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First ever multinational attitude survey on CPR shows performance needs improvement

The CPR Improvement Working Group, formed to help improve cardiopulmonary resuscitation (CPR) skill performance, has recently announced the results of the first ever multinational attitudinal survey concerning the performance of CPR by healthcare professionals, including doctors, nurses and paramedics.

Survey results were presented concurrently with the American Heart Association’s annual meeting in Orlando, Florida, at a panel discussion of leading resuscitation experts on Monday 16 November.

‘The results of this survey help increase understanding of the attitudes of healthcare professionals on CPR and the impact of those attitudes on CPR performance,’ said Dr Robert O’Connor, University of Virginia Medical Center and CPR Working Group Expert Council member. ‘Given that CPR is frequently performed by healthcare professionals, gaining this insight is critical to improving skill performance and, ultimately, to saving lives.’

This quantitative survey, conducted by Ipsos, a leading global survey-based market research company, provides a broad analysis of how CPR is performed by healthcare professionals on a multinational basis. Tested at a 95% confidence level with a margin of error of +/-3%, the survey consisted of more than 1,000 respondents, including 454 healthcare professionals in the US and 569 from the UK, France and Germany. Survey results reveal there is a discrepancy between perception and reality when it comes to CPR knowledge and skill level. Highlights of the survey include:

Perceived Skill Unaligned with Reality – 75% of healthcare professionals perceive their level of skill at performing CPR as being quite high. However, only 26% stated perceived performance of rate, depth and ratio in compliance with the ERC 2005 CPR guidelines.

Healthcare Professionals Unaware that CPR is Poor – numerous studies report that CPR performance by healthcare professionals is considered poor, yet the survey results show that very few healthcare professionals are aware of this: 55% of healthcare professionals surveyed believe that studies report CPR quality is good, very good or excellent.

CPR Technology is Underutilised – 76% of healthcare professionals agree that CPR technology can help improve CPR quality and 65% agree CPR technology should be used. However, only 36% currently use any type of CPR assistance and only 15% use CPR assistance with instantaneous feedback, despite the fact that studies show CPR technology can improve CPR performance.

Need for Increased CPR Training – 93% of healthcare professionals believe training is extremely valuable. However, less than half report that their organisation provides training beyond requirements.

‘CPR is a complex, time-sensitive procedure with high stakes, where the quality has a direct impact on patient outcomes,’ said Dr Dana Edelson, University of Chicago Hospital and CPR Working Group Expert Council member. ‘This insightful survey, coupled with existing clinical research, highlights the major gap between perception and reality in CPR skill and performance of healthcare professionals, stimulating a discussion about how CPR skill level and performance can be improved.’

‘Numerous studies show that increased training and the use of CPR assistance and feedback devices can greatly improve CPR skill and performance,’ said Dr Vinay Nadkarni, University of Pennsylvania Hospital and CPR Working Group Expert Council member. ‘With a number of programmes and initiatives already under way and AHA/ILCOR issuing revised CPR guidelines in 2010, we have an opportunity as healthcare professionals to improve the current state of CPR and potentially increase patient survival outcomes.’

For more details on the results of the survey, please visit

About the CPR Improvement Working Group

The CPR Improvement Working Group, which is comprised of representatives from Laerdal Medical, Philips Healthcare and ZOLL Medical Corporation, was formed in June 2008 with a mission to work to expand the use of CPR feedback technology by the community, emergency services and healthcare providers to help improve skill performance during the administration of CPR. For more information on the CPR Improvement Working Group, please visit, follow us on Twitter @improveCPR and become a fan on Facebook.

Published on: November 18, 2009

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