with significant variation in their survival rate. This study identifies four themes related to training and education among top-performing hospitals excelling in IHCA survival; engagement, clear communication, consistency, and responsive leadership. Developing tools to expand these areas for hospitals may improve IHCA outcomes.

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Simulation training to improve 9-1-1 dispatcher identification of cardiac arrest: A randomized controlled trial

learningrqi — Tue, 09 Nov 2021 21:41:08 +0000

Study demonstrates that repeated simulation training improves call processing skills and reduces time to T-CPR in simulated call scenarios, and may improve the recognition of the need for T-CPR in more challenging real-life cardiac arrest calls.

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Cardiopulmonary resuscitation retention training for hospital nurses by a self-learner skills station or the traditional instructor led course: A randomised controlled trial

learningrqi — Thu, 16 Sep 2021 13:52:23 +0000

Study demonstrates that skills stations providing feedback are a feasible tool for required frequent retraining and retraining when compared to instructor-led formats. CPR skills performance for hospital nurses using a skills station for recertification was similar to instructor led training both at 2 and 8 months following recertification.

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