麻豆果冻传媒

Our mission

• Provide innovative聽education through interprofessional simulation
• Improve quality of care through advocacy and research
• Facilitate collaboration across 麻豆果冻传媒 Children's Health and beyond

Our vision

To save children's lives through excellence in resuscitation.

Our goals

Quality Improvement

The Revive Initiative collaborates with staff and faculty, all patient care units and the executive leaders of both Lucile Packard Children鈥檚 Hospital Stanford 补苍诲听.聽These relationships guarantee we are using the most up-to-date practices, emergency equipment and procedures to promote the highest quality of care for our patients. As members of the 鈥淕et with the Guidelines鈥擱esuscitation鈥� quality improvement program, Revive collects, reviews, tracks and presents quality data metrics monthly, which gives us the opportunity to benchmark our performance against national gold standards for resuscitation and other major children鈥檚 hospitals. This practice of examining trends and process improvements encourages improved team performance and team dynamics for our in-hospital providers and, ultimately, ensures the best outcomes for our patients.

Education

The most comprehensive component of Revive encompasses all stakeholders, including parents, bystanders with CPR training, community pre-hospital first responders, and our Packard Children鈥檚 staff and faculty. Revive teaches first responders and code team members how to recognize and initially treat and manage patients who are in trouble. It also provides them with ongoing practice and in situ simulations in their actual environment to familiarize them with emergency equipment and resuscitation skills in these very low-volume but extremely high-risk events. These educational endeavors support early intervention and improve team competency when a patient鈥檚 condition has deteriorated. Finally, the Revive Initiative provides Pediatric Advanced Life Support (PALS) courses, which include education, training, and integrated simulation, and Basic Life Support (BLS) courses to hundreds of hospital and community health care professionals annually at our AHA Training Center.

Research

Research and quality-improvement projects related to CPR, in situ simulation, debriefings and team performance are a critical component of the Revive Initiative that provide measurable outcomes and promote best practices. Lucile Packard Children鈥檚 Hospital Stanford previously conducted an in-depth study with historical controls at our quaternary-care academic children鈥檚 hospital to determine whether implementation of a composite resuscitation team training program would improve survival-to-discharge and code team performance in the event of a pediatric in-hospital cardiopulmonary arrest. Before training was conducted, about 40 percent of the hospital鈥檚 cardiac arrest patients survived, which is consistent with the national average. However, after regular practice with this team training program, the survival rate jumped to 60 percent (Critical Care Medicine, 2014).聽 Since this resuscitation team training program was first implemented, it has grown to be a powerful initiative and was recently rebranded the Revive Initiative for Resuscitation Excellence at 麻豆果冻传媒 Children鈥檚 Health. One of the many objectives of Revive is to create a reproducible, evidence-based interprofessional resuscitation program for strengthening first-responder skills and rapid response/code team performance and improving patient survival with favorable neurological outcomes that aligns with Joint Commission resuscitation standards and the recent 2015 Institute of Medicine and American Heart Association guidelines (see 鈥淪trategies to Improve Cardiac Arrest Survival: A Time to Act鈥�).

Advocacy

Revive works closely with the聽麻豆果冻传媒 Children鈥檚 Health community and Stanford Corporate Partners, joint-venture hospitals, county fire departments and several corporations in Silicon Valley to encourage increased community awareness of the importance of pediatric resuscitation, emergency response聽team performance and dynamics and high-quality CPR. Through Revive, 麻豆果冻传媒 Children's Health聽can provide this training outside of our institution and promote best outcomes in our communities and beyond.