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Resuscitation Quality Improvement (RQI)

Maximising lifesaving outcomes

The Resuscitation Quality Improvement (RQI) programs help organisations meet BLS quality and compliance goals utilising RCUK-aligned training, delivered at the point of care.

Organisational CPR quality and compliance through RCUK-aligned, continuous BLS training

Healthcare staff shortages, exacerbated by the COVID pandemic, have put pressure on healthcare systems around the world. Meanwhile, scheduling of traditional BLS trainings and tracking compliance have become an even greater challenge with increased staff turnover, strike actions and healthcare providers pressed for time. The result: healthcare organisations are struggling with staff compliance for BLS training.

The Resuscitation Quality Improvement (RQI) programs allow healthcare professionals to obtain BLS credentials and improve their CPR competence through an automated education solution that is delivered in brief sessions at the workplace. Aligned with RCUK guidelines, RQI programs offer self-directed hands-on skills practice and cognitive learning using a low-dose, high-frequency model.

The convenience of obtaining BLS credentials in short sessions at the workplace allows healthcare professionals to focus on what’s important – delivering quality care to every patient, every time.

Benefits of RQI Programs

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Automated BLS training

RCUK-aligned, self-directed training is conducted continuously in short sessions at the point of care



True Adaptive eLearning

An innovative algorithm adapts the program entry assignment to the provider’s level of expertise

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Hands-on skills training with feedback

Low-dose, high-frequency skills sessions prevent skill decay and feature audiovisual feedback


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Measure and improve

RQI Analytics provides insights and trends for compliance and performance over time

RQI verified CPR competence is the higher standard of care, demonstrated to improve clinical care delivery and to increase survival from sudden cardiac arrest.

Panchal et al, Resuscitation, 2019

The Impact of Resuscitation Quality Improvement

Low-dose, high-frequency training is the foundation of the Resuscitation Quality Improvement (RQI) programs that measure and verify competence, to help healthcare providers retain life-saving skills.

The results speak for themselves:
  • After one RQI training session, overall compression scores increased by 81% and ventilation scores with bag-mask device increased from 19% to 70% (Kardong et al, 2020)1
  • Providers not meeting target compression depth increased from 51.1% in Q1 to 78.8% in Q2 and then 84% in Q4 for percentage of compressions with correct depth. (Klacman et al, 2021)2
  • In the RQI model, providers have increased their CPR skills confidence with an improved performance of compressions and ventilation skills and a decrease in the number of attempts to achieve high-quality CPR. (Dudzik et al, 2019)3
  • In addition to improved performance scores, a significant association was found between the number of RQI sessions and adherence to compression rate guidelines during real pediatric events (Donoghue et al, 2021)4
  • Association of RQI and enhanced clinical CPR quality has been found with an improved chest compression fraction during in-hospital cardiac arrest events from pre-RQI of 83% to post-RQI of 93% (Panchal et al, 2020)5


Learning RQI

Learn how the RQI program can help improve resuscitation quality at your hospital.
Find blog posts, how-to's, and evidence library:


"When we started the RQI program only 25% of our staff were able to perform chest compressions and ventilations at the required rate. Now we have more than 90% of staff exceeding the standard."
Matt Johnson, Cabrini Health, Australia

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“BLS/PBLS training compliance has greatly increased since adopting RQI and more importantly, compliance can now be tracked accurately. Significant improvement in quality of basic CPR skills has been recognised through RQI feedback. In turn, this has been observed directly in ILS/PILS courses as candidates routinely perform good quality CPR, with little need for correction or intervention required from the instructor.”
Olly Hockin, Spire Healthcare, United Kingdom

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1. Kardong-Edgren et al., Baseline Cardiopulmonary Resuscitation Skill Performance of Nursing Students is Improved After One Resuscitation Quality Improvement Skill Refresher. Journal for Nurses in Professional Development. 2020; 36(2): 57-62
2. Klacman, A. Barnes, D., & Wang, J. The Effects of a Novel Quarterly Cardiopulmonary Resuscitation Training Program on Hospital Basic Life Support Providers’ Cardiopulmonary Resuscitation Skill Performance. Journal for Nurses in Professional Development. 2021
3. Dudzik et al., Implementation of a Low-Dose, High-Frequency Cardiac Resuscitation Quality Improvement Program in a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2019; 000: 1-9
4. Donoghue, A. et al. Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest. Resuscitation Plus. 2021
5. Panchal et al. Low Dose-High Frequency, Case Based Psychomotor CPR Training Improves Compression Fraction For Patients With In-Hospital Cardiac Arrest. European Resuscitation Council. 2020; 146: P26-P31