Improving the quality of in-hospital cardiac arrest registry and resuscitation medical record in accordance with the revised Utstein-style reporting template

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10401
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Kyoto University
• Principal Investigator: Nishiyama Chika 京都大学, 医学研究科, 准教授 (40584842)
• Co-Investigator(Kenkyū-buntansha): 木口 雄之 京都大学, 医学研究科, 研究員 (30724380) ; 大鶴 繁 京都大学, 医学研究科, 教授 (60437225)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 院内心停止 / ウツタイン様式 / 記録用紙 / 登録システム / 看護師

Outline of Final Research Achievements

We revised the Update of the Utstein Resuscitation Registry Template for In-Hospital Cardiac Arrest to suit the Japanese context and conducted a pilot study at two facilities to assess its feasibility, collecting data from a total of 58 IHCA cases. Additionally, we conducted a survey on awareness of the revised in-hospital Utstein-style form among nurses, revealing that they were largely unaware or did not understand it. Factors such as years of experience, encounter with IHCA, understanding, and confidence in Basic Life Support (BLS) did not influence understanding of the Utstein-style form. Considering that cardiac arrest can occur anytime, anywhere, it is important to educate all nurses on the in-hospital Utstein-style form to ensure accurate recording.

Free Research Field

蘇生

Academic Significance and Societal Importance of the Research Achievements

これまで、院内心停止が起こった時の記録の実態や、記録を担う可能性が高い看護師を対象にウツタイン様式の理解度、認知度を調べた研究はなかった。救命センターを持つ施設であっても、施設内で統一された記録様式がほとんど用いられておらず、院内ウツタイン様式に沿ったデータ収集も行われてないことが明らかになった。看護師は院内ウツタイン様式のことをほとんど理解できておらず、正確な記録ができるように教育を行うだけではなく、統一した記録様式を用いるなど個人に頼らないシステムの改善が必要である。