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Every Second Counts: Innovations to Increase Timely Defibrillation Rates

Borak, Meredith MSN, RN; Francisco, Mary Ann MSN, APN, GCNS-BC, CCRN; Stokas, Mary Ann MSN, RN, OCN; Maroney, Mary MSN, RN, FNP-BC; Bednar, Valerie MA, BSN, RN, CCRN; Miller, Megan E. MD; Pakieser-Reed, Katherine PhD, RN

doi: 10.1097/NCQ.0000000000000066

Early defibrillation is an essential step in the “chain of survival” for patients with in-hospital cardiac arrest. To increase the rate of early defibrillation by nurse first responders in noncritical care areas, our institution employed a quality resuscitation consultant, implemented nursing education programs, and standardized equipment and practices. Automated external defibrillator application by nurse first responders prior to advanced cardiac life support team arrival has improved from 15% in 2011 to 76% in 2013 (P < .001).

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Rescue Care and Resiliency (Ms Borak), Center for Nursing Professional Practice and Research (Mss Francisco, Stokas, Maroney, and Bednar and Dr Pakieser-Reed), and Department of General Surgery (Dr Miller), The University of Chicago Medicine, Chicago, Illinois.

Correspondence: Meredith Borak, MSN, RN, Rescue Care and Resiliency, The University of Chicago Medicine, 5841 S. Maryland Ave, Room TC447, Chicago, IL 60637 (

The authors have no conflicts of interest to disclose.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: April 2, 2014

Published ahead of print: May 7, 2014

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