Date of Doctor of Nursing Practice Project Completion

Summer 8-10-2026

Faculty Advisor

Dr. Francine Snow

Abstract

Purpose

The purpose of the quality improvement project was to evaluate the effectiveness of implementing a data driven debrief tool to improve the average compressions in target in adult cardio-pulmonary resuscitation (CPR) events.

Results

In FY23 prior to implementation the average compressions in target was only 1.65%. During the implementation phase of the project the average compressions in target reached 41% (n=3). In addition, the staff provided positive feedback regarding the tool and the integration in the workflow.

Background

The project was completed in a tertiary academic medical center emergency room. All adult CPR events within the emergency department utilizing the Zoll R series defibrillator were included.

Implications

The data driven debrief tool will continue to be utilized within the department and data will continue to be tracked. Results during the implementation phase suggest a positive impact from incorporating data into debriefs.

Methodology

The plan, do, study, act method was utilized for project implementation. The unit multidisciplinary staff were introduced to the debrief tool in unit huddles and staff meetings. The charge nurses were taught how to complete the tool when there was not nursing leadership on site ensuring twenty-four-hour implementation. The debrief tool was developed to include the team going over the compression data to include the average compression in target.

Keywords

CPR, chest compressions, zoll, debrief

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