Hannibal Regional Implements American Heart Association’s Resuscitation Quality Improvement (RQI™) Program to Increase Patient Survival


More than 200,000 in-hospital cardiac arrests occur annually and the survival rate from adult in-hospital cardiac arrest is only 25 percent. While CPR may seem to be a basic skill for healthcare providers, research has shown that psychomotor skills related to resuscitation can decay within just three to six months – far before the two-year standard when basic and advanced life support skills are currently evaluated. At Hannibal Regional we know the importance of high-quality CPR in saving more lives. That’s why we’re excited to announce that we are the first in Missouri to implement the American Heart Association’s Resuscitation Quality Improvement Program (AHA RQI Program) to help staff maintain skill competency and achieve better patient outcomes through regular, low-dose/high-frequency high-quality CPR training.

RQI is the latest evolution of dynamic CPR training, bringing the learning technology and simulation stations directly to the provider. The subscription-based training program provides the same cognitive and skills modules as a traditional CPR training program, but delivers it quarterly rather than every two years to ensure resuscitation skills remain high.  Hannibal Regional introduced the RQI training program to team members at the end of April and team members are now using the program to update their Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) skills on adult and infant mannequins quarterly, which improves muscle memory and confidence in their CPR skills.

“The American Heart Association created RQI to teach healthcare providers high-quality CPR in a more effective, concise and convenient way that drives them to practice and retain these skills with confidence,” said Dora Reische, Director of Organizational Learning. “We are so glad Hannibal Regional has decided to implement RQI and make high-quality CPR a priority in order to improve patient care and help save more lives.”

RQI is intended to improve Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) skills, while making training more convenient for healthcare providers. Students can take the cognitive components of testing online and then test their psychomotor skills with real-time feedback by performing CPR at mobile Simulation Stations equipped with adult and infant manikins. Stations will be utilized on the hospital floors, Hannibal Regional Medical Group locations and at the James E. Cary Cancer Center, meaning healthcare providers reduce time away from their patients because they aren’t taking time off from work to learn the training and be tested in a classroom course. At each RQI Station, a tablet connects the student to training material and provides helpful audiovisual feedback for compressions and ventilations, monitors the quality of performance and provides reinforcement or suggestions for improvement.

The 2010 American Heart Association Guidelines for CPR and ECC and the 2013 CPR Quality Consensus Statement state that high-quality CPR should be recognized as the foundation for all other resuscitative efforts because it increases patient survival. The AHA RQI program helps provide better CPR. Learn more about the problem of rapid skills decay and the solution that RQI offers at www.heart.org/RQI.