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To save children's lives through excellence in resuscitation.
The Revive Initiative collaborates with staff and faculty, all patient care units and the executive leaders of both Lucile Packard Children’s Hospital Stanford and Stanford Health Care. 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 American Heart Association's (AHA) “Get with the Guidelines—Resuscitation” 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’s 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.
The most comprehensive component of Revive encompasses all stakeholders, including parents, bystanders with CPR training, community pre-hospital first responders, and our Packard Children’s 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’s 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 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’s Hospital Stanford previously conducted an in-depth study with historical controls at our quaternary-care academic children’s 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’s 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). 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 Stanford Medicine Children’s 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 “Strategies to Improve Cardiac Arrest Survival: A Time to Act”).
Revive works closely with the Stanford Medicine Children’s 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 team performance and dynamics and high-quality CPR. Through Revive, Stanford Medicine Children's Health can provide this training outside of our institution and promote best outcomes in our communities and beyond.