Self-training and Resuscitation Techniques: Evaluation of the Performance and Impact on the Quality of Cardiopulmonary Resuscitation (CPR) (ATIPIQ)

September 14, 2026 updated by: Assistance Publique - Hôpitaux de Paris

Evaluation of the Impact of the "Resuscitation Quality Improvement" (RQI) Simulation-based Self-training Program on the Level of Technical Skills Employed by Healthcare Professionals During the Management of Cardiac Arrest.

Cardiac arrest (CA) remains one of the leading causes of death worldwide, and its incidence continues to increase. The median survival rate following in-hospital cardiac arrest in France is 19%. In Europe, it ranges from 15% to 34%. Effective management of cardiac arrest is therefore essential to reduce the mortality rate associated with in-hospital cardiac arrest.

However, cardiac arrest is a source of stress in conventional care settings. First, it is a life-threatening emergency in which the absence of effective management results in the patient's death. Furthermore, the occurrence of cardiac arrest in conventional hospital wards, particularly in pediatrics, is uncommon. Healthcare professionals are therefore not accustomed to encountering these situations, which may lead to apprehension, stress, and a lack of confidence in their skills when faced with cardiac arrest.

In this context, maintaining skills is essential to ensure effective management of cardiac arrest.

Providing open-access training in the workplace would make it possible to maintain a high level of proficiency over time while allowing healthcare professionals to remain at their workplace.

The expected benefits are improved management of patients experiencing cardiac arrest through regular training and maintenance of the technical skills of paramedical and medical healthcare professionals in cardiopulmonary resuscitation (CPR).

This is a retrospective cohort study evaluating the impact of a pre-/post-training intervention on the level of technical skills used by healthcare professionals in the management of cardiac arrest.

Study Overview

Status

Not yet recruiting

Conditions

Cardiac Arrest (CA)

Detailed Description

Regular and ongoing training of healthcare professionals is essential to ensure effective management in the event of cardiac arrest.

Providing training within the care unit would increase the frequency of training sessions while reducing staff availability constraints, and could help maintain a high level of proficiency in CPR skills over time.

In 2015, Laerdal and the American Heart Association developed a resuscitation quality improvement program called RQI (Resuscitation Quality Improvement), enabling healthcare professionals to independently train in CPR techniques within their own department, with feedback on skills acquisition.

The RQI simulation-based self-training program is a self-directed learning system for basic CPR that complies with Basic Life Support (BLS) training, the international standard. Its objective is to improve CPR skills related to chest compressions and BVM ventilation, using auditory and visual feedback to support skills acquisition during simulated resuscitation.

The training method provides a certificate of successful completion every three months. However, learners may log in and train as often as they wish.

The primary objective of this study is to evaluate the impact of a Resuscitation Quality Improvement (RQI) simulation-based self-training program on the technical CPR skills used during cardiac arrest management among healthcare professionals working in three pediatric hospital departments at Trousseau Hospital (AP-HP, Paris).

Study Type

Observational

Enrollment (Estimated)

265

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Léopoldine Legrain, nurse
Phone Number: 00 33 1 87 89 27 10
Email: leopoldine.legrain@aphp.fr

Study Locations

France
- - Paris, France, 75012
    - P₂ULSE

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

Adult
Older Adult

Accepts Healthy Volunteers

Sampling Method

Non-Probability Sample

Study Population

The study will include healthcare professionals working in one of the three departments of the A. Trousseau Children's Hospital: neonatal and pediatric intensive care, emergency department, and oncology/hematology.

Description

Inclusion Criteria:

- Working in one of the 3 participating pediatric departments as a nursing assistant, nurse, physician, or healthcare manager

Exclusion Criteria:

- Objection to the collection of his data

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
the success rate (total score greater than or equal to 75%) of RQI program participants Time Frame: 12 months	the success rate (total score greater than or equal to 75%) of RQI program participants in order to evaluate the impact of the RQI self-training program on CPR technical skills	12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Success rate (score ≥ 75%) according to the number of logins to the station Time Frame: baseline and 12 months	Success rate (score ≥ 75%) according to the number of logins to the station in order to evaluate the Difference in Effectiveness of CPR Technical Skills according to profile	baseline and 12 months
Success rate (score ≥ 75%) according to the profession (Registered Nurse (RN), Nursing Assistant (NA), Physician) Time Frame: baseline and 12 months	Success rate (score ≥ 75%) according to the profession (Registered Nurse (RN), Nursing Assistant (NA), Physician) in order to evaluate the Difference in Effectiveness of CPR Technical Skills according to profile	baseline and 12 months
Success rate (score ≥ 75%) according to Professional experience (number of years) Time Frame: baseline and 12 months	Success rate (score ≥ 75%) according to Professional experience (number of years) in order to evaluate the Difference in Effectiveness of CPR Technical Skills according to profile	baseline and 12 months
Success rate (score ≥ 75%) according to Department/unit of practice in order to evaluate of the Difference in Effectiveness of CPR Technical Skills According to Profile Time Frame: baseline and 12 months	Success rate (score ≥ 75%) according to Department/unit of practice in order to evaluate of the Difference in Effectiveness of CPR Technical Skills according to Profile	baseline and 12 months
Success rate (score ≥ 75%) according to occurrence of a cardiac arrest in the department in order to evaluate of the Difference in Effectiveness of CPR Technical Skills According to Profile Time Frame: baseline and 12 months	Success rate (score ≥ 75%) according to occurrence of a cardiac arrest in the department in order to evaluate of the Difference in Effectiveness of CPR Technical Skills according to Profile	baseline and 12 months
Evaluate learner satisfaction with the RQI training program using a satisfaction questionnaire Time Frame: 12 months	Evaluate learner satisfaction with the RQI training program using a satisfaction questionnaire (score greater than or equal to 80%).	12 months
Number of technical malfunctions Time Frame: 24 months	the number of technical malfunctions in order to evaluate the technical operationality of the RQI system by compiling the number of technical malfunctions network problems, system connection issues, simulator and computer operation.	24 months
Number of network problems Time Frame: 24 months	the number of network problems in order to evaluate the technical operationality of the RQI system by compiling the number of technical malfunctions network problems, system connection issues, simulator and computer operation.	24 months
Number of system connection issues Time Frame: 24 months	the number of system connection issues, in order to evaluate the technical operationality of the RQI system by compiling the number of technical malfunctions network problems, system connection issues, simulator and computer operation.	24 months
Number of simulator operation Time Frame: 24 months	the number of simulator operation in order to evaluate the technical operationality of the RQI system by compiling the number of technical malfunctions network problems, system connection issues, simulator and computer operation.	24 months
Number of computer operation Time Frame: 24 months	the number of computer operation in order to evaluate the technical operationality of the RQI system by compiling the number of technical malfunctions network problems, system connection issues, simulator and computer operation.	24 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Assistance Publique - Hôpitaux de Paris

Investigators

Principal Investigator: Léopoldine Legrain, Nurse, Assistance Publique - Hôpitaux de Paris

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

September 1, 2028

Study Completion (Estimated)

September 1, 2028

Study Registration Dates

First Submitted

August 28, 2026

First Submitted That Met QC Criteria

September 14, 2026

First Posted (Actual)

September 15, 2026

Study Record Updates

Last Update Posted (Actual)