Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association.
The "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care" increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation () is performed in all resuscitation attempts. There are 5 critical components of high-quality ： minimize interruptions in chest compressions， provide compressions of adequate rate and depth， avoid leaning between compressions， and avoid excessive ventilation. Although it is clear that high-quality is the primary component in influencing survival from cardiac arrest， there is considerable variation in monitoring， implementation， and quality improvement. As such， quality varies widely between systems and locations. Victims often do not receive high-quality because of provider ambiguity in prioritization of resuscitative efforts during an arrest. This ambiguity also impedes the of optimal systems of care to increase survival from cardiac arrest. This consensus statement addresses the following key areas of quality for the trained rescuer： metrics of performance; monitoring， feedback， and integration of the patient's response to ; team-level logistics to ensure performance of high-quality ; and continuous quality improvement on provider， team， and systems levels. Clear definitions of metrics and methods to consistently deliver and improve the quality of will narrow the gap between resuscitation science and the victims， both in and out of the hospital， and lay the foundation for further improvements in the future.