Mixed Methods in Health Services Research

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Presentation transcript:

@matthewjdouma @CtPicard Mixed Methods in Health Services Research To Improve Human Performance & Patient Outcomes Matthew J Douma RN Christopher Picard RN @matthewjdouma @CtPicard

Disclosures Affiliations

Technology & Life-saving Goal & Objectives Goal: Describe what our team does that relates to resuscitation science and cardiac arrest Hemorrhage Control Cardiac Arrest Education Quality Improvement Technology & Life-saving

Junctional Hemorrhage Hemorrhage Control Junctional Hemorrhage Leading cause of potentially survivable traumatic death

External Aortic Compression

External Aortic Compression

Tourniquets Systematic Review of Tourniquet Devices for patient comfort, speed of application and occlusion rate VS

Manual control & wound packing for life-threatening hemorrhage Stop the Bleed! Manual control & wound packing for life-threatening hemorrhage

Defibrillation Programs National Survey of Public Access Defibrillation Programs Operational Readiness Barriers/Areas for Improvement Training of Providers Naloxone

BLS for High-Frequency Providers Translates AHA/HSF into local context Setting specific curriculum Core cases 4 x year skill re-certs Feedback devices

Patient-Centered Cardiac Arrest Care

Family support and follow-up Debriefing to staff/providers Edmonton Zone ED Cardiac Arrest Care Quality Improvement Project Chest compressions Family support and follow-up Debriefing to staff/providers Reduce time reversible causes

Hospital Accreditation In-hospital cardiac arrest care is poor outside specialized settings Prevention, detection and BLS MET/RRT & Code Blue minimum standards

Randomized X-Over Trial of Chest Compression Effectiveness

Randomized X-Over Trial Vasoactive Medication Preparation & Delivery in Cardiovascular Collapse

Canadian Code Blue Records Environmental Scan of Canadian Code Blue Records 88 unique records from ED & ICU to identify best practices and core content

Alexa vs Siri vs Google vs Cortana Digital Assistants for First Aid Queries A Mixed Methods Approach Alexa vs Siri vs Google vs Cortana

Cardiac Arrest Video Registry 800+ videos, 180 verified Cardiac Arrest Prodrome Victim Post-Arrest Behavior Bystander Behavior (Good & Bad)

Undergrad students Non-healthcare professionals Non-academics Career Researchers EMS, nursing, medicine