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ART is a comprehensive program that integrates resuscitation training, performance improvement, critical procedures, and in-hospital patient safety initiatives. ART employs a broad definition of "resuscitation" to include patient surveillance/monitoring, critical care, intra-arrest, and post-resuscitative care. In addition, ART empowers health care providers of all disciplines by creating a "culture of resuscitation" that enhances patient safety. Furthermore, ART integrates adult and pediatric resuscitation, medical and surgical patients, various patient safety and quality initiatives, and end-of-life issues. The UC San Diego Center for Resuscitation Science has developed numerous innovative training programs for hospital providers, EMS personnel, and laypeople. The training adapts to the unique needs of individual institutions and various providers.
In the hospital, we have decreased cardiac arrest incidence by more than 50 percent and more than doubled survival for remaining victims. This has resulted in a decrease in arrest-related deaths by more than 75 percent and it reduced overall hospital mortality by 20 percent.
In the out-of-hospital environment, our training improved performance of critical resuscitation skills, including CPR and endotracheal intubation, doubled survival-to-hospital admission from cardiopulmonary arrest in air- and ground-paramedic units.
The ART program is designated as the Best Practices Model by the Joint Commission and has been recognized by the Society of Hospital Medicine and National Association of Public Hospitals. A recent assessment by the American Heart Association is highly supportive of ART as an example of a successful performance-improvement-driven program that has improved clinical outcomes.
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