CPR Blog

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RQI Nuts and Bolts - Why RQI?

What is RQI?

The RQI Program or Resuscitation Quality Improvement Program is part of a newly emerging training platform from the American Heart Association. In fact the RQI program represents a paradigm shift in CPR training and future training center development and implementation. RQI's stated goals are to improve Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) skills, while also making training more convenient for healthcare providers. But will RQI improve cardiac arrest outcomes? Is RQI really more convenient? What are the pitfalls to be considered when implementing an RQI program? (Hint there are many pitfalls)


RQI Platform (Estimated Retail Value of $10K)

Why RQI?

Several studies have demonstrated rapid skills decay in CPR Skills. RQI attempts to address the rapid skills decay. You might recall that the current training model for CPR and ACLS occurs in a bolos fashion...one class every two years. Existing educational researchExisting educational research shows that CPR knowledge may decay much quicker. For example some studies demonstrated that both knowledge and physical memory (muscle memory) degrade in as little as six months. Logically the research suggest I will not remember the correct compression depth (or some other segment of CPR knowledge) and I may also fail to recall how it feels (in my muscles) to push two inches deep, etc. However it is very important to note there is little research comparing the two year renewal cycle (bolos training) to the RQI Model.


RQI Program Highlights 

  • RQI is designed to support hospitals and healthcare providers by helping them maintain skill competency and achieve better patient outcomes through regular, low-dose/high-frequency training.
  • RQI is a 2 year long Maintenance of Competency Curriculum (MOC)
  • Every quarterly hands on activity takes about 10 minutes and successful completion results in advancement of existing certification by 3 months.
24 Month RQI Skills Schedule

What RQI Offers the End User


The RQI Program provides cognitive learning modules in the form of educational videos, eSimulation patient cases and multiple-choice exam questions. After successful completion of the cognitive modules, students perform self-directed, quarterly skills drills that take an average of 10 minutes to complete. Plus with enough money (about $10k per simulation station), simulation stations can be strategically placed in the facility so staff can access them 24/7, but cost and security are conveniently pushed aside by the manufacture/AHA when RQI systems are sold/purchased (more on this in an upcoming RQI Pitfall Blog Entry).

Bottom Line for RQI

Bottom line - it still remains to be seen if an RQI Program will really address the statement that "Poor-Quality CPR is a Preventable Harm"

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American Heart Association eCards
eCPR – A Replacement for CPR? Part I
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