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Get With the Guidelines (Formerly NRCPR) 

Using Data to Help Save Lives 

Formerly known as the National Registry of Cardiopulmonary Resuscitation (NRCPR), Get With The Guidelines®-Resuscitation collects data on in-hospital resuscitation events from hospitals across the U.S. The data is used to provide participating hospitals with feedback on their resuscitation practice and patient outcomes as well as to develop new evidence-based guidelines for in-hospital resuscitation.

 Improving Quality to Improve Patient Outcomes 

The goal of Get With The Guidelines-Resuscitation is to help hospital teams save more lives threatened by cardiopulmonary emergencies through consistent application of the most up-to-date scientific guidelines for in-hospital resuscitation.

Get With The Guidelines-Resuscitation supports quality improvement at participating hospitals by:

  • Monitoring process-of-care variables and guidelines adherence to identify opportunities for improvement
  • Identifying opportunities to improve event documentation
  • Comparing performance to that of similar hospitals
  • Ensuring consistent data definitions
  • Reducing noncompliance and medical errors through data-driven peer review
  • Reducing liability related to documentation issues
  • Providing data to support staffing, training and equipment allocation decisions
  • Fulfilling Joint Commission standards for monitoring in-hospital resuscitation
  • Saving the time and money hospitals would otherwise spend to create their own data-collection systems and reporting tools
  • Providing opportunities to contribute to evidence-based best practices for resuscitation

 A new name for NRCPR.

New resources for your hospital.

NRCPR is now part of the American Heart Association’s acclaimed Get With The Guidelines® quality improvement suite. The change entails a new program name: Get With The Guidelines®-Resuscitation. More importantly, it entails access to new resources for participating hospitals, including 

  • The Web-based Patient Management Tool®, powered by Outcome Sciences, Inc, providing expansive reporting features
  • An online toolkit, webinars and teleconferences
  • A nationwide network of AHA Quality Improvement professionals to support your program efforts
  • Knowledge-sharing with healthcare thought leaders
  • National and local recognition opportunities for high-performing hospitals 

The move to Get With The Guidelines-Resuscitation adds new capabilities without the loss of valuable NRCPR data assets. You will be able to preserve your existing data so you can continue to use it for trending, benchmarking and historical analyses after transitioning to the new platform.

Before, during and after the transition, the American Heart Association Quality Improvement team will provide information, training and full field support.  Please direct questions to your local AHA Quality Improvement staff.

The types of resuscitation events tracked within Get With The Guidelines  are:

  • Cardiopulmonary resuscitation (CPA; events in which compressions and/or defibrillation are delivered)
  • Acute respiratory compromise (ARC; events that require emergency assisted ventilation)
  • Medical emergency team/rapid response team (MET)

Since its inception in 2000, the number of cardiopulmonary events submitted continues to grow; see the figure below. Through January 31, 2007, the former NRCPR Central Site database has received data on 93,975 patients who have had a total of 106,410 cardiopulmonary resuscitation events.

NRCPR Bar Chart

Additionally, since the November 2004 introduction of tracking ARC events, the former NRCPR has received data on 6089 patients who have had 6397 ARC events. The ability to track MET events within the former NRCPR began in mid 2006, and 7034 MET events have been submitted as of January 31, 2007.

Since its inception, 516 total hospitals in the US, Canada, Germany, Brazil and Japan have submitted data to the former NRCPR. The figure below shows the number of active US and Canadian participants by state/province for the last quarter of 2006. The median number of beds in the participating hospitals is 265 and the smallest and largest participants have 26 and 2346 beds, respectively.

NRCPR Map

 

Benefits of NRCPR

Several benefits from participating include:

  • Identify opportunities for improvement with in-hospital resuscitation practice management.
  • Reduce variance in protocol compliance so that liability is decreased.
  • Measure compliance with the latest American Heart Association resuscitation guidelines.
  • Improve staffing, training and equipment allocation based on data, not intuition.
  • Comply with Joint Commission standards for monitoring in-hospital resuscitation.

Research Results 

The former NRCPR is the largest database of in-hospital resuscitation events in the world. With over 100,000 cardiopulmonary resuscitation events in the database, the information has been quite enlightening. Publications from members of the the former NRCPR Scientific Advisory Board are listed below.   

  1. Peberdy, M. A. et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 2003;58:297-308.

  2. Nadkarni, V. M. et al. First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA 2006;295:50-57.