Process Improvement of In-Hospital Critical and Life-Threatening Patient Resuscitation: A Quality Improvement Project in a China Otolaryngology Hospital

Background: To identify factors contributing to the low success rate of resuscitation, we optimized related links in resuscitation management and constructed a five-minute green transfer resuscitation model. Methods: A quasi-experimental pre–post quality improvement study was conducted on patients with critical and severe conditions admitted in the Department of Otorhinolaryngology at a China otolaryngology hospital. The pre-intervention group of patients were treated using the conventional resuscitation process, while the post-intervention group was treated using the “5 min green transfer” resuscitation process under the guidance of the quality improvement (QI) team. Results: The resuscitation mainly occurred in the first and second quarters, between 20:00 in the evening and 07:59 the following morning. In the pre-intervention group, the most common direct cause of initiating resuscitation was bleeding, primarily due to epistaxis, while the primary direct cause for initiating resuscitation was abnormal vital signs in the post-intervention group. The resuscitation success rate was 82.93% (34/41) in the pre-intervention group and 93.48% (43/46) in the post-intervention group. However, there was no statistically significant difference in resuscitation success rate (p = 0.14) and complication incidence (p = 0.71) between the two groups. In the pre-intervention group, six patients (14.63%) were transferred within 5 min, whereas 100% of patients (46 cases) in the post-intervention group achieved 5 min transfer, with a statistically significant difference observed between the two groups (p = 0.03). Conclusions: The intervention significantly improved the 5 min transfer efficiency, which was conducive to ensuring timely medical intervention for patients and safeguarding their clinical safety.